Title |
Cognitive impairment in patients with chronic pain: The significance of stress
|
---|---|
Published in |
Current Pain and Headache Reports, April 2003
|
DOI | 10.1007/s11916-003-0021-5 |
Pubmed ID | |
Authors |
Robert P. Hart, James B. Wade, Michael F. Martelli |
Abstract |
This review article examines the role of emotional distress and other aspects of suffering in the cognitive impairment that often is apparent in patients with chronic pain. Research suggests that pain-related negative emotions and stress potentially impact cognitive functioning independent of the effects of pain intensity. The anterior cingulate cortex is likely an integral component of the neural system that mediates the impact of pain-related distress on cognitive functions, such as the allocation of attentional resources. A maladaptive physiologic stress response is another plausible cause of cognitive impairment in patients with chronic pain, but a direct role for dysregulation of the hypothalamic-pituitary-adrenocortical axis has not been systematically investigated. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 33% |
United Kingdom | 1 | 33% |
Canada | 1 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 2 | 67% |
Science communicators (journalists, bloggers, editors) | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 4 | 2% |
Portugal | 1 | <1% |
Germany | 1 | <1% |
New Zealand | 1 | <1% |
Brazil | 1 | <1% |
Spain | 1 | <1% |
Russia | 1 | <1% |
Unknown | 181 | 95% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 37 | 19% |
Student > Master | 27 | 14% |
Student > Bachelor | 25 | 13% |
Researcher | 23 | 12% |
Student > Doctoral Student | 14 | 7% |
Other | 30 | 16% |
Unknown | 35 | 18% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 61 | 32% |
Medicine and Dentistry | 22 | 12% |
Neuroscience | 17 | 9% |
Agricultural and Biological Sciences | 10 | 5% |
Nursing and Health Professions | 7 | 4% |
Other | 25 | 13% |
Unknown | 49 | 26% |