The Hope and Reality of Pain Relief Using Psychological Manipulations.

IF 2.9 3区 医学 Q2 PSYCHIATRY
Psychosomatic Medicine Pub Date : 2024-09-01 Epub Date: 2024-06-10 DOI:10.1097/PSY.0000000000001327
Stuart W G Derbyshire
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引用次数: 0

Abstract

Abstract: Many patients suffer from chronic pain despite the absence of injury or sufficient biomedical disease to explain their pain. These pains are highly resistant to treatment. Psychological therapies designed to help patients undermine the negative thought and behavioral patterns that maintain pain provide only modest pain relief, leading to suspicion that such pain might be maintained by unconscious processes. An article in this issue of Psychosomatic Medicine provides the first experimental evidence that unconscious negative memories can increase pain unpleasantness. These findings are exciting, but the effect sizes are small, which is consistent with the small effects of psychological therapy. It seems that pain stubbornly resists psychological manipulation, but this work provides some hope that psychological therapy for pain can be improved to provide more effective pain relief.

利用心理操纵缓解疼痛的希望与现实。
摘要:许多病人尽管没有受伤或足够的生物医学疾病来解释他们的疼痛,但却遭受着慢性疼痛的折磨。这些疼痛对治疗具有很强的抵抗力。心理疗法旨在帮助患者消除维持疼痛的消极思想和行为模式,但只能适度缓解疼痛,因此人们怀疑这种疼痛可能是由无意识过程维持的。本期《心身医学》(Psychosomatic Medicine)杂志上的一篇文章首次提供了实验证据,证明无意识的负面记忆会增加疼痛的不快感。这些发现令人兴奋,但效果很小,这与心理治疗的微小效果是一致的。疼痛似乎顽固地抗拒心理治疗,但这项研究为改进疼痛心理治疗以提供更有效的疼痛缓解带来了希望。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Psychosomatic Medicine
Psychosomatic Medicine 医学-精神病学
CiteScore
5.10
自引率
0.00%
发文量
258
审稿时长
4-8 weeks
期刊介绍: Psychosomatic Medicine is the official peer-reviewed journal of the American Psychosomatic Society. The journal publishes experimental, clinical, and epidemiological studies on the role of psychological and social factors in the biological and behavioral processes relevant to health and disease. Psychosomatic Medicine is an interdisciplinary peer-reviewed journal devoted to high-quality science on biobehavioral mechanisms, brain-behavior interactions relevant to physical and mental disorders, as well as interventions in clinical and public health settings. Psychosomatic Medicine was founded in 1939 and publishes interdisciplinary research articles relevant to medicine, psychiatry, psychology, and other health-related disciplines. The print journal is published nine times a year; most articles are published online ahead of print. Supplementary issues may contain reports of conferences at which original research was presented in areas relevant to the psychosomatic and behavioral medicine.
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