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威胁感知的高风险模型调节安慰剂和反安慰剂效应以及功能性躯体障碍的学习。

The High-Risk Model of Threat Perception Modulates Learning of Placebo and Nocebo Effects and Functional Somatic Disorders.

作者信息

Wickramasekera Ian

机构信息

Department of Psychiatry and Behavioral Sciences, Eastern Virginia Medical School, Norfolk, VA 23507, USA.

出版信息

Brain Sci. 2025 Sep 2;15(9):955. doi: 10.3390/brainsci15090955.

Abstract

Threat activation or deactivation in the brain-body is associated with nocebo or placebo induced by medical-surgical procedures. Some originate as nocebo and can become 30-50% of presentations to primary care physicians. Patients with FSD medical-surgical services, despite the and are at risk for from . The Conditioned Response Model () of postulates three mechanisms, by , which drive placebo and nocebo and FSD. The High Risk Model of Threat Perception postulates that , driving . and the of and are postulated to , . a large (N = 6,891) sample of patients with . A total of 50% of patients with with chronic pain (n = 224) had a ) during experimental induction. The HRMTP predicts that PTI associated with is associated with the . This prediction was confirmed. Learning predicts that activation by can nocebo and FSD and can placebo effects in clinician-patient relationships. Identifying that enables the diagnosis of FSD by and not simply by .

摘要

大脑 - 身体中的威胁激活或失活与医疗 - 外科手术诱导的反安慰剂或安慰剂效应相关。一些最初表现为反安慰剂效应,在向初级保健医生就诊的病例中可占30% - 50%。患有性功能障碍(FSD)的患者接受医疗 - 外科服务,尽管存在……且有因……而面临风险。条件反应模型()假设了三种机制,通过这些机制驱动安慰剂和反安慰剂效应以及性功能障碍。威胁感知的高风险模型假设……,驱动……。并且假设……和……的……会……,……。对一大群(N = 6891)患有……的患者进行了研究。共有50%患有慢性疼痛的患者(n = 224)在实验诱导期间出现了()。高风险威胁感知模型(HRMTP)预测与……相关的疼痛阈值指数(PTI)与……相关。这一预测得到了证实。学习理论预测,通过……激活……可引发反安慰剂效应和性功能障碍,并且可在医患关系中引发安慰剂效应。识别出……能够通过……而非仅仅通过……来诊断性功能障碍。

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