通过催眠来试验疼痛调节:神经生理学的观点.
Vilfredo De Pascalis1, Giuseppe De Benedittis2
1Department of Psychology, Sapienza University of Rome, Rome, Italy.
International review of neurobiology
|October 29, 2025
概括
催眠可以通过改变大脑活动来减少疼痛和痛苦,特别是在容易被催眠的人群中. 这个过程涉及到特定的大脑网络,并影响自主神经系统的功能,以实现个性化的疼痛管理.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
背景情况:
- 催眠可以调节疼痛感知和情绪困扰.
- 催眠能力的个体差异显著影响了催眠的低痛感.
- 了解催眠的神经基础对于其临床应用至关重要.
研究的目的:
- 审查关于催眠和疼痛调节的神经机制的电生理学和神经成像发现.
- 强调催眠效应中可催眠性和暗示内容的作用.
- 探索催眠如何影响与疼痛相关的大脑网络和自主功能.
主要方法:
- 对电生理学研究 (EEG,SERP) 和神经成像研究 (fMRI) 的审查.
- 时间频率和振荡式EEG数据的分析.
- 检查大脑网络中的功能连接.
- 评估自主神经系统的反应.
主要成果:
- 高度可催眠的个体表现出一致的疼痛减轻,尽管SERP效果有所不同.
- 脑电图研究强调了马波段振荡,使催眠与分心区分开来.
- 神经成像显示ACC,MCC,丘脑,感官皮质,dlPFC和insula中的活性发生变化,与疼痛调节相关.
- 催眠减少了同情的兴奋,并增加了副同情的音调.
- 在ACC,PAG和insula之间观察到增强的功能连接.
结论:
- 催眠性缺血症涉及分布式的大脑网络,并受到催眠能力和暗示的影响.
- 马波段振荡可以作为催眠的神经标记.
- 催眠调节疼痛的感觉和情感组成部分.
- 催眠会影响自主神经系统的功能.
- 催眠是一种多方面的过程,有可能成为个性化的疼痛管理工具.
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