文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

功能性胃肠疾病神经科学研究的未来:多维(内脏)疼痛表型的整合?

The future of neuroscientific research in functional gastrointestinal disorders: integration towards multidimensional (visceral) pain endophenotypes?

机构信息

Neurogastroenterology Group, Wingate Institute of Neurogastroenterology, Centre for Gastroenterology, Blizzard Centre for Cell and Molecular Science, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

出版信息

J Psychosom Res. 2010 May;68(5):475-81. doi: 10.1016/j.jpsychores.2009.12.006. Epub 2010 Feb 8.


DOI:10.1016/j.jpsychores.2009.12.006
PMID:20403507
Abstract

The growing evidence for a key role of psychophysiological processes in the etiopathogenesis of functional gastrointestinal disorders (FGID) originates from various sources, including epidemiological, psychometric, physiological, and behavioural studies. Functional neuroimaging has improved our knowledge about central processing of visceral pain, a defining feature of FGID. However, results have been disappointingly inconsistent, often due to psychosocial factors not being controlled for. In this paper, we aim to show that using integrated research strategies, encompassing a number of scientific disciplines, is critical to advancing our understanding of FGID. We will illustrate this by describing recent integrative studies that may serve as good examples. More specifically, future FGID neuroimaging studies should control for psychosocial factors and incorporate methods from other branches of neuroscience outside this field, especially cognitive, affective and autonomic neuroscience. We therefore propose a framework for the development of an integrative cross-disciplinary research strategy based on advancing our understanding of visceral nociceptive physiology in health as well as vulnerability and susceptibility factors for FGID. This approach will allow the identification of factors responsible for the inter-individual differences in visceral pain perception and susceptibility to chronic visceral pain, leading to the description of multidimensional (visceral) pain "endophenotypes." These may represent the critical steps needed towards a pathophysiological, rather than symptom-based, classification of FGID, which may be more suitable for genetic association studies. This approach may ultimately culminate in individual tailoring of treatment, in addition to disease prevention, thereby improving outcomes for the patient and researcher alike.

摘要

越来越多的证据表明,心理生理过程在功能性胃肠疾病(FGID)的发病机制中起着关键作用,其来源包括流行病学、心理测量学、生理学和行为学研究。功能性神经影像学提高了我们对内脏疼痛中枢处理的认识,内脏疼痛是 FGID 的一个特征。然而,结果令人失望地不一致,这往往是由于没有控制社会心理因素。在本文中,我们旨在表明,使用综合研究策略,包括多个科学学科,对于推进我们对 FGID 的理解至关重要。我们将通过描述最近的综合研究来说明这一点,这些研究可以作为很好的例子。具体来说,未来的 FGID 神经影像学研究应控制社会心理因素,并结合该领域以外的神经科学其他分支的方法,特别是认知、情感和自主神经科学。因此,我们提出了一个基于健康内脏痛觉生理学以及 FGID 的脆弱性和易感性因素的综合跨学科研究策略的发展框架。这种方法将能够确定导致个体间内脏痛觉感知差异和对慢性内脏痛易感性的因素,从而描述多维(内脏)疼痛“内表型”。这些可能代表了向基于病理生理而不是基于症状的 FGID 分类迈出的关键步骤,这可能更适合遗传关联研究。这种方法最终可能导致针对个体的治疗方法,除了疾病预防,从而改善患者和研究人员的结果。

相似文献

[1]
The future of neuroscientific research in functional gastrointestinal disorders: integration towards multidimensional (visceral) pain endophenotypes?

J Psychosom Res. 2010-2-8

[2]
Understanding gut-brain interactions in gastrointestinal pain by neuroimaging: lessons from somatic pain studies.

Neurogastroenterol Motil. 2011-1-24

[3]
Recent advances in chronic visceral pain.

Curr Opin Support Palliat Care. 2008-6

[4]
Pain hypersensitivity in patients with functional gastrointestinal disorders: a gastrointestinal-specific defect or a general systemic condition?

Dig Dis Sci. 2001-11

[5]
Central nervous system involvement in functional gastrointestinal disorders.

Best Pract Res Clin Gastroenterol. 2004-8

[6]
Functional gastrointestinal disorders and visceral hypersensitivity in children and adolescents suffering from Crohn's disease.

Inflamm Bowel Dis. 2008-11

[7]
Visceral pain hypersensitivity in functional gastrointestinal disorders.

Br Med Bull. 2009-7-19

[8]
[Functional gastrointestinal disorders (FGID): progress in diagnosis and treatments. Topic I. Basic knowledge of functional gastrointestinal disorders (FGID): 5. Gastrointestinal motility dysfunction and viscerosensory dysfunction in patients with FGID].

Nihon Naika Gakkai Zasshi. 2013-1-10

[9]
Mechanisms of visceral pain in health and functional gastrointestinal disorders.

Scand J Pain. 2014-4-1

[10]
Gut pain & visceral hypersensitivity.

Br J Pain. 2013-2

引用本文的文献

[1]
Post-inflammatory Abdominal Pain in Patients with Inflammatory Bowel Disease During Remission: A Comprehensive Review.

Crohns Colitis 360. 2021-11-8

[2]
Ceftriaxone inhibits stress-induced bladder hyperalgesia and alters cerebral micturition and nociceptive circuits in the rat: A multidisciplinary approach to the study of urologic chronic pelvic pain syndrome research network study.

Neurourol Urodyn. 2020-8

[3]
Role of brain imaging in disorders of brain-gut interaction: a Rome Working Team Report.

Gut. 2019-6-7

[4]
Myocardial ischaemia and cardiac pain - a mysterious relationship.

Br J Pain. 2013-2

[5]
Towards a systems view of IBS.

Nat Rev Gastroenterol Hepatol. 2015-10

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索