慢性腰部疼痛患者的疼痛灾难化,运动恐惧症,中心敏感化和认知功能之间的关系
Cory Alcon1, Cassidy Krieger2, Kaley Neal3
1Department of Physical Therapy. High Point University, High Point, NC, USA.
The Clinical journal of pain
|April 22, 2025
概括
疼痛灾难化和运动恐惧症会对慢性腰痛患者的注意力和记忆力等认知功能产生负面影响. 解决这些心理因素对于有效的疼痛管理和认知干预至关重要.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 慢性腰痛 (CLBP) 管理因不良的疼痛行为和认知缺陷而复杂化.
- 在CLBP中,疼痛灾难化 (PC),运动恐惧症,中心敏感化 (CS) 和认知功能之间的相互作用尚未得到充分理解.
- 了解这些关系对于优化针对疼痛认知方面的治疗干预至关重要.
研究的目的:
- 为了研究疼痛灾难化 (PC),运动恐惧症,中央敏感化 (CS) 和患有CLBP的个体的认知表现之间的关联.
- 确定心理因素如何影响与疼痛管理相关的特定认知领域.
主要方法:
- 患有CLBP的成年参与者 (18-65岁) 填写了PC (PCS),动态恐惧症 (TSK) 和CS (CSI) 的验证问卷.
- 用Stroop Color Word Test (SCWT),综合步道制作测试 - 第二版 (CTMT2) 和编码测试来评估认知表现.
- 统计分析探讨了心理测量和认知测试结果之间的相关性.
主要成果:
- 疼痛灾难化 (PCS) 和运动恐惧症 (TSK) 与SCWT上的注意干扰正相关.
- PCS和TSK与CTMT2上的抑制控制和设置转移以及编码测试中的表现负相关.
- 与PC低的人相比,高PC的人在多个认知测试中表现明显差.
结论:
- 疼痛灾难化和运动恐惧症显著损害了CLBP患者的认知功能,包括注意力,抑制控制,设置转移和持续的工作记忆.
- 这些认知缺陷可能会影响患者对疼痛神经科学教育等干预措施的反应.
- 建议将PC和kinesiophobia的评估纳入全面的CLBP管理中.
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