纤维肌痛中的疼痛,愤怒和食:一个恶性循环?
Michael Tenti1,2, Giorgia Varallo3, Federica Cilenti1
1ISAL Foundation, Institute for Research on Pain, 47921 Rimini, Italy.
Journal of clinical medicine
|June 13, 2025
概括
纤维肌痛的疼痛是由负面思想的循环,愤怒的反和增加的愤怒状态加剧的. 干预措施应针对这些认知和情绪因素,以更好地管理疼痛.
科学领域:
- 心理学 心理学 心理学
- 疼痛医学 医学 疼痛医学
- 类风湿病学 类风湿病学
背景情况:
- 纤维肌痛是一种慢性疼痛疾病,在这种疾病中,情绪和认知因素显著影响疼痛感知.
- 众所周知,负面的元认知和愤怒反会加剧愤怒状态,可能增加疼痛强度.
- 了解疼痛,元认知,愤怒反和状态愤怒之间的相互作用对于纤维肌痛管理至关重要.
研究的目的:
- 在纤维肌痛患者中调查疼痛强度,功能障碍元认知,愤怒反和状态愤怒之间的关系.
- 探索元认知和愤怒反在疼痛和愤怒状态之间的关联中扮演的调解角色.
主要方法:
- 一项涉及446名被诊断患有纤维肌痛的参与者的横截面研究.
- 自我报告措施评估了元认知,愤怒反,状态愤怒和疼痛强度.
- 使用海耶斯的PROCESS宏 (模型6) 进行序列调解分析.
主要成果:
- 疼痛强度积极影响了关于担忧的负面信念,需要控制思想和认知自我意识.
- 疼痛强度对状态愤怒的直接影响仍然显著,表明受研究因素的部分调解.
- 一个恶性循环涉及功能障碍的元认知,愤怒反,状态愤怒和疼痛强度被建议.
结论:
- 功能障碍的元认知和愤怒反有助于增加纤维肌痛的状态愤怒和疼痛强度.
- 疼痛强度可能会影响元认知信念,创造一个反循环.
- 纤维肌痛愤怒管理干预应纳入解决功能障碍元认知和愤怒反的策略.
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