Coping

应对
  • 文章类型: Journal Article
    在这篇评论中,我们的目标是确定聚焦解决方案干预(SFI)在不同条件下生活的患者的照顾者中的疗效.
    使用了2000年1月1日至2022年12月31日之间发表的文章。使用的数据库包括EBSCOhost,PubMed,ProQuest,ERIC,谷歌学者。我们使用Zotero删除了重复的研究。Further,我们使用RCT的偏倚风险和JBI关键评估检查表进行准实验和非随机实验研究.
    来自五个数据库的研究总数为2,693。在评估了资格和重复删除之后,找到10篇相关文章适合这篇综述,包括3个RCT,3单组pre-post,2准实验,和1个来自案例研究,和多个基线设计。压力,生活质量,并对应对变量进行了研究。与替代疗法相比的研究:尽管10项研究中有9项优于替代疗法,没有一个等同于以解决方案为重点的干预。SFI已显示对研究中选择的所有变量的功效。在这些研究中,疗效与替代治疗相比,和SFI已证明比替代疗法更好的结果。
    根据综述的研究,有力的证据支持SFI作为照顾者的治疗方法.SFI还可以在较短的会议中受益于护理人员,使它比其他治疗更实惠。
    UNASSIGNED: In this review, we aim to determine the efficacy of Solution-Focused Interventions (SFI) among caregivers of persons living with different conditions.
    UNASSIGNED: Articles published between 1 January 2000 and 31 December 2022 were used. Databases used included EBSCOhost, PubMed, ProQuest, ERIC, and Google Scholar. We used Zotero to remove the duplicate studies. Further, we used the Risk of Bias for RCTs and the JBI Critical Appraisal Checklist for Quasi-Experimental and non-randomized experimental studies.
    UNASSIGNED: Total number of studies from five databases was 2,693. After evaluating the eligibility and duplication removal, 10 relevant articles were found suitable for this review, including 3 RCTs, 3 single group pre-post, 2 quasi-experimental, and 1 each from case study, and multiple baseline designs. Stress, quality of life, and coping variables were studied. Studies compared with alternative treatments: Though 9 out of 10 studies were superior to alternative treatment, and none were equivalent to solution-focused intervention. SFI has shown efficacy on all the variables selected in the study. In these studies, the efficacy is compared with the alternative treatment, and SFI has demonstrated better outcomes than the alternative treatments.
    UNASSIGNED: Based on the studies reviewed, robust evidence supports SFI as a treatment approach for caregivers. SFI can also benefit caregivers in shorter sessions, making it more affordable than other treatments.
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  • 文章类型: Journal Article
    感官加工敏感性(SPS)的概念首先由Aron和Aron(1996)引入,作为一种先天特征,其特征是感官加工的提高,情感,和物理刺激。自1996年引入该概念以来,高SPS已被证明与不良的身心健康有关。这可能在大学生中尤其如此,他们经常面临许多压力,如紧张的工作量和考试焦虑。
    本文是通过EBSCOHost使用以下数据库进行的系统文献综述:学术搜索完成,APAPsycarticles,APAPsycInfo,教育研究完成,ERIC,MEDLINE完成,和Socindex。搜索词包括关于高感官加工敏感性的术语,大学或专业学生,和心理健康。
    共纳入6项研究。SPS高的大学生对感官的反应增强,情感,和物理刺激。研究表明,高SPS与抑郁倾向和难以适应大学等结果相关。
    这些发现突出表明SPS与不良的心理健康结果有关。结果强调了为SPS高的学生开发支持方法的重要性。未来的研究应进一步探索SPS在大学生中制定有针对性的支持方法和方案。
    UNASSIGNED: The concept of sensory processing sensitivity (SPS) was first introduced by Aron and Aron (1996) as an innate trait characterized by heightened processing of sensory, emotional, and physical stimuli. Since the concept\'s introduction in 1996, high SPS has been shown to be associated with poor physical and mental health. It is possible that this is especially true in university students, who are frequently faced with numerous stressors, such as intense workloads and test anxiety.
    UNASSIGNED: This article is a systematic literature review conducted through EBSCOHost using the following databases: Academic Search Complete, APA PsycArticles, APA PsycInfo, Education Research Complete, ERIC, MEDLINE Complete, and SocINDEX. Search terms included terms regarding high sensory processing sensitivity, university or professional students, and mental health.
