Soreness Reminds Me of Grief: Patients With Chronic Pain Show Less Differentiated Representations of Emotional Feelings and Bodily States
文献类型:期刊论文
作者 | Lin, Xiao-Xiao2,3; Chen, Ya-Hong2,3; Wang, Yu-Zheng2,3; Sun, Ya-Bin2,3; Wang, Ning2,3; Luo, Fei2,3; Wang, Jin-Yan1,2,3 |
刊名 | JOURNAL OF PAIN |
出版日期 | 2024-02-01 |
卷号 | 25期号:2页码:557-569 |
通讯作者邮箱 | wangjy@psych.ac.cn (j.-y. wang) |
ISSN号 | 1526-5900 |
关键词 | Key Words Chronic pain Emotional experience Somatic symptoms Interoceptive discrimination Interoception |
DOI | 10.1016/j.jpain.2023.09.012 |
产权排序 | 1 |
文献子类 | 实证研究 |
英文摘要 | People experience similarities between emotional feelings and bodily states on a daily basis, but both the magnitude and pervasiveness of this experiential similarity vary across individuals. Inspired by previous findings that chronic pain (CP) is characterized by strengthened painaffect coupling and reduced interoceptive accuracy, we conducted 2 cross-sectional studies to examine whether patients with CP would exhibit less differentiated perception and mental representation of emotional feelings and bodily states. In study 1 (N = 500), patients with CP and healthy controls (HCs) completed a self-report questionnaire that asked explicitly about the perceived similarity between 5 basic emotion categories and a series of bodily states. In study 2 (N = 73), a specially designed false memory test was administered to examine whether patients with CP would have reduced differentiation of concepts of negative emotion and somatic distress. We found that patients with CP perceived greater and more pervasive similarities between emotional feelings and bodily states, as indicated by higher questionnaire scores and denser, less specialized bipartite emotion-body networks, both associated with lower subjective interoceptive accuracy. Furthermore, patients with CP formed false memories of negative emotion words (eg, grief) more readily than HCs after memorizing somatic distress words (eg, soreness), as if they represented negative emotion and somatic distress as a single, enmeshed semantic category. Our findings extend previous literature by demonstrating reduced discrimination between emotional and bodily experiences in CP that is not restricted to pain-related emotional and sensory experiences and may be related to a fundamentally less differentiated interoception. Perspectives: This study shows that patients with chronic pain have a profoundly less differentiated perception and implicit conceptualization of emotional feelings and bodily states, which appears to be associated with altered interoception. These findings may provide new perspectives on why they often experience a stronger pain-affect coupling. (R) 2023 Published by Elsevier Inc. on behalf of United States Association for the Study of Pain, Inc |
收录类别 | SCI |
WOS关键词 | FALSE MEMORY ; ALTERED INTEROCEPTION ; VALIDATION ; SYMPTOMS ; MODEL ; SCALE ; BIAS ; ASSOCIATIONS ; RECOGNITION ; DEPRESSION |
资助项目 | Scientific Foundation of Institute of Psychology, Chinese Academy of Sciences[31671140] ; CAS Key Laboratory of Mental Health, Institute of Psychology[Y9CX441005] ; CAS Key Laboratory of Mental Health, Institute of Psychology[E1CX181005] ; initiation fund of the CAS/SAFEA International Partnership Program for Creative Research Teams[KLMH 2014G01] ; initiation fund of the CAS/SAFEA International Partnership Program for Creative Research Teams[KLMH2016K02] ; [Y2CX131003] |
WOS研究方向 | Neurosciences & Neurology |
语种 | 英语 |
出版者 | CHURCHILL LIVINGSTONE |
WOS记录号 | WOS:001171023900001 |
资助机构 | Scientific Foundation of Institute of Psychology, Chinese Academy of Sciences ; CAS Key Laboratory of Mental Health, Institute of Psychology ; initiation fund of the CAS/SAFEA International Partnership Program for Creative Research Teams |
源URL | [http://ir.psych.ac.cn/handle/311026/47249] |
专题 | 心理研究所_中国科学院心理健康重点实验室 |
通讯作者 | Wang, Jin-Yan |
作者单位 | 1.Inst Psychol, CAS Key Lab Mental Hlth, 16 Lincui Rd, Beijing 100101, Peoples R China 2.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China 3.Chinese Acad Sci, Inst Psychol, CAS Key Lab Mental Hlth, Beijing, Peoples R China |
推荐引用方式 GB/T 7714 | Lin, Xiao-Xiao,Chen, Ya-Hong,Wang, Yu-Zheng,et al. Soreness Reminds Me of Grief: Patients With Chronic Pain Show Less Differentiated Representations of Emotional Feelings and Bodily States[J]. JOURNAL OF PAIN,2024,25(2):557-569. |
APA | Lin, Xiao-Xiao.,Chen, Ya-Hong.,Wang, Yu-Zheng.,Sun, Ya-Bin.,Wang, Ning.,...&Wang, Jin-Yan.(2024).Soreness Reminds Me of Grief: Patients With Chronic Pain Show Less Differentiated Representations of Emotional Feelings and Bodily States.JOURNAL OF PAIN,25(2),557-569. |
MLA | Lin, Xiao-Xiao,et al."Soreness Reminds Me of Grief: Patients With Chronic Pain Show Less Differentiated Representations of Emotional Feelings and Bodily States".JOURNAL OF PAIN 25.2(2024):557-569. |
入库方式: OAI收割
来源:心理研究所
其他版本
除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。