Status emocional de pacientes que convivem com dor crônica, qual o limiar da analgesia

Pedro Arturo Bismara Carneiro Santos; Mariana de Arruda Frazão; Raissa Adiles Costa Reis; Viviane Linard Mendes; Stefferson Tavares Camargo Sobrinho; Virgínia Gabriela Nóbrega Figueiredo; Matheus Olímpio Batista Cavalcante; Leticia Araujo Leal

doi:10.18378/rebes.v14i1.10417

Authors

Pedro Arturo Bismara Carneiro Santos Faculdade Pernambucana de Saúde, Recife, Pernambuco https://orcid.org/0000-0002-6801-456X
Mariana de Arruda Frazão Centro Universitário do Maranhão, São Luís, Maranhão https://orcid.org/0009-0006-6879-3029
Raissa Adiles Costa Reis Faculdade Nova Esperança, João Pessoa, Paraíba https://orcid.org/0009-0000-8354-4211
Viviane Linard Mendes Centro Universitário Santa Maria, Cajazeiras, Paraíba https://orcid.org/0000-0002-0362-9483
Stefferson Tavares Camargo Sobrinho Universidade Federal de Campina Grande, Campina Grande, Paraíba https://orcid.org/0009-0001-5576-5161
Virgínia Gabriela Nóbrega Figueiredo Centro Universitário Facisa, Campina Grande, Paraíba https://orcid.org/0000-0003-4639-2778
Matheus Olímpio Batista Cavalcante Centro Universitário Uninovafapi, Terezina, Piauí https://orcid.org/0000-0002-7404-2452
Leticia Araujo Leal Centro Universitário Uninovafapi, Terezina, Piauí https://orcid.org/0009-0000-9073-9180

DOI:

https://doi.org/10.18378/rebes.v14i1.10417

Abstract

Pain is a complex experience, influenced by cognitive and emotional factors, and can vary between individuals and over time. Painful conditions can result in a variety of clinical outcomes, including the transition to chronic pain, which is affected by genetic factors, previous experiences, and traumatic events. Understanding chronic pain requires a biopsychosocial approach, considering its interaction with biological, psychological, and social factors. There are three main types of pain: inflammatory, neuropathic, and nociceptive, each with distinct characteristics and specific origins. The study aims to deepen the understanding of the emotional impact on the perception of chronic pain, especially in relation to the analgesia threshold. It will investigate how specific emotional states, such as pain catastrophizing, and problems in emotional processing influence patients' response to analgesic treatments. Chronic pain that persists for more than three months negatively affects quality of life, causing sleep disturbances, depressive symptoms, and limiting daily activities. Physical, psychological, and social factors, such as central sensitization and emotional influences, contribute to its complexity. Women, the elderly, and people of low socioeconomic status are more likely to suffer from chronic pain. Emotions and cognitive functions play crucial roles in chronic pain, with catastrophizing and changes in emotional processing contributing to its intensity. Chronic pain is a complex condition that requires integrated approaches to treatment, considering its physical, emotional, and cognitive aspects. Personalized therapeutic strategies are needed to cope with their emotional burden and neurobiological complexity, aiming for a more complete understanding and more effective and compassionate interventions.

Key words: Chronic pain; Emotional impact; Pain perception.

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References

BJEKIĆ, J. et al. Pain and executive functions: a unique relationship between Stroop task and experimentally induced pain. Psychol Res, v. 82, n. 3, p. 580-589, 2018.

BONANNI, R. et al. Chronic pain in musculoskeletal diseases: Do you know your enemy?. Journal of Clinical Medicine, v. 11, n. 9, p. 2609, 2022.

BURKE, N. N. et al. Psychological stress in early life as a predisposing factor for the development of chronic pain: clinical and preclinical evidence and neurobiological mechanisms. Journal of neuroscience research, v. 95, n. 6, p. 1257-1270, 2017.

BUSHNELL, M. C.; ČEKO, M.; LOW, L. A. Cognitive and emotional control of pain and its disruption in chronic pain. Nature Reviews Neuroscience, v. 14, n. 7, p. 502-511, 2013.

CAMPOS, H. L. M. et al. Multidimensional investigation of chronic pain experience and physical functioning following hip fracture surgery: clinical implications. British journal of pain, v. 14, n. 1, p. 5-13, 2020.

CARDANO, M. Manual de pesquisa qualitativa. Uma contribuição da teoria da argumentação Petrópolis: Vozes, 2017.

CHAPMAN, C. R.; VIERCK, C. J. The transition of acute postoperative pain to chronic pain: an integrative overview of research on mechanisms. The Journal of pain, v. 18, n. 4, p. 359. e1-359. e38, 2017.

CRAIG, K. D.; MACKENZIE, N. E. What is pain: Are cognitive and social features core components?. Paediatric and Neonatal Pain, v. 3, n. 3, p. 106-118, 2021.

DONNELLY, C. R. et al. Central nervous system targets: glial cell mechanisms in chronic pain. Neurotherapeutics, v. 17, n. 3, p. 846-860, 2020.

