Can positive affect attenuate (persistent) pain? State of the art and clinical implications
Can positive affect attenuate (persistent) pain? State of the art and clinical implications
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DOI：
10.1007/s11926-017-0703-3
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发表时间：
2017-12-01
影响因子：
5
通讯作者：
Meulders, Ann
中科院分区：
文献类型：
--
作者：
Hanssen, Marjolein M.;Peters, Madelon L.;Meulders, Ann
疼痛是一种强烈的体验，可能会给人们的生活带来沉重的负担。社会心理风险因素的识别导致了有效的疼痛治疗方法的发展。然而，效果大小是适度的。越来越多的证据表明，增强保护因素也可能影响（尽管）疼痛。对疼痛相关的结果的积极影响（干预）的最新研究结果将进行审查，并为治疗持续性疼痛的新途径将进行讨论。积极的影响干预措施有效地降低疼痛敏感性，并在疼痛的情况下保持健康。通过心理和（神经）生物学途径，而且还通过其对中枢治疗过程的影响，如抑制性学习，积极的影响，可以优化现有的treatments.Summary的疗效全面了解的独特作用和动态相互作用的积极和消极的影响，在缓和疼痛可能优化治疗（持续）疼痛。
Purpose of Review Pain is an intense experience that can place a heavy burden on peoples' lives. The identification of psychosocial risk factors led to the development of effective pain treatments. However, effect sizes are modest. Accumulating evidence suggests that enhancing protective factors might also impact on (well-being despite) pain. Recent findings on positive affect (interventions) towards pain-related outcomes will be reviewed, and new avenues for treatment of persistent pain will be discussed.Recent Findings Positive affect significantly attenuates the experience of pain in healthy and clinical populations. Positive affect interventions effectively reduce pain sensitivity and bolster well-being despite pain. Through both psychological and (neuro-) biological pathways, but also through its effect on central treatment processes such as inhibitory learning, positive affect can optimize the efficacy of existing treatments.Summary Comprehensive understanding of the unique roles and dynamic interplay of positive and negative affect in moderating pain may optimize the treatment of (persistent) pain.