An interactive model of pain and myocardial ischemia.
An interactive model of pain and myocardial ischemia.
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疼痛和心肌缺血的交互模型。
DOI：
10.1097/psy.0b013e318151a4bd
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发表时间：
2007
影响因子：
3.3
通讯作者：
Wegener,StephenT
中科院分区：
文献类型：
--
作者：
Hofkamp,SusanE;Henrikson,CharlesA;Wegener,StephenT
生物心理社会模型已被用于描述可能作为心血管疾病机制的相互交织的因素，以及在疼痛条件下发现的因素。这个模型也可能被证明有助于理解重叠这两个领域的诊断，心绞痛。本文回顾了与疼痛性缺血发作的生物学、心理学和社会机制相关的文献，并讨论了这些变量之间的相互作用。我们提出了一个综合模型，结合了生物心理社会机制，可能是负责的变化，疼痛报告与缺血发作。我们展示了在各种生物心理社会因素中表现出的性别差异如何相互作用，从而影响疼痛性心肌缺血与无症状性心肌缺血的存在。我们提出了一个未来的研究计划，以阐明这种相互作用。
The biopsychosocial model has been used to describe the intertwined factors that may act as mechanisms in cardiovascular disease, as well as those found in pain conditions. This model may also prove useful in understanding a diagnosis that overlaps these two areas, angina. This article reviews the literature related to biological, psychological, and social mechanisms of painful ischemic episodes and discusses the interactions of those variables. We propose an integrated model that incorporates the biopsychosocial mechanisms that may be responsible for the variability in pain reporting with ischemic episodes. We show how sex differences manifested in various biopsychosocial factors may interact to influence the presence of painful versus silent myocardial ischemia. We present a plan for future research to elucidate this interaction.