Pain Catastrophizing: How Far Have We Come.

IF 3.2 Q2 CLINICAL NEUROLOGY Neurology International Pub Date : 2024-04-26 DOI:10.3390/neurolint16030036
Katarina Simic, Boris Savic, Nebojsa Nick Knezevic
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Abstract

The perception of pain is strongly influenced by various social, emotional, and cognitive factors. A psychological variable which has consistently been shown to exert its influence on pain is a cognitive process referred to as pain catastrophizing. Numerous studies have found it to be a strong predictor of pain intensity and disability across different clinical populations. It signifies a maladaptive response to pain marked by an exaggerated negative assessment, magnification of symptoms related to pain, and, in general, a tendency to experience marked pain-related worry, as well as experiencing feelings of helplessness when it comes to dealing with pain. Pain catastrophizing has been correlated to many adverse pain-related outcomes, including poor treatment response, unsatisfactory quality of life, and high disability related to both acute and chronic pain. Furthermore, there has been consistent evidence in support of a correlation between pain catastrophizing and mental health disorders, such as anxiety and depression. In this review, we aim to provide a comprehensive overview of the current state of knowledge regarding pain catastrophizing, with special emphasis on its clinical significance, and emerging treatment modalities which target it.

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疼痛灾难化:我们已经走了多远
对疼痛的感知深受各种社会、情感和认知因素的影响。疼痛灾难化是一种认知过程,它一直被证明会对疼痛产生影响。大量研究发现,在不同的临床人群中,它是疼痛强度和残疾的一个强有力的预测因素。它标志着一种对疼痛的不适应反应,其特点是夸大负面评估、放大与疼痛相关的症状,总的来说,倾向于经历明显的与疼痛相关的担忧,以及在处理疼痛时的无助感。疼痛灾难化与许多与疼痛相关的不良后果有关,包括治疗反应差、生活质量不理想以及与急性和慢性疼痛相关的高度残疾。此外,有一致证据支持疼痛灾难化与焦虑和抑郁等心理健康疾病之间存在相关性。在这篇综述中,我们旨在全面概述当前有关疼痛灾难化的知识,特别强调其临床意义以及针对疼痛灾难化的新兴治疗模式。
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来源期刊
Neurology International
Neurology International CLINICAL NEUROLOGY-
CiteScore
3.70
自引率
3.30%
发文量
69
审稿时长
11 weeks
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