Sensitization and subjective health complaints
Sensitization and subjective health complaints
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DOI：
10.1111/1467-9450.00286
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发表时间：
2002-04-01
影响因子：
2.1
通讯作者：
Ursin, H
中科院分区：
文献类型：
--
作者：
Eriksen, HR;Ursin, H
为什么我们中的一些人比其他人有更多的疼痛，更多的疲劳和更多的胃肠道问题？有没有可能存在大脑机制和心理机制，使一些人对特定的抱怨敏感？在这篇总结性论文中，我们回顾了历史和理论背景，讨论了文献中的证据和理论立场，并得出了一些结论。传统的心身模型的预测价值和治疗重要性都不如人们所希望的那样。这些模型的主要问题是缺乏一个病理生理学解释为什么心理问题可能与躯体疾病有关。持续的唤醒或“非稳态负荷”为病理学提供了更合理和可接受的机制，并在一定程度上为致敏和疾病提供了更合理和可接受的机制。认知心理学和神经生理学的结合为躯体病理学提供了一个模型，也许更重要的是，也为理解主观抱怨和疾病提供了一个模型。
Why is it that some of us have more pain, more fatigue, and more gastrointestinal trouble than others? Is it possible that there are brain mechanisms and psychological mechanisms that make some people sensitized to specific complaints? In this concluding paper we review the historical and theoretical background, discuss the evidence and theoretical positions in the contributions, and draw some conclusions. Traditional psychosomatic models had less predictive value and less therapeutic importance than what was hoped for. The main problem with these models was the lack of a pathophysiological explanation for why psychological problems could be related to somatic disease. Sustained arousal or "allostatic load" offers more plausible and acceptable mechanisms for pathology, and, to some extent, for sensitization and illness. The combination of cognitive psychology and neurophysiology offers a model for somatic pathology, and, perhaps more important, also for the understanding of subjective complaints and illness.