Arévalo-Martínez Alejandro, Moreno-Manso Juan Manuel, García-Baamonde María Elena, Blázquez-Alonso Macarena, Cantillo-Cordero Pilar
Department of Psychology, University of Extremadura, Badajoz, Spain.
Front Psychol. 2022 Oct 19;13:1031923. doi: 10.3389/fpsyg.2022.1031923. eCollection 2022.
The World Health Organization (WHO), in its last review of its International Classification of Diseases, established a new classification for chronic pain. Among the principal categories, of particular interest is chronic primary pain as a new type of diagnosis in those cases in which the etiology of the disease is not clear, being termed as chronic primary visceral pain when it is situated in the thorax, abdomen, or pelvis. Due to the novelty of the term, the objective of the systematic review was to examine the psychopathological and neuropsychological disorders associated with chronic primary visceral pain. We carried out a search of the scientific literature following the PRISMA directives using the Pubmed, Medline, PsycInfo and Scopus databases. A total of 33 articles were selected after applying the inclusion and exclusion criteria. The analysis of the studies showed that most persons with chronic primary visceral pain suffer from at least one psychological disorder; the most prevalent being anxiety, depressive or somatoform disorders. The most frequent psychopathological symptoms are anxiety, depression and somatization. Similarly, the findings are insufficient to determine the existence of deficits in the domains of executive functioning, memory and intelligence. However, the existence of attention biases does seem to be clear. This review supposes a starting point for conceptualizing chronic primary visceral pain. It is necessary to continue further research so as to obtain a better understanding of this pathology and the disorders associated.
世界卫生组织（WHO）在其对《国际疾病分类》的最新审查中，为慢性疼痛制定了新的分类。在主要类别中，特别值得关注的是慢性原发性疼痛，它是一种在疾病病因不明的情况下的新型诊断，当位于胸部、腹部或骨盆时被称为慢性原发性内脏痛。由于该术语的新颖性，本系统评价的目的是研究与慢性原发性内脏痛相关的精神病理学和神经心理学障碍。我们按照PRISMA指南，使用PubMed、Medline、PsycInfo和Scopus数据库对科学文献进行了检索。在应用纳入和排除标准后，共筛选出33篇文章。对这些研究的分析表明，大多数慢性原发性内脏痛患者至少患有一种心理障碍；最常见的是焦虑、抑郁或躯体形式障碍。最常见的精神病理症状是焦虑、抑郁和躯体化。同样，研究结果不足以确定在执行功能、记忆和智力领域是否存在缺陷。然而，注意偏向的存在似乎是明确的。本综述为慢性原发性内脏痛的概念化提供了一个起点。有必要继续进一步研究，以便更好地理解这种病理状况及其相关障碍。
