Do clinicians think that pain can be a classically conditioned response to a non-noxious stimulus?
Do clinicians think that pain can be a classically conditioned response to a non-noxious stimulus?
复制标题
DOI：
10.1016/j.math.2015.12.003
复制
发表时间：
2016-04-01
期刊：
影响因子：
--
通讯作者：
Moseley, G. Lorimer
中科院分区：
文献类型：
--
作者：
Madden, Victoria J.;Moseley, G. Lorimer
背景资料：有趣的是，疼痛似乎是由非伤害性刺激引起的临床表现通常使用经典的条件反射框架来解释。我们主要感兴趣的是（a）临床医生是否认为疼痛可以是一个经典的条件反射，一个无害的刺激，（B）临床医生认为，有证据支持这一想法。收集的信息包括描述性人口统计学、临床经验、慢性疼痛的个人经历、关于疼痛的信念以及关于经典条件反射和疼痛的信念。对先决条件问题的回答-疼痛是否可以在没有伤害感受的情况下发生-与2004年的历史数据集进行了比较。结果：来自57个国家和8种不同类型的卫生专业的1090人完成了调查。86%的人表示，在没有伤害性感受的情况下也会发生疼痛; 96%的人认为疼痛可能是对无害刺激的经典条件反应; 98%的人认为有证据支持这一说法。2004年的数据显示，44%的参与者区分疼痛和nociceptions.Conclusions：这个广泛的样本压倒性地赞同的想法，临床医生认为，疼痛可以是一个经典的条件反射的非伤害性刺激，并认为有证据支持这一想法，揭示了临床社区和科学证据之间的信仰的差异。在过去的10年里，伤害感受和疼痛之间的区别已经越来越被临床界所接受。(C)2015爱思唯尔有限公司版权所有。
Background: Anecdotally, clinical presentations in which pain seems to be elicited by non-noxious stimuli are often explained using a classical conditioning framework. We were primarily interested in whether (a) clinicians think that pain can be a classically conditioned response to a non-noxious stimulus, and (b) clinicians think that there is evidence to support that idea.Method: Practising healthcare clinicians participated anonymously in an online survey. The information collected included descriptive demographics, clinical experience, personal experience of chronic pain, beliefs about pain, and beliefs about classical conditioning and pain. Responses to the pre-requisite question - whether pain can occur without nociception - were compared to a historical data set from 2004.Results: 1090 people from 57 countries and eight distinct types of health profession completed the survey. 86% stated that pain can occur without nociception; 96% of those believed that pain can be a classically conditioned response to a non-noxious stimulus; 98% of those believed that there is evidence to support that statement. The 2004 data showed that 44% of participants distinguished between pain and nociception.Conclusions: This broad sample overwhelmingly endorsed the ideas that clinicians think that pain can be a classically conditioned response to a non-noxious stimulus and think that there is evidence to support that idea, revealing a discrepancy between beliefs in the clinical community and the scientific evidence. The distinction between nociception and pain has become more accepted by the clinical community over the last 10 years. (C) 2015 Elsevier Ltd. All rights reserved.