Impact de la douleur chronique sur la cognition et facteurs psychologiques concomitants (notice n° 1027975)
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| fixed length control field | 04361cam a2200253 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250125171713.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Beaupré, Michelle |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Impact de la douleur chronique sur la cognition et facteurs psychologiques concomitants |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2012.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 49 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | RésuméCet article de synthèse a pour objectif de faire état des connaissances actuelles sur l’impact de la douleur chronique (DC) sur le fonctionnement cognitif/neuropsychologique, en portant une attention particulière aux facteurs psychologiques concomitants. Une première section de l’article discute du fonctionnement neuropsychologique de patients présentant de la DC sans étiologie particulière, tandis qu’une deuxième section porte sur le fonctionnement neuropsychologique de patients souffrant de fibromyalgie. Les études existantes permettent d’identifier des déficits de l’attention, de la mémoire et des fonctions exécutives dans les deux groupes. Les résultats suggèrent que les déficits de l’attention sont particulièrement associés à la douleur d’intensité élevée. Les symptômes d’anxiété et de dépression, la propension à la catastrophisation et l’autoperception hypervigilante s’associent aux difficultés cognitives chez les douloureux chroniques, sans toutefois que leur présence soit nécessaire pour qu’il y ait impact sur la cognition. Les recherches nous fournissent des preuves que l’association entre la douleur d’intensité élevée, certains facteurs psychologiques/émotifs et les troubles de la cognition identifiés pourrait être liée aux changements neuropathologiques qui s’opèrent chez les douloureux chroniques. Les implications pour l’évaluation neuropsychologique sont discutées. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Impact of chronic pain on cognition and concomitant psychological factorsThis review article examines the current state of knowledge of the impact of chronic pain (CP) on cognitive/neuropsychological functioning, with a particular focus of the effect of psychological concomitants. A first section focuses on the neuropsychological functioning of patients with CP without a specific ætiology, while a second section discusses the neuropsychological functioning of fibromyalgia patients. Studies reviewed identified deficits in attention, memory, and executive functioning in these two groups. Results of studies suggest an association between attentional problems, and high intensity pain. In CP, symptoms of anxiety and depression, as well as high somatic awareness and a tendency towards catastrophization often present conjointly with cognitive deficits, but their presence is not necessary for impacts on cognition to be apparent. Self-regulation, a central element of executive functioning, also appears to be affected, and could be intimately related to the ability to manage cognitive and emotional resources, as well as to the maintenance of CP. Literature provides some evidence that this relationship between high intensity pain, psychological/emotional factors, and cognitive deficits may be accounted for by neuropathological changes that occur in CP. These include pathophysiological processes (e.g., reduction in gray matter, neurochemical changes in N-acetylaspartate/creatine) at the thalamocortical level, in particular in prefrontal cortex, which is simultaneously involved in cognition, pain perception, and emotional control. Implications for neuropsychological evaluation include the need for systematic assessment of attentional and executive functions in CP patients. As well, pain-related (pain intensity, somatic awareness, catastrophization, etc.) and psychological factors (anxiety, depression) should be assessed in order to correctly interpret neuropsychological findings, and provide adequate treatment referral. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | douleur chronique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | facteurs psychologiques |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | fonctionnement neuropsychologique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | neuropsychological functioning |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | psychological factors |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | chronic pain |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | McKerral, Michelle |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Revue de neuropsychologie | Volume 4 | 1 | 2012-03-01 | p. 53-59 | 2101-6739 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-de-neuropsychologie-2012-1-page-53?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-de-neuropsychologie-2012-1-page-53?lang=fr&redirect-ssocas=7080</a> |
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