Active Inference as a theoretical framework for external locus of control in chronic pain: the role of aberrant interoceptive integration

IF 1 4区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

Medical hypotheses Pub Date : 2026-03-01 Epub Date: 2026-01-12 DOI:10.1016/j.mehy.2026.111878

Yuri Cordeiro Szeremeta

引用次数: 0

Abstract

Perceived control is a transdiagnostic feature across chronic pain. The Locus of Control is a patient’s personality trait that refers to a belief about the extent to which they have control over their health outcomes. From a phenomenological point of view, the prevalence of internal or external dimensions of Locus of Control indicates how individuals operate certain cognitive systems and how they perceive different forces that influence their lives. Consequently, it is a key indicator of whether treatment will be successful or unsuccessful. However, the neural pathways and belief systems that underlie this personality trait remain poorly understood. This article raises the hypothesis that the theoretical basis of Active Inference may explain a propensity for external Locus of Control in chronic pain sufferers.

查看原文本刊更多论文

主动推理作为慢性疼痛外部控制点的理论框架：异常内感受整合的作用

感知控制是慢性疼痛的一种跨诊断特征。控制点是患者的人格特征，指的是他们对自己健康结果的控制程度的信念。从现象学的角度来看，控制点的内部或外部维度的流行表明了个体如何操作某些认知系统，以及他们如何感知影响他们生活的不同力量。因此，它是治疗成功与否的关键指标。然而，这种人格特质背后的神经通路和信念系统仍然知之甚少。本文提出主动推理的理论基础可以解释慢性疼痛患者的外部控制点倾向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Medical hypotheses 医学-医学：研究与实验

CiteScore

10.60

自引率

2.10%

发文量

167

审稿时长

60 days

期刊介绍： Medical Hypotheses is a forum for ideas in medicine and related biomedical sciences. It will publish interesting and important theoretical papers that foster the diversity and debate upon which the scientific process thrives. The Aims and Scope of Medical Hypotheses are no different now from what was proposed by the founder of the journal, the late Dr David Horrobin. In his introduction to the first issue of the Journal, he asks ''what sorts of papers will be published in Medical Hypotheses? and goes on to answer ''Medical Hypotheses will publish papers which describe theories, ideas which have a great deal of observational support and some hypotheses where experimental support is yet fragmentary''. (Horrobin DF, 1975 Ideas in Biomedical Science: Reasons for the foundation of Medical Hypotheses. Medical Hypotheses Volume 1, Issue 1, January-February 1975, Pages 1-2.). Medical Hypotheses was therefore launched, and still exists today, to give novel, radical new ideas and speculations in medicine open-minded consideration, opening the field to radical hypotheses which would be rejected by most conventional journals. Papers in Medical Hypotheses take a standard scientific form in terms of style, structure and referencing. The journal therefore constitutes a bridge between cutting-edge theory and the mainstream of medical and scientific communication, which ideas must eventually enter if they are to be critiqued and tested against observations.