心理社会对跨性别者的疼痛的影响
Kelly S Clemens1, John Matkovic2, Abby Odelson1
1Department of Psychology, Illinois State University, Normal, IL, United States.
概括
由于心理社会因素,变性人和性别多元的人经历了不成比例的痛苦. 以患者为中心的沟通可以减轻这些影响,并减少疼痛管理中的差异.
科学领域:
- 医学 社会科学 医学社会科学
- 健康差距 研究 研究 研究 研究
- 疼痛的心理学 疼痛的心理学
背景情况:
- 疼痛是一种普遍的人类体验,但其患病率和影响在边缘化群体,特别是跨性别和性别多元化个体中显著更高.
- 心理社会变量,包括认知,影响和社会因素,越来越被认为是疼痛感知和管理的关键决定因素.
- 现有研究强调了理解导致跨性别人口疼痛差异的特定心理社会机制的差距.
研究的目的:
- 审查和综合当前对认知,情感和社会因素如何导致跨性别和性别多样性个体的疼痛差异的理解.
- 探索以患者为中心的沟通的作用,作为一种策略,以减轻心理社会对患者疼痛的影响.
- 为医疗保健提供者确定未来研究和教育干预的领域.
主要方法:
- 这项研究是对有关疼痛,心理社会因素和跨性别健康的现有文献的综述.
- 作者综合了与认知 (期望,规范),影响 (痛苦,负面情感) 和社会因素 (排斥) 相关的研究结果,在变性人痛苦经历的背景下.
- 该审查还检查了以患者为中心的沟通作为潜在的干预措施.
主要成果:
- 心理社会因素,包括负面期望,社会排斥和情绪困扰,与变性人群的疼痛经历和差异明显相关.
- 以患者为中心的沟通可以通过减少社会排斥和改善患者-提供者关系来缓解疼痛.
- 审查强调需要进一步的实证研究来验证这些发现,并制定有针对性的干预措施.
结论:
- 认知,情感和社会因素在跨性别者和性别多元人士所经历的不成比例的痛苦中起着至关重要的作用.
- 在医疗保健机构中实施以患者为中心的沟通策略是解决这些疼痛差异的有希望的方法.
- 进一步的研究和提供者教育对于改善跨性别者的疼痛管理至关重要.
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