The role of positive affect in pain and its treatment.
The role of positive affect in pain and its treatment.
复制标题
积极影响在疼痛及其治疗中的作用。
DOI：
10.1097/ajp.0000000000000092
复制
发表时间：
2015-02
期刊：
影响因子：
--
通讯作者：
Garland EL
中科院分区：
文献类型：
--
作者：
Finan PH;Garland EL
这篇叙述性综述总结和整合了关于PA和疼痛的现有文献：1)提供PA的简要概述，并总结在PA与慢性疼痛的研究中出现的关键发现；2)提供一个理论基础，从中了解PA如何在慢性疼痛的背景下运作；以及3)强调目前流行的慢性疼痛的心理社会治疗如何解决PA在治疗背景下的问题，并就未来的治疗发展研究如何最大限度地使PA对慢性疼痛患者的益处提出建议。为此，我们回顾了评估诱发性PA与疼痛敏感性之间关系的实验研究，以及评估慢性疼痛背景下自然发生的PA与临床疼痛之间关系的临床研究。证据表明，PA影响疼痛，而不是NA的影响。我们提供了一个积极情感、韧性和疼痛自我管理的“向上螺旋”模型，该模型具体预测PA将缓冲对疼痛的不适应认知和情感反应，并促进积极参与到有价值的目标中，从而增强慢性疼痛自我管理。
This narrative review summarizes and integrates the available literature on PA and pain to: 1) Provide a brief overview of PA and summarize the key findings that have emerged in the study of PA and chronic pain; 2) Provide a theoretical foundation from which to understand how PA operates in the context of chronic pain; and 3) Highlight how the prevailing psychosocial treatments for chronic pain address PA in the therapeutic context, and offer suggestions for how future treatment development research can maximize the benefit of PA for patients with chronic pain. To that end, we review experimental studies that have assessed the association of evoked PA and pain sensitivity, as well as clinical studies that have assessed the association of naturally occurring PA and clinical pain in the context of chronic pain. The evidence suggests PA influences pain, over and above the influence of NA. We offer an “upward spiral” model of positive affect, resilience and pain self-management, which makes specific predictions that PA will buffer maladaptive cognitive and affective responses to pain, and promote active engagement in valued goals that enhance chronic pain self-management.