DOSHI, T. L. et al. Biomarkers in temporomandibular disorder and trigeminal neuralgia: A conceptual framework for understanding chronic pain. Canadian Journal of Pain, v. 4, n. 1, p. 1-18, 2020.

GRACE, P. M. et al. Pathological pain and the neuroimmune interface. Nature Reviews Immunology, v. 14, n. 4, p. 217-231, 2014.

HAWKER, G. A. The assessment of musculoskeletal pain. Clin Exp Rheumatol, v. 35, n. Suppl 107, p. S8-S12, 2017.

Henningsen, Peter; Hausteiner‐Wiehle, Constanze; Häuser, Winfried. Migraine in the context of chronic primary pain, chronic overlapping pain disorders, and functional somatic disorders: a narrative review. Headache: The Journal of Head and Face Pain, v. 62, n. 10, p. 1272-1280, 2022.

KARR, J. E. et al. The unity and diversity of executive functions: A systematic review and re-analysis of latent variable studies. Psychological bulletin, v. 144, n. 11, p. 1147, 2018.

KAVA, C. M. Epidemiologic features of the monkeypox outbreak and the public health response—United States, May 17–October 6, 2022. MMWR. Morbidity and Mortality Weekly Report, v. 71, 2022.

LEVORCI NETO, A.; JACUBUS, A. E. Práticas de gestão do conhecimento em instituições federais de ensino superior: uma pesquisa exploratória. 2016.

MCCRACKEN, L. M.; VOWLES, K. E. Acceptance and commitment therapy and mindfulness for chronic pain: model, process, and progress. American psychologist, v. 69, n. 2, p. 178, 2014.

MERCER LINDSAY, N. et al. Brain circuits for pain and its treatment. Science translational medicine, v. 13, n. 619, p. eabj7360, 2021.

MILLS, S. E. E.; NICOLSON, K. P.; SMITH, B. H. Chronic pain: a review of its epidemiology and associated factors in population-based studies. British journal of anaesthesia, v. 123, n. 2, p. e273-e283, 2019.

NICOL, A. L. et al. The association between a history of lifetime traumatic events and pain severity, physical function, and affective distress in patients with chronic pain. The Journal of Pain, v. 17, n. 12, p. 1334-1348, 2016.

PUERTA, M. Y. et al. Chronic facial pain: different comorbidities and characteristics between neuropathic and nonneuropathic conditions. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, v. 130, n. 3, p. 273-282, 2020.

RAFFAELI, W. et al. Chronic pain: what does it mean? A review on the use of the term chronic pain in clinical practice. Journal of Pain Research, p. 827-835, 2021.

RIKARD, S. M. Chronic pain among adults—United States, 2019–2021. MMWR. Morbidity and Mortality Weekly Report, v. 72, 2023.

SIMONS, L. E.; ELMAN, I.; BORSOOK, D.. Psychological processing in chronic pain: a neural systems approach. Neuroscience & Biobehavioral Reviews, v. 39, p. 61-78, 2014.

SOARES, C. B. et al. Revisão integrativa: conceitos e métodos utilizados na enfermagem. Revista da Escola de Enfermagem da USP, v. 48, n.2, p. 335-345, 2014.

STAMATAKI, Z. et al. Chronicles of informal caregiving in cancer: using ‘The Cancer Family Caregiving Experience’model as an explanatory framework. Supportive care in cancer, v. 22, p. 435-444, 2014.

STILWELL, P.; HARMAN, K. An enactive approach to pain: beyond the biopsychosocial model. Phenom Cogn Sci, v. 18, n. 4, p. 637–665, 2019.

TIMMERS, I. et al. Amygdala functional connectivity mediates the association between catastrophizing and threat-safety learning in youth with chronic pain. Pain, v. 163, n. 4, p. 719-728, 2022.

TURK, D; C.; GATCHEL, R; J. (Ed.). Psychological approaches to pain management: A practitioner's handbook. Guilford publications, 2018.

VACHON-PRESSEAU, E. et al. The emotional brain as a predictor and amplifier of chronic pain. Journal of dental research, v. 95, n. 6, p. 605-612, 2016.

VACHON-PRESSEAU, E. et al. The stress model of chronic pain: evidence from basal cortisol and hippocampal structure and function in humans. Brain, v. 136, n. 3, p. 815-827, 2013.

VAN HECKE, O.; TORRANCE, N.; SMITH, B. H. Chronic pain epidemiology and its clinical relevance. British journal of anaesthesia, v. 111, n. 1, p. 13-18, 2013.

YAM, M. F. et al. General pathways of pain sensation and the major neurotransmitters involved in pain regulation. International journal of molecular sciences, v. 19, n. 8, p. 2164, 2018.

YANG, Y. et al. A Conceptual Chronicle of Solving Raven's Progressive Matrices Computationally. In: Proceedings of the 8th International Workshop on Artificial Intelligence and Cognition. 2022.

Emotional status of patients living with chronic pain, what is the analgesia threshold

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