灾难性思维对电针镇痛效果的影响

IF 0.8 Q4 INTEGRATIVE & COMPLEMENTARY MEDICINE Medical Acupuncture Pub Date : 2023-12-01 Epub Date: 2023-12-13 DOI:10.1089/acu.2023.0010
Shohei Higa, Miho Oba, Shingo Saito, Kazunori Itoh
{"title":"灾难性思维对电针镇痛效果的影响","authors":"Shohei Higa, Miho Oba, Shingo Saito, Kazunori Itoh","doi":"10.1089/acu.2023.0010","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Patients with chronic pain and high-level catastrophic thoughts often do not respond to acupuncture. This may be related to hypofunctioning of the dorsolateral prefrontal cortex and the descending pain inhibitory system. Therefore, we examined the relationship between the level of catastrophic thinking and the analgesic effect of electroacupuncture using the pain catastrophizing scale (PCS). We also evaluated the descending pain inhibitory system using conditioned pain modulation (CPM) and offset analgesia (OA). The relationship between catastrophic thinking and the descending pain inhibitory system was also examined.</p><p><strong>Materials and methods: </strong>After testing the hospital anxiety and depression scale and the PCS in 14 healthy adults, the current pain threshold (CPT), CPM, and OA were measured, in order, before the intervention. Thereafter, electroacupuncture was applied to 3 limbs (the dominant hand and both lower extremities) at 4 Hz, and to the scalp at 100 Hz, for 30 minutes, and the CPT was measured again immediately after the intervention. The difference in the CPT before and after the intervention was taken as the analgesic effect.</p><p><strong>Results: </strong>The participants were divided into 2 groups, the H-PCS group (≥16 points) and the L-PCS group (≤15 points), according to the PCS score, and the analgesic effects of electroacupuncture were significantly different (<i>P</i> = 0.04). However, no relationship was found between the PCS score and the CPM (<i>r</i> = -0.02, <i>P</i> = 0.94) and OA effects (<i>r</i> = -0.19, <i>P</i> = 0.49).</p><p><strong>Conclusion: </strong>It was suggested that people with high-level catastrophic thinking may find it difficult to obtain the analgesic effects of electroacupuncture.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":null,"pages":null},"PeriodicalIF":0.8000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10753907/pdf/","citationCount":"0","resultStr":"{\"title\":\"Effect of Catastrophic Thinking on the Analgesic Effect of Electroacupuncture.\",\"authors\":\"Shohei Higa, Miho Oba, Shingo Saito, Kazunori Itoh\",\"doi\":\"10.1089/acu.2023.0010\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Patients with chronic pain and high-level catastrophic thoughts often do not respond to acupuncture. This may be related to hypofunctioning of the dorsolateral prefrontal cortex and the descending pain inhibitory system. Therefore, we examined the relationship between the level of catastrophic thinking and the analgesic effect of electroacupuncture using the pain catastrophizing scale (PCS). We also evaluated the descending pain inhibitory system using conditioned pain modulation (CPM) and offset analgesia (OA). The relationship between catastrophic thinking and the descending pain inhibitory system was also examined.</p><p><strong>Materials and methods: </strong>After testing the hospital anxiety and depression scale and the PCS in 14 healthy adults, the current pain threshold (CPT), CPM, and OA were measured, in order, before the intervention. Thereafter, electroacupuncture was applied to 3 limbs (the dominant hand and both lower extremities) at 4 Hz, and to the scalp at 100 Hz, for 30 minutes, and the CPT was measured again immediately after the intervention. The difference in the CPT before and after the intervention was taken as the analgesic effect.</p><p><strong>Results: </strong>The participants were divided into 2 groups, the H-PCS group (≥16 points) and the L-PCS group (≤15 points), according to the PCS score, and the analgesic effects of electroacupuncture were significantly different (<i>P</i> = 0.04). However, no relationship was found between the PCS score and the CPM (<i>r</i> = -0.02, <i>P</i> = 0.94) and OA effects (<i>r</i> = -0.19, <i>P</i> = 0.49).</p><p><strong>Conclusion: </strong>It was suggested that people with high-level catastrophic thinking may find it difficult to obtain the analgesic effects of electroacupuncture.</p>\",\"PeriodicalId\":45511,\"journal\":{\"name\":\"Medical Acupuncture\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.8000,\"publicationDate\":\"2023-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10753907/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Medical Acupuncture\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1089/acu.2023.0010\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/12/13 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical Acupuncture","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1089/acu.2023.0010","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/12/13 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
引用次数: 0