    UNASSIGNED: A total of 6 studies were included. University students with high SPS experienced heightened reactions to sensory, emotional, and physical stimuli. The studies demonstrate correlations of high SPS with outcomes such as depressive tendencies and difficulty adjusting to college.
    UNASSIGNED: These findings highlight that SPS is associated with poor mental health outcomes. The results underscore the importance of developing support methods for students with high SPS. Future studies should further explore SPS in university students to develop targeted support methods and programs.
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  • 文章类型: Journal Article
    目的:当前的研究是对问题赌博和赌博障碍的认知行为治疗(CBT)的系统评价和荟萃分析,以及它是否在三种假定的改变机制上产生了与最小或无治疗对照不同的结果:1)赌博认知,2)应对,3)自我效能感。
    方法:研究是从五个书目数据库中确定的(即,Cochrane中央控制试验登记册,Cochrane系统评价数据库,Embase,PsycINFO,和PubMed)。纳入的研究是CBT的随机对照试验,其中包括有关推定机制的治疗后数据。计算组间对冲效应大小,以检查CBT相对于赌博认知的最小或无治疗控制的结果,应对,以及治疗后的自我效能感。使用Cochrane偏差风险工具确定偏差风险。
    结果:15项研究,代表1,536名参与者,有资格进行分析。CBT的参与者有更有利的赌博认知(g=-0.41),应对行为(g=0.27),和自我效能(g=1.12)在治疗后比最小或无治疗控制。
    结论:本研究的结果为CBT在经历问题赌博和赌博障碍的个体中三种推定的改变机制上的有效性提供了初步支持。虽然结果很有希望,对于所有三个结果,效应大小的大小都存在显著的异质性,结果未通过心理测量建立的评估工具进行一致评估。
    OBJECTIVE: The current study was a systematic review and meta-analysis of cognitive behavioral treatment (CBT) for problem gambling and gambling disorder and whether it produced different outcomes than minimal or no treatment controls on three putative change mechanisms: 1) gambling cognitions, 2) coping, and 3) self-efficacy.
    METHODS: Studies were identified from five bibliographic databases (i.e., Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Embase, PsycINFO, and PubMed). Included studies were randomized controlled trials of CBT that included posttreatment data on putative mechanisms. Between-group Hedges\'s g effect sizes were calculated to examine outcomes of CBT relative to minimal or no treatment control on gambling cognitions, coping, and self-efficacy at posttreatment. Risk of bias was determined using the Cochrane Risk of Bias tool.
    RESULTS: Fifteen studies, representing 1,536 participants, were eligible for analysis. Participants in CBT had more favorable gambling cognitions (g = -0.41), coping behaviors (g = 0.27), and self-efficacy (g = 1.12) at posttreatment than minimal or no treatment control.
    CONCLUSIONS: Results of the current study provided preliminary support for the effectiveness of CBT on three putative mechanisms of change among individuals experiencing problem gambling and gambling disorder. Although the results were promising, there was significant heterogeneity in the magnitude of effect sizes for all three outcomes, and outcomes were not consistently assessed with psychometrically established assessment tools.
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  • 文章类型: Journal Article
    背景:由于暴露于身体,生物,化学,和心理危险。持续的职业创伤导致警察中的精神疾病,这是一个值得关注的公共卫生问题。本研究旨在对全球警察应对职业创伤的策略进行范围审查。
    方法:搜索字符串,根据对警官应对职业创伤的策略的了解的审查问题制定,用于从数据库中搜索文章。根据纳入标准,共筛选了588次点击,本综述纳入了1983年至2022年之间的36项全文研究。使用标准化数据提取工具提取数据。采用多步骤过程对提取的数据进行分析,整合定量和定性方法。
    结果:从这篇综述来看,“适应性应对机制”,涉及对抗;“适应不良的应对机制”,比如自我孤立,距离和物质使用;\“弹性\”,关于心理准备,和“从家庭中寻求支持系统”,同事和专业人员反映了警务人员应对职业创伤的策略。与心理健康障碍有关的社会污名影响了警察应对职业创伤的策略。
    结论:警察管理和医疗保健从业人员必须合作,以提供建设性的环境,以支持和加强警察应对职业创伤的策略。
    BACKGROUND: Occupational trauma is heightened among police officers due to their exposure to physical, biological, chemical, and psychological hazards. Sustained occupational trauma results in mental illness among members of the police, which is a public health issue of concern. This study aimed to report a scoping review of the literature on strategies employed by police officers for coping with occupational trauma around the globe.
