The Cognitive Functions in Adults with Chronic Pain: A Comparative Study.
The Cognitive Functions in Adults with Chronic Pain: A Comparative Study.
复制标题
DOI：
10.1155/2016/5719380
复制
发表时间：
2016
影响因子：
2.9
通讯作者：
Manee FS
中科院分区：
文献类型：
--
作者：
Nadar MS;Jasem Z;Manee FS
背景几项研究报告了生活在西方文化中的成年人的慢性疼痛和认知能力下降之间的关联。在中东成年人中，没有发现慢性疼痛与认知之间关系的文献。Objective.比较有和没有慢性疼痛的中东成年人中最常报告的四个认知领域[记忆，注意力，处理速度和执行功能]。方法.这项配对组比较研究包括69个社区居住和功能独立的中东成年人。40名参与者患有慢性疼痛，29名没有疼痛。我们进行了五项独立于文化和语言的标准化认知评估，以测量记忆，注意力，处理速度和执行功能的可变任务。该研究是在具有受控环境的康复研究环境中进行的。结果在慢性疼痛患者中发现了认知处理能力下降的证据。慢性疼痛参与者在长期记忆、选择性注意力、处理速度和执行功能等认知指标上的表现明显差于无痛参与者。结论中东文化对慢性疼痛患者认知能力的影响可以忽略不计。尽管东西方文化之间存在很大差异，但我们在这项研究中的中东参与者的表现与以前研究中报道的西方成年人的表现一致。
Background. Several studies have reported an association between chronic pain and reduction of cognitive abilities of adults living in Western cultures. No literature could be found on the relationship between chronic pain and cognition among Middle Eastern adults. Objective. To compare four of the most commonly reported cognitive domains [memory, attention, processing speed, and executive functioning] among Middle Eastern adults with and without chronic pain. Methods. This matched group comparative study included 69 community residing and functionally independent Middle Eastern adults. Forty participants had chronic pain and 29 were pain-free. We administered five standardized cognitive assessments that are independent of culture and language to measure variable tasks of memory, attention, processing speed, and executive functioning. The study was conducted in a rehabilitation research setting with a controlled environment. Results. Evidence of decreased cognitive processing was found in patients with chronic pain. The chronic pain participants performed significantly worse than the pain-free participants on the cognitive measures of long-term memory, selective attention, processing speed, and executive functioning. Conclusion. The effect of Middle Eastern culture on the cognitive abilities of patients with chronic pain was negligible. Despite the wide variations between Eastern and Western cultures, the performance of our Middle Eastern participants in this study was consistent with performance of Western adults reported in previous studies.