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Kìm hãm cơn giận và cường độ đau cùng hành vi sau đó ở bệnh nhân đau thắt lưng mãn tính: Vai trò của phản ứng sinh lý đặc hiệu với triệu chứng
Tóm tắt
Việc kìm hãm cơn giận có thể liên quan đến báo cáo đau cao hơn và hành vi đau trong một sự kiện đau đớn tiếp theo ở bệnh nhân đau thắt lưng mãn tính, nhưng chưa rõ liệu những tác động này có phần nào được giải thích bởi sự phản ứng sinh lý tăng cường trong quá trình kìm hãm hay không. 58 bệnh nhân đau thắt lưng mãn tính đã được phân chia vào các điều kiện Kìm hãm hoặc Không Kìm hãm trong một nhiệm vụ mê cung trên máy tính ‘hợp tác’ trong đó một người đồng loạt đã quấy rối họ. Trong thời gian chuẩn bị và nhiệm vụ mê cung, sự căng cơ ở vùng thắt lưng dưới và cơ thang của bệnh nhân, huyết áp và nhịp tim đã được ghi lại. Sau nhiệm vụ mê cung, bệnh nhân tham gia vào một nhiệm vụ hành vi đau có cấu trúc (hành vi được quay video và mã hóa). Kết quả cho thấy rằng: (a) Những bệnh nhân trong điều kiện Kìm hãm cho thấy căng cơ ở vùng thắt lưng dưới và sự gia tăng huyết áp tâm thu (SBP) lớn hơn trong nhiệm vụ mê cung so với những bệnh nhân Không Kìm hãm (các kết quả được công bố trước đó cho thấy rằng bệnh nhân trong điều kiện Kìm hãm đã thể hiện nhiều hành vi đau hơn so với bệnh nhân Không Kìm hãm); (b) các điểm số thay đổi đã điều chỉnh đối với vùng thắt lưng dưới và SBP có liên quan đáng kể đến hành vi đau; (c) cả phản ứng của vùng thắt lưng dưới và SBP đều trung gian đáng kể mối quan hệ giữa Điều kiện và tần suất hành vi đau. Kết quả gợi ý rằng sự gia tăng căng cơ vùng thắt lưng dưới và huyết áp tâm thu do kìm hãm có thể liên kết sự kìm hãm cơn giận thực tế trong tình huống bị khiêu khích với các dấu hiệu đau có ý nghĩa lâm sàng ở bệnh nhân đau thắt lưng mãn tính.
Từ khóa
#đau thắt lưng mãn tính #kìm hãm cơn giận #hành vi đau #phản ứng sinh lý #huyết áp tâm thuTài liệu tham khảo
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