    METHODS: A search string, formulated from the review question of what is known about the strategies of police officers for coping with occupational trauma, was used to search for articles from databases. A total of 588 hits were screened against inclusion criteria, resulting in 36 full-text studies between 1983 and 2022 being included in this review. Data were extracted using a standardised data extraction tool. The multi-step process was used to analyse the extracted data, integrating quantitative and qualitative approaches.
    RESULTS: From this review, \'adaptive coping mechanisms\', involving confrontation; \'maladaptive coping mechanisms\', such as self-isolation, distancing and substance use; \'resilience\', relating to mental preparation, and \'seeking support systems\' from family, colleagues and professionals reflected the strategies used by police officers to cope with occupational trauma. Social stigma related to mental health disorders impacts the strategies used by police officers to cope with occupational trauma.
    CONCLUSIONS: the police management and healthcare practitioners must collaborate towards providing constructive environments that support and strengthen police officers\' strategies for coping with occupational trauma.
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  • 文章类型: Journal Article
    在这篇叙述性评论中,作者总结了压力与行为之间的关系以及奶牛如何应对压力源。根据现有文献,集约化奶牛养殖中最常见的压力源,如疼痛,疾病,热应力,技术造成的舒适性差,和社会压力,被调查。作者描述了这些压力源如何改变奶牛的行为,影响他们的喂养方式,社交互动,和整体福祉。此外,这篇综述探讨了奶牛缓解压力的各种应对机制的有效性,包括生理适应和行为反应。这篇综述是通过行为反应理解和分级奶牛应激的宝贵资源。阐明压力源和行为之间复杂的相互作用,可以洞悉潜在的干预措施,以改善奶牛养殖中的动物福利和生产力。此外,这篇综述强调了未来研究的领域,为更全面的行为研究提供途径,以增强我们对奶牛压力管理策略的理解。
    In this narrative review, the authors summarise the relationship between stress and behaviour and how dairy cattle cope with stressors. Based on the available literature, the most common stressors in intensive dairy cattle farming, such as pain, disease, heat stress, poor comfort caused by technology, and social stress, are surveyed. The authors describe how these stressors modify the behaviour of dairy cattle, influencing their feeding patterns, social interactions, and overall well-being. Additionally, the review explores the effectiveness of various coping mechanisms employed by dairy cattle to mitigate stress, including physiological adaptations and behavioural responses. This review is a valuable resource for understanding and grading stress in dairy cattle through behavioural reactions. Elucidating the intricate interplay between stressors and behaviour offers insights into potential interventions to improve animal welfare and productivity in dairy farming. Furthermore, this review highlights areas for future research, suggesting avenues for more comprehensive behavioural studies to enhance our understanding of stress management strategies in dairy cattle.
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  • 文章类型: Journal Article
    本文旨在探讨表观遗传机制之间的复杂关系,压力,和情感障碍,关注早期生活经历和应对机制如何导致情绪障碍的易感性。表观遗传因素在调节基因表达中起着至关重要的作用,而不改变DNA(脱氧核糖核酸)序列,最近的研究揭示了表观遗传变化和对压力或精神疾病的适应不良反应之间的关联。对采用PRISMA-S(系统评价和荟萃分析-陈述的首选报告项目)指南的33项研究进行了范围审查,调查了压力诱导的表观遗传机制和应对策略在情感障碍发生中的作用。发展,和进步。分析包括各种压力因素,包括童年创伤,与工作有关的压力,和饮食不足,伴随着表观遗传变化,如DNA甲基化和基因表达改变。研究结果表明,特定的应激相关基因经常表现出与情感障碍相关的表观遗传变化。此外,这篇综述探讨了双相情感障碍和重度抑郁障碍患者的应对机制,揭示应对策略和症状严重程度之间的混合关联。虽然积极应对与更好的结果相关,以情绪为中心的应对可能会加剧抑郁或躁狂发作。总的来说,这篇综述强调了遗传易感性之间复杂的相互作用,环境压力源,应对机制,和情感障碍。了解这些相互作用对于为情绪障碍患者制定有针对性的干预措施和个性化治疗策略至关重要。然而,需要进一步的研究来阐明涉及情感障碍的特定基因组位点,以及治疗环境中应对策略的临床意义.
