慢性疼痛对认知功能的影响
Milan Patel1, Jamal Hasoon2, Rodrigo Diez Tafur3
1Department of Anesthesiology, School of Medicine and Public Health, University of Wisconsin, Madison, WI 53705, USA.
Brain sciences
|June 26, 2025
概括
慢性疼痛显著影响认知功能,导致可测量的缺陷和大脑变化. 早期识别和多学科策略对于管理疼痛和认知健康至关重要.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 慢性疼痛是美国广泛存在的公共卫生问题.
- 它越来越多地与认知功能障碍有关,特别是在老年人中.
- 这种功能障碍可能导致神经退行性疾病.
研究的目的:
- 综合审查慢性疼痛与认知功能之间的关系.
- 强调潜在的神经生物学机制,结构性大脑变化和并发症.
- 探索神经退行性疾病的影响.
主要方法:
- 对关于疼痛认知机制的同行评审研究的系统审查.
- 包括大规模的队列研究和神经成像分析 (fMRI).
- 专注于前额叶皮质活动,默认模式网络和灰质缩.
主要成果:
- 慢性疼痛通过多种途径与认知缺陷有关.
- 观察到可测量的认知障碍和结构性/功能性大脑变化.
- 受影响的关键大脑区域包括前额叶皮质和默认模式网络.
结论:
- 了解疼痛认知机制对于早期检测至关重要.
- 建议多学科的管理,包括神经调节和认知康复.
- 未来的研究应该专注于纵向研究和综合干预.
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