Acute, Chronic, and Everyday Physical Pain in Borderline Personality Disorder

IF 5.5 2区 医学 Q1 PSYCHIATRY Current Psychiatry Reports Pub Date : 2024-04-10 DOI:10.1007/s11920-024-01498-0
Melissa Nance, Khrystyna Stetsiv, Ian A. McNamara, Ryan W. Carpenter, Johanna Hepp
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Abstract

Purpose of Review

Physical pain is an underrecognized area of dysregulation among those with borderline personality disorder (BPD). Disturbances are observed within the experience of acute, chronic, and everyday physical pain experiences for people with BPD. We aimed to synthesize research findings on multiple areas of dysregulation in BPD in order to highlight potential mechanisms underlying the association between BPD and physical pain dysregulation.

Recent Findings

Potential biological mechanisms include altered neural responses to painful stimuli within cognitive-affective regions of the brain, as well as potentially low basal levels of endogenous opioids. Emotion dysregulation broadly mediates dysregulation of physical pain. Certain psychological experiences may attenuate acute physical pain, such as dissociation, whereas others, such as negative affect, may exacerbate it. Social challenges between patients with BPD and healthcare providers may hinder appropriate treatment of chronic pain.

Summary

Dysregulated physical pain is common in BPD and important in shaping health outcomes including elevated BPD symptoms, chronic pain conditions, and risk for problematic substance use.

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边缘型人格障碍患者的急性、慢性和日常躯体疼痛
综述目的在边缘型人格障碍(BPD)患者中,身体疼痛是一个未得到充分认识的调节障碍领域。我们观察到,边缘型人格障碍患者在急性、慢性和日常身体疼痛体验方面存在障碍。我们旨在综合有关 BPD 多个调节障碍领域的研究成果,以突出 BPD 与身体疼痛调节障碍之间关联的潜在机制。潜在的生物学机制包括大脑认知-情感区域对疼痛刺激的神经反应发生改变,以及内源性阿片类物质的基础水平可能较低。情绪失调广泛介导身体疼痛的失调。某些心理体验可能会减轻急性躯体疼痛,如解离,而其他心理体验,如负面情绪,则可能会加剧疼痛。BPD 患者与医疗服务提供者之间的社交障碍可能会阻碍对慢性疼痛的适当治疗。摘要身体疼痛失调在 BPD 患者中很常见,并且在影响健康结果方面起着重要作用,包括 BPD 症状升高、慢性疼痛状况和问题药物使用风险。
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来源期刊
CiteScore
11.30
自引率
3.00%
发文量
68
审稿时长
6-12 weeks
期刊介绍: This journal aims to review the most important, recently published research in psychiatry. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of those affected by psychiatric disorders. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as anxiety, medicopsychiatric disorders, and schizophrenia and other related psychotic disorders. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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