Department of Psychology, Wayne State University, Detroit, MI 48202, USA.
Department of Internal Medicine, Ascension Providence Hospital, Southfield, MI, & Department of Medicine, Michigan State University College of Human Medicine, East Lansing, Southfield, MI 48075, USA.
Pain Manag. 2021 May;11(3):325-332. doi: 10.2217/pmt-2020-0081. Epub 2021 Feb 3.
Emotional awareness (EA) is a key emotional process that is related to the presence and severity of chronic pain (CP). In this report, we describe primary and secondary emotions, discuss the distinction between emotional states and emotional regulation/processing, and summarize theory and research highlighting the significance of EA for CP. We describe ways to assess EA and diagnose centrally-mediated CP, for which emotional processes appear most relevant. We review several psychological interventions designed to enhance EA as well as several broader emotional processing treatments developed to address trauma and psychosocial conflicts underlying many patients' pain. We conclude by offering our perspective on how future integration of emotional processing into pain care could promote recovery from CP.
情绪意识(Emotional Awareness,EA)是一种关键的情绪过程,与慢性疼痛(Chronic Pain,CP)的存在和严重程度有关。在本报告中,我们描述了原发情绪和继发情绪,讨论了情绪状态和情绪调节/处理之间的区别,并总结了强调 EA 对 CP 重要性的理论和研究。我们描述了评估 EA 和诊断中枢介导性 CP 的方法,对于后者,情绪过程似乎最为相关。我们回顾了几种旨在增强 EA 的心理干预措施,以及几种旨在解决许多患者疼痛背后的创伤和心理社会冲突的更广泛的情绪处理治疗方法。最后,我们提出了如何将情绪处理未来整合到疼痛护理中,以促进 CP 康复的观点。