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慢性下背痛中的内感受和社会认知:共同的推理障碍?一项探索性研究。

Interoception and social cognition in chronic low back pain: a common inference disturbance? An exploratory study.

机构信息

Inserm, U1172 - CHU Lille, Lille Neuroscience & Cognition, Centre of Excellence in Neurodegenerative Disease, Univ. Lille, Labex DISTAlz, F-59000, Lille, France.

Centre d'Evaluation et de Traitement de la Douleur, Service de Neurochirurgie, CHU Lille, F-59000, Lille, France.

出版信息

Pain Manag. 2022 May;12(4):471-485. doi: 10.2217/pmt-2021-0090. Epub 2021 Dec 11.

DOI:10.2217/pmt-2021-0090
PMID:34894713
Abstract

Lower interoceptive abilities are a characteristic of chronic pain conditions. Social support plays an important role in chronic low back pain (cLBP) but social cognitive skills have rarely been investigated. This study aimed to characterize interoceptive and social cognitive abilities in cLBP and to study the relationship between both domains that have been brought closer together by brain predictive coding models. Twenty-eight patients with cLBP and 74 matched controls were included. Interoceptive accuracy (Heart Beat Perception Task), sensibility/awareness (Multidimensional Assessment of Interoceptive Awareness) and mental-states inference abilities (Mini-Social Cognition and Emotional Assessment) were assessed. cLBP Patients had lower interoceptive accuracy and mentalizing performance. Less efficient interoceptive accuracy and mentalizing abilities were found in cLBP patients without correlation between these performances.

摘要

较低的内感受能力是慢性疼痛疾病的特征。社会支持在慢性下背痛(cLBP)中起着重要作用,但社会认知技能很少被研究。本研究旨在描述 cLBP 患者的内感受和社会认知能力,并研究这两个领域之间的关系,这些关系已被大脑预测编码模型紧密联系在一起。

纳入了 28 名 cLBP 患者和 74 名匹配的对照者。评估了内感受准确性(心跳感知任务)、敏感性/意识(多维内感受意识评估)和心理状态推断能力(微型社会认知和情感评估)。

cLBP 患者的内感受准确性和心理化表现较低。在没有这些表现相关性的情况下,cLBP 患者的内感受准确性和心理化能力较低。

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