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Xử lý cơn đau ở Rối loạn Nhân cách Biên giới, Fibromyalgi và Rối loạn Stress Sau Chấn thương
Tóm tắt
Bài tổng quan này tóm tắt các nghiên cứu thực nghiệm có liên quan về cảm nhận và xử lý cơn đau ở những rối loạn tâm thần được chọn, trong đó căng thẳng chấn thương đóng vai trò trong yếu tố nguyên nhân. Có dấu hiệu khác nhau về các mô hình xử lý cơn đau thần kinh sinh lý và thần kinh tâm lý ở Rối loạn Nhân cách Biên giới, Rối loạn Stress Sau Chấn thương và Fibromyalgi. Các nghiên cứu thực nghiệm trên bệnh nhân Rối loạn Nhân cách Biên giới cho thấy hiện tượng giảm nhạy cảm với ngưỡng đau, trong khi bệnh nhân Fibromyalgi thể hiện mô hình ngược lại, chỉ ra sự nhạy cảm trung tâm. Hơn nữa, bài viết cung cấp một cái nhìn tổng quan ngắn gọn về các phương pháp thu thập cảm nhận cơn đau (ngoại vi và trung ương) cùng các cơ chế sinh học thần kinh của xử lý cơn đau. Tại đây, đặc biệt nhấn mạnh sự phân biệt giữa hệ thống cảm giác-phân biệt và hệ thống cảm xúc-động lực. Liên quan đến tình hình kết quả của nghiên cứu hiện tại, một cái nhìn về nghiên cứu tương lai và các hàm ý trị liệu được trình bày.
Từ khóa
#Xử lý cơn đau #Rối loạn Nhân cách Biên giới #Fibromyalgi #Rối loạn Stress Sau Chấn thương #cảm nhận cơn đau #sinh học thần kinhTài liệu tham khảo
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