    This review aims to explore the intricate relationship among epigenetic mechanisms, stress, and affective disorders, focusing on how early life experiences and coping mechanisms contribute to susceptibility to mood disorders. Epigenetic factors play a crucial role in regulating gene expression without altering the DNA (deoxyribonucleic acid) sequence, and recent research has revealed associations between epigenetic changes and maladaptive responses to stress or psychiatric disorders. A scoping review of 33 studies employing the PRISMA-S (Preferred Reporting Items for Systematic Reviews and Meta-Analyses-Statement) guidelines investigates the role of stress-induced epigenetic mechanisms and coping strategies in affective disorder occurrence, development, and progression. The analysis encompasses various stress factors, including childhood trauma, work-related stress, and dietary deficiencies, alongside epigenetic changes, such as DNA methylation and altered gene expression. Findings indicate that specific stress-related genes frequently exhibit epigenetic changes associated with affective disorders. Moreover, the review examines coping mechanisms in patients with bipolar disorder and major depressive disorder, revealing mixed associations between coping strategies and symptom severity. While active coping is correlated with better outcomes, emotion-focused coping may exacerbate depressive or manic episodes. Overall, this review underscores the complex interplay among genetic predisposition, environmental stressors, coping mechanisms, and affective disorders. Understanding these interactions is essential for developing targeted interventions and personalized treatment strategies for individuals with mood disorders. However, further research is needed to elucidate specific genomic loci involved in affective disorders and the clinical implications of coping strategies in therapeutic settings.
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  • 文章类型: Systematic Review
    主观照顾者负担在家庭照顾者中非常普遍。尽管有几项研究调查了主观照顾者负担与应对策略之间的关系,结果仍然不一致。我们研究的目的是系统地回顾有关依赖成年人和老年人的家庭照顾者的主观照顾者负担与应对之间关系的最新文献。次要目标是分析估计效果中异质性的可能来源。研究设计是系统评价和荟萃分析,遵循系统评价和荟萃分析声明(PRISMA)指南的首选报告项目。我们搜索了几个国际数据库(CINAHL,LILACS,PsycINFO和PubMed)至2024年2月。我们进行了几个亚组分析,以检查研究设计是否,方法学质量或护理接受者依赖性影响了结果。在我们搜索的1064条记录中,共有80项研究符合纳入标准.我们发现,更多使用功能失调应对与更高水平的主观照顾者负担之间存在显着关联(r$\\overline{r}$=0.400;95%CI=0.315,0.478);更多使用二级主动应对与更低的照顾者负担显着相关(r$\\overline{r}$=-0.213;95%CI=-0.316,-0.105)。以问题为中心的应对与主观负担水平没有统计学上的显着关联;以情绪为中心的应对仅在控制了混杂变量之后才与照顾者负担相关(r$\\overline{r}$=-0.258;95%CI=-0.441,-0.055);该维度的几种个人策略,例如接受(r$\\overline{r}$=-0.135;95%CI=-0.238积极的重新评估(r$\\overline{r}$=-0.178;95%CI=-0.255,-0.099)和宗教应对(r$\\overline{r}$=-0.083;95%CI=-0.162,-0.002),与较低的负担有关。我们发现,应对策略的几个维度与照顾者所经历的主观照顾者负担水平显着相关。这些结果可以为未来的研究提供信息,评估旨在改善护理人员心理健康的干预措施的有效性。
    Subjective caregiver burden is highly prevalent in family caregivers. Despite several studies investigating the relationship between subjective caregiver burden and coping strategies, results remain inconsistent. The aim of our study was to systematically review current literature on the relationship between subjective caregiver burden and coping in family carers of dependent adults and older people. A secondary objective was to analyse possible sources of heterogeneity in the estimated effect. The study design was a systematic review with meta-analysis following Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA) guidelines. We searched several international databases (CINAHL, LILACS, PsycINFO and PubMed) up to February 2024. We performed several subgroup analyses to examine whether study design, methodological quality or care recipient dependency influenced results. Of the 1064 records identified in our search, a total of 80 studies met inclusion criteria. We found a significant association between greater use of dysfunctional coping and higher levels of subjective caregiver burden ( r ‾ $\\overline{r}$  = 0.400; 95% CI = 0.315, 0.478); higher use of second-order active coping was significantly associated with lower caregiver burden ( r ‾ $\\overline{r}$  = -0.213; 95% CI = -0.316, -0.105). Problem-focused coping showed no statistically significant association with levels of subjective burden; emotion-focused coping was associated with caregiver burden only after controlling for confounding variables ( r ‾ $\\overline{r}$  = -0.258; 95% CI = -0.441, -0.055); several individual strategies of this dimension such as acceptance ( r ‾ $\\overline{r}$  = -0.135; 95% CI = -0.238, -0.028), positive reappraisal ( r ‾ $\\overline{r}$  = -0.178; 95% CI = -0.255, -0.099) and religious coping ( r ‾ $\\overline{r}$  = -0.083; 95% CI = -0.162, -0.002), were associated with lower burden. We found that several dimensions of coping strategies are significantly associated with levels of subjective caregiver burden experienced by carers. These results can inform future research evaluating the effectiveness of interventions aimed at improving carers\' mental health.
