Pérez Martín Yolanda, Pérez Muñoz Milagros, García Ares David, Fuentes Gallardo Isabel, Rodríguez Costa Isabel
Departamento de Enfermería y Fisioterapia, Universidad de Alcalá, Alcalá de Henares, Madrid, España.
Departamento de Enfermería y Fisioterapia, Universidad de Alcalá, Alcalá de Henares, Madrid, España; Centro de Salud Nuestra Señora del Pilar, Alcalá de Henares, Madrid, España; Centro de Salud Miguel de Cervantes, Alcalá de Henares, Madrid, España.
Aten Primaria. 2020 Apr;52(4):267-272. doi: 10.1016/j.aprim.2019.10.003. Epub 2019 Dec 28.
This paper studies the concept of «social pain» and its relationship with physical pain. An in-depth review of its physiology has been carried out, including similarities and differences in processing with relation to physical pain, as well as the interactions between both processes. Social pain is defined as an unpleasant emotional experience which is triggered when the individual feels excluded or rejected by people or social groups with whom they wish have a relationship. This perceived situation produces the same feelings of suffering as that of physical pain. This kind of pain is processed in the same brain areas as physical pain in its affective dimension. It may be revived mentally, even though the interpersonal conflictive situation may have ended long ago. Both types of pain are sources of stress. The confluence of both situations in the same individual adds complications and more pressure to that which is already exerted separately by both stressing factors. This circumstance must be taken into account when dealing with patients with chronic pain.
本文研究了“社会疼痛”的概念及其与身体疼痛的关系。对其生理学进行了深入综述,包括与身体疼痛处理方面的异同,以及这两个过程之间的相互作用。社会疼痛被定义为一种不愉快的情感体验,当个体感到被他们希望建立关系的人或社会群体排斥或拒绝时就会引发这种体验。这种感知到的情况会产生与身体疼痛相同的痛苦感受。这种疼痛在情感维度上与身体疼痛在相同的脑区进行处理。即使人际冲突情况可能早已结束,它仍可能在脑海中重现。两种类型的疼痛都是压力源。同一人身上这两种情况的同时出现,给这两个压力因素各自单独施加的压力增添了复杂性和更多压力。在治疗慢性疼痛患者时必须考虑到这种情况。