在童年时期建立对慢性疼痛的抵御力:情况 - 经验 - 学习 - 感觉 (自我) 框架
Sarah B Wallwork1, Tanja Hechler2, Anja C Feneberg2
1IIMPACT in Health, College of Health, Adelaide University, Kaurna Country, Adelaide, Australia; Robinson Research Institute, Adelaide University, Adelaide, Australia.
Clinical psychology review
|March 3, 2026
概括
本综述介绍了情境-经验-学习-感觉 (SELF) 框架,以建立儿童对慢性疼痛的抵抗力. 它强调通过学习,社会支持和身体意识进行早期干预,以长期控制疼痛.
科学领域:
- 疼痛研究 疼痛研究
- 发展心理学是发展心理学.
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,慢性疼痛影响了四分之一的成年人和五分之一的年轻人.
- 对慢性疼痛的预防研究显著缺乏.
- 需要一种发展性,生物心理社会社会方法来治疗疼痛抵抗力.
研究的目的:
- 介绍一个概念的情况-经验-学习-感觉 (SELF) 框架.
- 概述一种发展方法,以建立儿童对慢性疼痛的抵抗力.
- 通过早期干预,确定预防未来慢性疼痛的策略.
主要方法:
- 对跨学科证据的全面审查.
- 基于当前的研究,开发了SELF框架.
- 确定三个核心支柱:学习,经验和感觉.
主要成果:
- 自我框架整合了情况,经验,学习和感受.
- 第1支柱 (学习) 侧重于有关疼痛的知识和技能.
- 第二支柱 (经验) 的目标是社会支持和情绪弹性.
- 第三支柱 (FEEL) 旨在改善大脑与身体的整合和意识.
- 该框架承认社会/结构因素对风险的影响.
结论:
- 童年为预防慢性疼痛提供了一个关键的,尚未开发的机会.
- SELF框架提供了一种结构化的方法来建立弹性.
- 实施策略可以减轻慢性疼痛风险,特别是在弱势儿童中.
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