选择好:关于慢性疼痛和决策的叙事评论
Marilyn Horta1, Kylie Wright2, Nichole R Lighthall3
1Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA.
The journal of pain
|August 10, 2025
概括
慢性疼痛显著影响日常决策,导致表现较差,风险承担增加,学习减少. 了解这些影响对于为慢性疼痛患者开发更好的干预措施至关重要.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 卫生经济学 卫生经济学
背景情况:
- 慢性疼痛是美国广泛和昂贵的健康问题.
- 现有研究表明,慢性疼痛会影响认知和行为.
- 慢性疼痛对日常决策的具体影响仍然不太清楚.
研究的目的:
- 审查和综合现有的关于慢性疼痛如何影响决策结果的文献.
- 确定慢性疼痛对决策过程的关键影响.
- 突出知识差距,并建议未来的研究方向.
主要方法:
- 采用了一个叙事审查方法.
- 通过文献搜索,发现了18项相关的同行评审研究.
- 研究包括实验和横截面设计,检查慢性疼痛中的决策.
主要成果:
- 慢性疼痛与决策能力下降有关.
- 患有慢性疼痛的个人表现出增加的风险承担和延迟折扣.
- 观察到对结果的敏感性变化和认知灵活性/学习能力降低.
- 影响因性别,年龄和心理社会因素等个人因素而异.
结论:
- 慢性疼痛明显影响决策的各个方面.
- 在理解这种关系方面,仍然存在显著的知识差距.
- 需要进一步的研究,以提供理论和干预措施,以改善慢性疼痛患者的决策.
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