慢性疼痛中的适应性学习障碍有助于冷漠
Xinyuan Yan1,2, Crina M Peterson1, Lisa M Schmidt3
1Department of Neurosurgery, University of Minnesota, Minneapolis, MN, United States.
medRxiv : the preprint server for health sciences
|November 24, 2025
概括
患有慢性关疾病 (TMD) 的个人表现出适应性学习受损,并努力减少不确定性. 这种认知缺陷与动机问题有关,例如慢性疼痛患者的冷漠.
科学领域:
- 神经科学是一个神经科学.
- 认知心理学 认知心理学
- 计算精神病学是一种计算精神病学.
背景情况:
- 慢性疼痛,特别是部疾病 (TMD),与动机缺陷有关.
- 这种联系背后的精确认知机制尚未得到充分理解.
研究的目的:
- 研究连接慢性疼痛 (TMD) 与动机症状的认知机制.
- 在患有TMD的个体中识别学习和决策缺陷的计算特征.
主要方法:
- 使用新型挥发性卡尔曼波器模型利用概率奖励任务.
- 分析了26名TMD参与者和39名匹配对照者的行为数据.
- 评估了不确定性,波动性和学习率的试验智能更新.
主要成果:
- 在TMD患者和对照人群之间,表面层次的任务执行没有显著差异.
- 基于模型的分析显示TMD参与者未能减少不确定性并随着时间的推移调整学习率.
- TMD参与者报告了较高的冷漠,抑郁,痛苦灾难化,生活质量低下.
结论:
- 扰乱不确定性适应是患有TMD的个体的计算特征.
- 信念更新受损部分介导着TMD和冷漠之间的关系.
- 研究结果表明,慢性疼痛和动机功能障碍之间通过适应不确定性的缺陷存在机械联系.
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