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  • 文章类型: Journal Article
    护理专业的学生面临着来自他们的教育和临床实习的巨大压力,强调迫切需要发展有效的应对机制来管理学术和临床责任,最终提高这些学生的健康和学习成绩。这项总括性综述旨在评估和综合现有的综述文章,这些文章检查了学生护士在教育和培训期间的压力水平和应对机制。五个数据库(PsycINFO,PubMed,CINAHL,搜索了Scopus和WebofScience),以查找从2010年开始发表的评论文章。这篇评论包括12篇文章,涵盖189项研究。审查结果表明,学生护士在接受护士教育期间会经历中等至高水平的压力。压力的主要来源包括学术需求,患者护理责任,以及与护理人员和教师的互动。通常使用的应对技能包括解决问题的行为,移情,并保持乐观的前景。鉴于压力的不利后果,护士教育者在制定减轻压力和提高学生护士应对能力的策略方面发挥着关键作用。这项研究未注册。
    Prelicensure nursing students face significant stress from their education and clinical placements, highlighting the crucial need for the development of effective coping mechanisms with which to manage both academic and clinical responsibilities, ultimately enhancing the wellbeing and academic performance of these students. This umbrella review aims to evaluate and synthesize existing review articles that examine stress levels and coping mechanisms among student nurses during their education and training. Five databases (PsycINFO, PubMed, CINAHL, Scopus and Web of Science) were searched for review articles published from 2010 onwards. This review includes twelve articles, encompassing 189 studies. The review findings demonstrate that student nurses experience moderate-to-high levels of stress during their nurse education. Major sources of stress include academic demands, patient care responsibilities, and interactions with nursing staff and faculty. Commonly utilized coping skills involve problem-solving behaviors, transference, and maintaining an optimistic outlook. Given the adverse consequences of stress, nurse educators play a critical role in the development of strategies with which to reduce stress and enhance coping skills among student nurses. This study was not registered.
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  • 文章类型: Journal Article
    背景:关于自杀的研究很少关注保护因素。本系统评价的目的是评估保护因素与老年人自杀倾向降低之间关联的证据。
    方法:首先,进行了范围审查,以确定相关术语,这些术语涉及针对自杀的各种保护因素。系统的审查,遵循PRISMA准则,然后选择15个保护因素(例如,感知控制,幸福和生活质量,生活满意度,生活的目的,弹性,应对,宗教信仰,希望,自我调节,归属感,重要的,积极的关系,社会支持,社会联系,和社会参与),在五个数据库中对每个因子进行单独搜索。如果参与者是60岁及以上的成年人,实证研究是合格的,以及研究是否报告了预测性统计分析。
    结果:本综述共保留了70项研究。自杀意念是主要的结局指标(91%)。在所有保护因素和减少的自杀意念或行为之间始终观察到显着关联。特别是为了生活的目的,弹性,和积极的关系,表明这些是预防自杀的坚实组成部分。使用刻度,而不是一个单一的项目,测量保护因素(如生活满意度)更有效地捕捉关联.另一方面,无论是使用主观的研究,结果都是相似的(例如,归属感)或客观(例如,社会连通性)措施。
    结论:保护因素与自杀意念呈负相关。改善保护因素对于晚期自杀预防和干预措施的发展至关重要,而不是仅仅关注风险因素。
    BACKGROUND: Research on suicide rarely focuses on protective factors. The goal of this systematic review was to assess the evidence of the associations between protective factors and reduced suicidality among older adults.
