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情绪调节与诱导性疼痛管理中的外周心理生理学相关性:系统综述。

Emotion regulation and peripheral psychophysiological correlates in the management of induced pain: A systematic review.

机构信息

Basic Psychology, Clinical Psychology and Psychobiology, Universitat Jaume I, Castello de la Plana, Spain.

Psychology and Sociology, Universidad de Zaragoza, Zaragoza, Spain.

出版信息

PLoS One. 2021 Jun 29;16(6):e0253509. doi: 10.1371/journal.pone.0253509. eCollection 2021.

DOI:10.1371/journal.pone.0253509
PMID:34185792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8241072/
Abstract

Cognitive reappraisal and acceptance strategies have been shown to be effective in reducing pain experience and increasing pain tolerance. However, no systematic reviews have focused on the relationship between the use of these two strategies and peripheral physiological correlates when pain is experimentally induced. This systematic review aims to summarize the existing literature that explores the relationship between emotion regulation strategies (i.e., cognitive reappraisal and acceptance) and peripheral correlates of the autonomic nervous system and facial electromyography, such as affect-modulated responses and corrugator activity, on laboratory tasks where pain is induced. The systematic review identifies nine experimental studies that meet our inclusion criteria, none of which compare these strategies. Although cognitive reappraisal and acceptance strategies appear to be associated with decreased psychological responses, mixed results were found for the effects of the use of both strategies on all the physiological correlates. These inconsistencies between the studies might be explained by the high methodological heterogeneity in the task designs, as well as a lack of consistency between the instructions used in the different studies for cognitive reappraisal, acceptance, and the control conditions.

摘要

认知重评和接纳策略已被证明能有效减轻疼痛体验和提高疼痛耐受力。然而,目前尚无系统综述专门关注在实验性诱导疼痛时,这两种策略的使用与外周生理相关物之间的关系。本系统综述旨在总结现有文献,探讨情绪调节策略(即认知重评和接纳)与自主神经系统和面部肌电图等外周相关物之间的关系,这些相关物包括在诱导疼痛的实验室任务中受情绪调节的反应和皱眉肌活动。系统综述共确定了 9 项符合纳入标准的实验研究,但没有一项研究对这两种策略进行比较。尽管认知重评和接纳策略似乎与心理反应的减少有关,但使用这两种策略对所有生理相关物的影响的结果却存在差异。研究之间的这种不一致可能是由于任务设计的高度方法学异质性以及不同研究中用于认知重评、接纳和对照条件的指令缺乏一致性所导致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d2f/8241072/1e9b9a633f1d/pone.0253509.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d2f/8241072/1e9b9a633f1d/pone.0253509.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d2f/8241072/1e9b9a633f1d/pone.0253509.g001.jpg

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本文引用的文献

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Acceptance-Based Emotion Regulation Reduces Subjective and Physiological Pain Responses.基于接纳的情绪调节可减少主观和生理疼痛反应。
Front Psychol. 2020 Jun 30;11:1514. doi: 10.3389/fpsyg.2020.01514. eCollection 2020.
2
The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises.修订后的国际疼痛研究协会疼痛定义:概念、挑战和妥协。
Pain. 2020 Sep 1;161(9):1976-1982. doi: 10.1097/j.pain.0000000000001939.
3
Psychophysiological Effects of Downregulating Negative Emotions: Insights From a Meta-Analysis of Healthy Adults.
下调负面情绪的心理生理效应:来自对健康成年人的荟萃分析的见解
Front Psychol. 2020 Apr 16;11:470. doi: 10.3389/fpsyg.2020.00470. eCollection 2020.
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Let it be: mindful acceptance down-regulates pain and negative emotion.顺其自然:正念接纳可降低疼痛和负面情绪。
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Cognitive self-regulation influences pain-related physiology.认知自我调节影响与疼痛相关的生理。
Pain. 2019 Oct;160(10):2338-2349. doi: 10.1097/j.pain.0000000000001621.
6
Cognitive reappraisal during unpleasant picture processing: Subjective self-report and peripheral physiology.不愉快图片处理过程中的认知重评:主观自我报告和外周生理。
Psychophysiology. 2019 Aug;56(8):e13372. doi: 10.1111/psyp.13372. Epub 2019 Mar 30.
7
Acceptance versus reappraisal: Behavioral, autonomic, and neural effects.接纳与重新评估:行为、自主神经及神经效应。
Cogn Affect Behav Neurosci. 2019 Aug;19(4):927-944. doi: 10.3758/s13415-019-00690-7.
8
Reconsidering the International Association for the Study of Pain definition of pain.重新审视国际疼痛研究协会对疼痛的定义。
Pain Rep. 2018 Mar 5;3(2):e634. doi: 10.1097/PR9.0000000000000634. eCollection 2018 Mar.
9
Only reappraisers profit from reappraisal instructions: Effects of instructed and habitual reappraisal on stress responses during interpersonal conflicts.只有再评价者从再评价指导中获益:指导和习惯性再评价对人际冲突期间应激反应的影响。
Psychophysiology. 2018 Sep;55(9):e13086. doi: 10.1111/psyp.13086. Epub 2018 Apr 22.
10
The role of emotion regulation in chronic pain: A systematic literature review.情绪调节在慢性疼痛中的作用:系统文献综述。
J Psychosom Res. 2018 Apr;107:38-45. doi: 10.1016/j.jpsychores.2018.02.002. Epub 2018 Feb 6.