PDF(Pubmed)
Abstract：
BACKGROUND: In clinical practice, the implementation of tailored treatment is crucial for assessing the patient\'s emotional processing profile. Here, we investigate all three levels of analysis characterizing emotion processing, i.e., recognition, representation, and regulation, in patients with peripheral neuropathic pain (PNP).
METHODS: Sixty-two patients and forty-eight healthy controls underwent quantitative sensory testing, i.e., psychophysical tests to assess somatosensory functions such as perception of cold (CDT), heat-induced pain (HPT), and vibration (VDT), as well as three standardized tasks to assess emotional processing: (1) the Ekman 60-Faces Test (EK-60F) to assess recognition of basic facial emotions, (2) the Reading the Mind in the Eyes Test (RME) to assess the ability to represent the feelings of another person by observing their eyes, and (3) the 20-item Toronto Alexithymia Scale (TAS-20) to assess emotional dysregulation, i.e., alexithymia.
RESULTS: General Linear Model analysis revealed a significant relationship between left index finger VDT z-scores in PNP patients with alexithymia. The RME correlated with VDT z-scores of the left little finger and overall score for the EK-60F.
CONCLUSIONS: In patients with PNP, emotion processing is impaired, which emphasizes the importance of assessing these abilities appropriately in these patients. In this way, clinicians can tailor treatment to the needs of individual patients.
METHODS: Sixty-two patients and forty-eight healthy controls underwent quantitative sensory testing, i.e., psychophysical tests to assess somatosensory functions such as perception of cold (CDT), heat-induced pain (HPT), and vibration (VDT), as well as three standardized tasks to assess emotional processing: (1) the Ekman 60-Faces Test (EK-60F) to assess recognition of basic facial emotions, (2) the Reading the Mind in the Eyes Test (RME) to assess the ability to represent the feelings of another person by observing their eyes, and (3) the 20-item Toronto Alexithymia Scale (TAS-20) to assess emotional dysregulation, i.e., alexithymia.
RESULTS: General Linear Model analysis revealed a significant relationship between left index finger VDT z-scores in PNP patients with alexithymia. The RME correlated with VDT z-scores of the left little finger and overall score for the EK-60F.
CONCLUSIONS: In patients with PNP, emotion processing is impaired, which emphasizes the importance of assessing these abilities appropriately in these patients. In this way, clinicians can tailor treatment to the needs of individual patients.
摘要：
背景：在临床实践中，实施量身定制的治疗对于评估患者的情绪处理状况至关重要。这里,我们调查了所有三个层次的分析表征情绪处理，即，认可,representation,和监管，在周围神经性疼痛（PNP）患者中。
方法：62名患者和48名健康对照者接受了定量感觉测试，即，心理物理测试，以评估体感功能，如感冒感知（CDT），热诱发疼痛（HPT），和振动（VDT），以及评估情绪处理的三个标准化任务：（1）评估基本面部情绪识别的Ekman60-Faces测试（EK-60F），（2）在眼睛中阅读心灵测试（RME），以评估通过观察他人的眼睛来代表他人的感受的能力，（3）20项多伦多述情障碍量表（TAS-20）评估情绪失调，即，述情障碍.
结果：一般线性模型分析显示，述情障碍PNP患者的左食指VDTz评分之间存在显著关系。RME与左小指的VDTz评分和EK-60F的总体评分相关。
结论：在PNP患者中，情绪处理受损，这强调了在这些患者中适当评估这些能力的重要性。这样,临床医生可以根据个体患者的需要定制治疗。
方法：62名患者和48名健康对照者接受了定量感觉测试，即，心理物理测试，以评估体感功能，如感冒感知（CDT），热诱发疼痛（HPT），和振动（VDT），以及评估情绪处理的三个标准化任务：（1）评估基本面部情绪识别的Ekman60-Faces测试（EK-60F），（2）在眼睛中阅读心灵测试（RME），以评估通过观察他人的眼睛来代表他人的感受的能力，（3）20项多伦多述情障碍量表（TAS-20）评估情绪失调，即，述情障碍.
结果：一般线性模型分析显示，述情障碍PNP患者的左食指VDTz评分之间存在显著关系。RME与左小指的VDTz评分和EK-60F的总体评分相关。
结论：在PNP患者中，情绪处理受损，这强调了在这些患者中适当评估这些能力的重要性。这样,临床医生可以根据个体患者的需要定制治疗。
