attachment styles

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  • 文章类型: Journal Article
    疼痛是一种人际和内在的社会体验。疼痛感知和药物治疗的管理都发生在特定的环境和社会背景下。早期环境影响,以及早期学习经验和互动,调节身体对不同威胁(如疼痛)的反应,最终塑造潜在的神经生理学。这些早期的互动和经验也决定了什么情况被认为是威胁,以及我们对自己自我管理能力的信念,以及我们对他人提供支持的信念,在感知到的威胁中。这些信念在本质上驱动着对感知到的威胁做出反应而出现的行为的组合,包括疼痛。这种行为可以分为依恋风格。在这篇跨学科评论中,我们综合和总结神经生物学的证据,心理生物学,心理社会和心理行为领域,描述这些信念是如何嵌入大脑的预测模型中,以在不同背景下围绕安全/威胁水平产生一系列期望/看法。因此,这些信念可以预测一个人的经历,并回应,疼痛;对慢性疼痛的发展和管理具有潜在的重要意义。在研究和临床环境中,很少有人关注成人依恋方式对疼痛的影响。利用跨学科证据,我们争论为什么我们认为这种互动值得进一步考虑和研究。观点:这篇综述探讨了依恋方式对疼痛感知的影响,表明社会关系和慢性疼痛发展之间的联系。它与最近呼吁强调疼痛研究中的社会背景,并主张在研究和临床实践中更加关注成人依恋风格。
    Pain is an interpersonal and inherently social experience. Pain perception and administration of medical treatment all occur in a particular environmental and social context. Early environmental influences and early learning experiences and interactions condition the body\'s response to different threats (like pain), ultimately shaping the underlying neurophysiology. These early interactions and experiences also determine what situations are perceived as threatening, as well as our belief in our own ability to self-manage, and our belief in others to offer support, during perceived threats. These beliefs intrinsically drive the combination of behaviors that emerge in response to perceived threats, including pain. Such behaviors can be categorized into attachment styles. In this interdisciplinary review, we synthesize and summarize evidence from the neurobiological, psychobiological, psychosocial, and psychobehavioral fields, to describe how these beliefs are embedded in the brain\'s prediction models to generate a series of expectations/perceptions around the level of safety/threat in different contexts. As such, these beliefs may predict how one experiences and responds to pain, with potentially significant implications for the development and management of chronic pain. Little attention has been directed to the effect of adult attachment style on pain in research studies and in the clinical setting. Using interdisciplinary evidence, we argue why we think this interaction merits further consideration and research. PERSPECTIVE: This review explores the influence of attachment styles on pain perception, suggesting a link between social connections and chronic pain development. It aligns with recent calls to emphasize the social context in pain research and advocates for increased focus on adult attachment styles in research and clinical practice.
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