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儿童慢性疼痛中alexithymia,interoception和疼痛之间的关联:一个系统的审查

Alisha Bruton¹, Hayleigh Ast¹, Jacqueline R O'Brien²

¹Center for Mental Health Innovation, Department of Psychiatry, Oregon Health & Science University, Portland, Oregon, USA.

Integrative medicine reports

|October 27, 2025

概括

患有慢性疼痛的儿童可能会出现增加的alexithymia (难以识别/描述情绪) 和整体感受障碍. 需要进一步的研究来了解这些因素,以便更好地治疗儿科疼痛.

科学领域:

心理学心理学心理学
儿科儿科儿科
疼痛管理疼痛管理

背景情况:

儿童慢性疼痛显著影响情绪,心理和社会功能.
内感 (注意到身体内部的感觉) 和alexithymia (难以识别/沟通情绪) 是潜在的促成因素,在成年人中观察到.
这些因素可能会影响儿童慢性疼痛的发展,维持和管理.

研究的目的:

在儿科慢性疼痛群体中调查整体感受和alexithymia的变化.
综合现有关于alexithymia,整体感受和儿童和青少年慢性疼痛之间的关系的证据.

主要方法:

在多个数据库 (CINAHL,PsycINFO,PubMed/MEDLINE,Scopus,Google Scholar) 中进行了系统的文献搜索.
包括的研究集中在18岁或更年轻的慢性疼痛参与者身上,评估了alexithymia或interoception.
研究选,数据提取和偏差风险评估遵循PRISMA指南和纽卡斯尔-太华尺度.

主要成果:

确定了14项关于儿科慢性疼痛中alexithymia的研究;八项研究中有六项报告疼痛组中alexithymia症状显著增加.
亚历克西西米亚症状与疼痛烦和干扰相关,但不是疼痛强度.
两项关于整体接收的研究表明,自我报告的整体接收减少和慢性疼痛增加之间存在关联.

结论:

研究结果表明,慢性疼痛的儿童和青少年中,alexithymia症状可能会增加.
限制包括不完整的报告和不一致的措施,降低证据的确定性.
进一步的研究至关重要,以阐明整体感受和亚历克西西米亚在儿科疼痛中的作用,以改善缓解和治疗策略.

关键词:

青少年青少年青少年青少年亚历克西西米亚是什么意思孩子孩子孩子孩子孩子孩子情绪情绪情绪情绪情绪整体感受整体感受整体感受疼痛疼痛疼痛疼痛

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