探索负面期望和情绪在原发性经期障碍中的作用:从病例对照研究的见解
Verena Thomann1, Nadya Gomaa2, Marina Stang2
1Institute for Applied Health Sciences, Faculty of Applied Natural Sciences and Health, Coburg University of Applied Sciences and Arts, Coburg, Germany.
负面的期望和情绪加剧了初级经期障碍的月经疼痛. 优化这些认知情感因素可以帮助管理严重的月经疼痛,提供新的治疗策略.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 妇科 妇科 妇科 妇科
背景情况:
- 原发性经期障碍严重影响全球妇女的生活质量.
- 负面的期望和情绪可能会通过nocebo效应加剧周期性月经疼痛.
- 这项研究探讨了严重的月经疼痛中的疼痛预期和负面情绪.
研究的目的:
- 调查疼痛预期和负面预期情绪在初级经期障碍症中的作用.
- 比较认知情绪因素在妇女严重与轻度/缺席的月经疼痛.
- 检查期望,情绪和月经疼痛严重程度之间的关系.
主要方法:
- 前性病例对照研究,比较患有严重和轻度/缺席初级经期障碍的妇女.
- 使用抑郁,焦虑和压力表 (DASS-21) 和每日数值评分表 (NRS) 对疼痛,期望和情绪.
- 评估皮质醇唤醒反应 (CAR) 和月经期间的月经疼痛.
主要成果:
- 严重疼痛的女性表现出更高的焦虑 (DASS-21) 和明显更高的疼痛预期月经前.
- 高疼痛组在月经前报告了更大的预期性压力,焦虑,担忧和愤怒.
- 在预期的疼痛,负面情绪和感知到的月经疼痛之间发现了积极的相关性.
结论:
- 强烈的疼痛预期和负面情绪加剧了初级经期障碍的月经疼痛.
- 认知情绪因素是导致月经疼痛严重程度的重要因素.
- 优化期望可能是管理原发性经期障碍的一个关键策略.
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