自主性失调调节儿童创伤和疼痛严重程度之间的关联:来自调解模型的证据
Eleonora C V Costa1,2, Patrícia Gonçalves1, Fernando Martins3
1Centro de Estudos Filosóficos e Humanísticos, Faculdade de Filosofia e Ciências Sociais, Universidade Católica Portuguesa, 4710-297 Braga, Portugal.
Healthcare (Basel, Switzerland)
|September 27, 2025
概括
童年创伤可以通过破坏自主神经系统 (ANS) 导致慢性疼痛. 自主反应完全调解了这种联系,建议针对疼痛脆弱性的有针对性的干预措施.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 童年创伤是自主神经系统 (ANS) 失调和慢性疼痛的重要危险因素.
- 关联童年创伤与疼痛的确切机制尚不清楚,特别是在综合医疗机构.
研究的目的:
- 调查自主反应能否调解童年创伤和疼痛严重程度之间的关联.
- 为了控制创伤与疼痛关系中的年龄和性别的影响.
主要方法:
- 124名参与者 (64人有创伤史,60人没有) 完成了关于童年创伤,累积创伤,自主反应和疼痛严重程度的验证问卷.
- 统计分析包括组比较,相关性,层次回归和调解建模.
主要成果:
- 有创伤史的参与者表现出明显更高的自主反应能力.
- 童年创伤与自主反应能力有很强的联系,与疼痛严重程度有很强的联系,但与疼痛没有直接联系.
- 调解分析证实,自主反应完全调解了童年创伤和疼痛严重程度之间的关系 (β = 0.220,p = 0.009).
结论:
- 自主性失调作为一个调解者,将童年创伤与增加的疼痛脆弱性联系起来.
- 将自主评估整合到创伤信息化护理中,可以帮助早期发现和针对慢性疼痛进行个性化干预.
- 研究结果表明,这可能是跨性别的概括,但需要进一步的研究.
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