首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Blood pressure-related hypoalgesia in bulimia nervosa.
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Blood pressure-related hypoalgesia in bulimia nervosa.

机译:神经性贪食症中与血压有关的痛觉过敏。

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OBJECTIVE: This study examined pain sensitivity and its relationship to arterial blood pressure in bulimia nervosa (BN). METHODS: Fourteen women who met Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, criteria for BN, purging subtype, and 14 controls were tested for ischemic pain sensitivity after an extended baseline period. Blood pressure, cardiac output, stroke volume, and total peripheral resistance were assessed during baseline, during ischemic pain testing, and at the point of voluntary tolerance. RESULTS: Women with BN had significantly greater ischemic pain tolerance than controls. Additionally, only for BN women was blood pressure related to pain sensitivity. Systolic blood pressure during the pain procedure and at the point of tolerance was positively related to pain threshold and tolerance times and negatively related to rated unpleasantness of pain in BN, whereas no relationships involving blood pressure and pain sensitivity were observed in controls. CONCLUSIONS: These results may have implications for maladaptive changes in central pain-cardiovascular regulatory systems for women with BN.
机译:目的:本研究探讨了神经性贪食症(BN)的疼痛敏感性及其与动脉血压的关系。方法:在基线期延长后,对符合《精神障碍诊断和统计手册》第4版,BN标准,清除亚型和14位对照的14位女性进行了缺血性疼痛敏感性测试。在基线,缺血性疼痛测试期间和自愿耐受时评估血压,心输出量,中风量和总外周阻力。结果:BN妇女的缺血性疼痛耐受性明显高于对照组。另外,仅对于BN妇女而言,血压与疼痛敏感性相关。疼痛过程中和耐受点的收缩压与BN的疼痛阈值和耐受时间呈正相关,与BN中疼痛的额定不适感呈负相关,而对照组中未观察到涉及血压和疼痛敏感性的关系。结论:这些结果可能对BN妇女中枢性疼痛-心血管调节系统的适应不良改变有影响。

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