Mind-body practices, interoception and pain: a scoping review of behavioral and neural correlates.

Mind-body practices, interoception and pain: a scoping review of behavioral and neural correlates.
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DOI:
10.1080/07853890.2023.2275661
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发表时间:
2023
期刊:
影响因子:
4.4
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
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慢性疼痛是美国痛苦的一个重要根源,许多人越来越多地转向瑜伽来缓解疼痛。然而,人们对瑜伽如何缓解疼痛知之甚少。在此,我们试图探讨将身心实践、疼痛和内感受联系起来的文献范围;瑜伽可以改善慢性疼痛的一种新兴机制。本次范围界定审查遵循阿克西和奥马利提出的五阶段方法框架,以检查身心实践和疼痛中内感受的行为和神经相关性。使用三组搜索术语对 Pubmed、CINAHL、SportDiscus、Scopus、PsychInfo 和 SocIndex 数据库进行了广泛搜索:(1) 内感受术语、(2) 身心术语和 (3) 疼痛术语。总共筛选了 690 篇文章,其中 24 项结果可供分析。 16 项研究考察了慢性疼痛身心实践的内感受结果,8 项研究考察了经验丰富的身心实践者对诱发疼痛任务的内感受结果。只有三项研究将瑜伽、内感受和疼痛联系起来。这篇综述依赖于更广泛的身心文献来为我们的分析提供信息,因为研究瑜伽、疼痛和内感受的文献仍然有限。内感受技术,包括关注和接受身体感觉,似乎是慢性疼痛身心实践中的关键治疗机制。未来基于瑜伽的干预措施将有利于检查内感受结果并整合内感受策略,以促进瑜伽的疼痛调节益处。
Chronic pain is a significant source of suffering in the United States, and many individuals increasingly turn towards yoga for pain relief. However, little is known regarding how yoga improves pain. Herein we seek to examine the scope of the literature linking mind-body practices, pain and interoception; an emerging mechanism by which yoga may improve chronic pain. This scoping review followed the five-stage methodological framework proposed by Arksey and O’Malley to examine behavioral and neural correlates of interoception in mind-body practices and pain. A broad search of the Pubmed, CINAHL, SportDiscus, Scopus, PsychInfo, and SocIndex databases was conducted, utilizing three clusters of search terms: (1) interoceptive terms, (2) mind-body terms, and (3) pain terms. A combined total of 690 articles were screened, and 24 findings included for analysis. Sixteen studies examined interoceptive outcomes in response to mind-body practices for chronic pain, and 8 studies examined interoceptive outcomes in response to evoked-pain tasks in experienced mind-body practitioners. Only three studies linked yoga, interoception and pain. This review relied on the broader mind-body literature to inform our analyses as the literature examining yoga, pain and interoception remains limited. Interoceptive techniques including attending to and acceptance of bodily sensations, appear to be key therapeutic mechanisms in mind-body practices for chronic pain. Future yoga-based interventions would benefit examining interoceptive outcomes and integrating interoceptive strategies to facilitate the pain-modulating benefits of yoga.
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