Simic Katarina, Savic Boris, Knezevic Nebojsa Nick
Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, IL 60657, USA.
Department of Anesthesiology, University of Illinois, Chicago, IL 60612, USA.
Neurol Int. 2024 Apr 26;16(3):483-501. doi: 10.3390/neurolint16030036.
The perception of pain is strongly influenced by various social, emotional, and cognitive factors. A psychological variable which has consistently been shown to exert its influence on pain is a cognitive process referred to as pain catastrophizing. Numerous studies have found it to be a strong predictor of pain intensity and disability across different clinical populations. It signifies a maladaptive response to pain marked by an exaggerated negative assessment, magnification of symptoms related to pain, and, in general, a tendency to experience marked pain-related worry, as well as experiencing feelings of helplessness when it comes to dealing with pain. Pain catastrophizing has been correlated to many adverse pain-related outcomes, including poor treatment response, unsatisfactory quality of life, and high disability related to both acute and chronic pain. Furthermore, there has been consistent evidence in support of a correlation between pain catastrophizing and mental health disorders, such as anxiety and depression. In this review, we aim to provide a comprehensive overview of the current state of knowledge regarding pain catastrophizing, with special emphasis on its clinical significance, and emerging treatment modalities which target it.
疼痛的感知受到各种社会、情感和认知因素的强烈影响。一个一直被证明对疼痛有影响的心理变量是一种被称为疼痛灾难化的认知过程。大量研究发现，它是不同临床人群中疼痛强度和残疾的有力预测指标。它表示对疼痛的一种适应不良反应，其特征是负面评估过度、与疼痛相关的症状放大，总体而言，有明显的与疼痛相关的担忧倾向，以及在应对疼痛时感到无助。疼痛灾难化与许多不良的疼痛相关结果有关，包括治疗反应不佳、生活质量不满意以及与急性和慢性疼痛相关的高残疾率。此外，一直有证据支持疼痛灾难化与心理健康障碍（如焦虑和抑郁）之间存在关联。在这篇综述中，我们旨在全面概述关于疼痛灾难化的当前知识状态，特别强调其临床意义以及针对它的新兴治疗方式。
