解释偏差及其与疼痛的关系:系统性审查和元分析
Jemma Todd1,2, Brydee Pickup1, Daelin Coutts-Bain1
1School of Psychology, University of Sydney, Camperdown, Australia.
Pain
|April 17, 2025
概括
与没有疼痛的人相比,患有慢性疼痛的个人表现出较高的解释偏差. 这种偏差与疼痛干扰有关,并显示出作为改善疼痛结果的可修改治疗目标的潜力.
科学领域:
- 心理学 心理学 心理学
- 疼痛研究 疼痛研究
- 认知科学 认知科学
背景情况:
- 解释偏差,即以某种特定方式解释模两可的刺激的倾向,越来越多地被认为是慢性疼痛的一个因素.
- 了解这种偏见对于开发有效的疼痛管理策略至关重要.
研究的目的:
- 系统地审查和元分析有关疼痛解释偏差的证据.
- 要确定与没有疼痛的人相比,疼痛患者的解释偏差是否更大.
- 探索解释偏见和疼痛结果之间的关联,以及其作为因果机制或治疗目标的潜力.
主要方法:
- 33项研究的系统综述和元分析 (n=4842).
- 包括纵向和干预研究来评估因果关系和治疗潜力.
- 使用各种措施分析解释偏差,包括单词关联任务.
主要成果:
- 与没有疼痛的个人相比,患有慢性疼痛的个体表现出中度至大的解释偏差 (g=0.602, g=0.899用于单词关联任务).
- 解释偏差与疼痛干扰和疼痛灾难性有关,但与疼痛严重程度的可靠性较低.
- 干预研究表明,可以修改解释偏差,从而改善慢性疼痛结果.
结论:
- 解释偏差是慢性疼痛的一个强有力的特征,与疼痛干扰有关.
- 新出现的证据支持解释偏见作为改善疼痛结果的可修改治疗目标.
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