摘要

简介患有慢性疼痛和高度灾难性思想的患者往往对针灸没有反应。这可能与背外侧前额叶皮层和下行疼痛抑制系统功能低下有关。因此,我们使用疼痛灾难化量表(PCS)研究了灾难性思维水平与电针镇痛效果之间的关系。我们还使用条件性疼痛调节(CPM)和偏移镇痛(OA)评估了降序疼痛抑制系统。我们还研究了灾难性思维与降痛抑制系统之间的关系:在对 14 名健康成年人进行医院焦虑抑郁量表和 PCS 测试后,在干预前依次测量了当前疼痛阈值(CPT)、CPM 和 OA。然后,以 4 赫兹的频率对 3 个肢体(惯用手和双下肢)进行电针,以 100 赫兹的频率对头皮进行电针,持续 30 分钟,并在干预后立即再次测量 CPT。干预前后的 CPT 差值即为镇痛效果:结果:根据 PCS 评分将受试者分为两组,即 H-PCS 组(≥16 分)和 L-PCS 组(≤15 分),电针镇痛效果有显著差异(P = 0.04)。然而,PCS评分与CPM(r = -0.02,P = 0.94)和OA效果(r = -0.19,P = 0.49)之间没有关系:结论:有高度灾难性思维的人可能难以获得电针的镇痛效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Effect of Catastrophic Thinking on the Analgesic Effect of Electroacupuncture.

Introduction: Patients with chronic pain and high-level catastrophic thoughts often do not respond to acupuncture. This may be related to hypofunctioning of the dorsolateral prefrontal cortex and the descending pain inhibitory system. Therefore, we examined the relationship between the level of catastrophic thinking and the analgesic effect of electroacupuncture using the pain catastrophizing scale (PCS). We also evaluated the descending pain inhibitory system using conditioned pain modulation (CPM) and offset analgesia (OA). The relationship between catastrophic thinking and the descending pain inhibitory system was also examined.

Materials and methods: After testing the hospital anxiety and depression scale and the PCS in 14 healthy adults, the current pain threshold (CPT), CPM, and OA were measured, in order, before the intervention. Thereafter, electroacupuncture was applied to 3 limbs (the dominant hand and both lower extremities) at 4 Hz, and to the scalp at 100 Hz, for 30 minutes, and the CPT was measured again immediately after the intervention. The difference in the CPT before and after the intervention was taken as the analgesic effect.

Results: The participants were divided into 2 groups, the H-PCS group (≥16 points) and the L-PCS group (≤15 points), according to the PCS score, and the analgesic effects of electroacupuncture were significantly different (P = 0.04). However, no relationship was found between the PCS score and the CPM (r = -0.02, P = 0.94) and OA effects (r = -0.19, P = 0.49).

Conclusion: It was suggested that people with high-level catastrophic thinking may find it difficult to obtain the analgesic effects of electroacupuncture.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Medical Acupuncture
Medical Acupuncture INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
1.80
自引率
18.20%
发文量
73
期刊最新文献
Acupuncture for Residual Dizziness After Successful Repositioning Maneuvers in Patients with Benign Paroxysmal Positional Vertigo: Study Protocol for a Randomized Noninferiority Trial. ACUPUNCTURE: Shadows of Doubt. Enhancing Vagal Tone, Modulating Heart Rate Variability with Auricular Acupressure at Point Zero: A Randomized Controlled Trial. How Do You Treat Groin Pain in Adult Patients with Acupuncture. How Do You Treat Groin Pain in the Adult Patient in Your Practice?
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1