    METHODS: First, a scoping review was conducted to identify pertinent terms that refer to various protective factors against suicidality. A systematic review, following the PRISMA guidelines, was then conducted on a selection of 15 protective factors (e.g., perceived control, well-being and quality of life, life satisfaction, purpose-in-life, resilience, coping, religiosity, hope, self-regulation, sense of belonging, mattering, positive relationship, social support, social connectedness, and social participation), with separate searches performed on each factor in five databases. Empirical studies were eligible if participants were adults aged 60 years and over, and if the studies reported predictive statistical analysis.
    RESULTS: A total of 70 studies were retained for the review. Suicidal ideation was the main outcome measure (91%). Significant associations were consistently observed between all protective factors and reduced suicidal ideations or behaviors, particularly for purpose-in-life, resilience, and positive relationships, indicating that these are solid components for suicide prevention. Using scales, instead of a single item, to measure protective factors (e.g. life satisfaction) was more efficient to capture the associations. On the other hand, results were similar whether studies used subjective (e.g., sense of belonging) or objective (e.g., social connectedness) measures.
    CONCLUSIONS: Protective factors were inversely associated with suicidal ideation. Improving protective factors is essential for the development of late-life suicide prevention and interventions, instead of merely focusing on risk factors.
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  • 文章类型: Journal Article
    不良儿童经历(ACE)影响美国一半以上的成年人,并且已知有助于各种负面健康和行为结果的发展。ACE暴露的后果已经在患者人群中进行了研究,包括妇科患者,骨科,新陈代谢,自身免疫,心血管,和胃肠道条件等等。研究结果表明,ACE不仅会增加慢性疼痛的风险,还会影响许多此类个体对疼痛的情绪反应。越来越多的研究表明,这些影响可能是早期发育过程中ACEs在神经生物学系统中引起的持久变化的结果。然而,一个仍未探索的领域涉及ACEs对烧伤患者的影响,每年在美国有近450,000人住院。严重烧伤患者经常遭受持续性疼痛,在急性损伤后很久影响他们的健康。但是在个体的疼痛经历中观察到相当大的差异。在CINAHL和PubMed中进行了文献检索,以评估先前记录的ACE诱导的生物学变化的可能性,心理,社会过程可能会导致这些差异。研究结果表明,更好地了解ACEs在烧伤结局中的作用可以改善治疗策略。但需要进一步的实证研究来确定决定ACE暴露患者疼痛结局个体差异的预测因素和机制,并阐明ACE相关改变在烧伤早期愈合和恢复中的作用.
    Adverse childhood experiences (ACEs) affect over half of the adults in the United States and are known to contribute to the development of a wide variety of negative health and behavioral outcomes. The consequences of ACE exposure have been studied in patient populations that include individuals with gynecologic, orthopedic, metabolic, autoimmune, cardiovascular, and gastrointestinal conditions among others. Findings indicate that ACEs not only increase risks for chronic pain but also influence emotional responses to pain in many of these individuals. A growing body of research suggests that these effects may be the result of long-lasting changes induced by ACEs in neurobiological systems during early development. However, one area that is still largely unexplored concerns the effects of ACEs on burn patients, who account for almost 450,000 hospitalizations in the United States annually. Patients with severe burns frequently suffer from persistent pain that affects their well-being long after the acute injury, but considerable variability has been observed in the experience of pain across individuals. A literature search was conducted in CINAHL and PubMed to evaluate the possibility that previously documented ACE-induced changes in biological, psychological, and social processes might contribute to these differences. Findings suggest that better understanding of the role that ACEs play in burn outcomes could lead to improved treatment strategies, but further empirical research is needed to identify the predictors and mechanisms that dictate individual differences in pain outcomes in patients with ACE exposure and to clarify the role that ACE-related alterations play in early healing and recovery from burn injuries.
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