Emotion Processing in Peripheral Neuropathic Pain: An Observational Study.

Autor:	Isoardo G; Department of Neurosciences & Mental Health, Hospital 'Città della Salute e della Scienza di Torino', 10126 Turin, Italy., Adenzato M; Department of Psychology, University of Turin, 10124 Turin, Italy., Ciullo S; Department of Psychology, University of Turin, 10124 Turin, Italy., Fontana E; Department of Psychology, University of Turin, 10124 Turin, Italy., Stura I; Department of Neuroscience 'Rita Levi Montalcini', University of Turin, 10126 Turin, Italy., Migliaretti G; Department of Public Health and Pediatric Sciences, University of Turin, 10126 Torino, Italy., Titolo P; UOD Reconstructive Microsurgery, Department of Orthopedics & Traumatology, Hospital 'Città della Salute e della Scienza di Torino', 10126 Turin, Italy., Matteoni E; Department of Neuroscience 'Rita Levi Montalcini', University of Turin, 10126 Turin, Italy., Calvo A; Department of Neuroscience 'Rita Levi Montalcini', University of Turin, 10126 Turin, Italy.; 1st Neurology Unit, Department of Neurosciences & Mental Health, Hospital 'Città della Salute e della Scienza di Torino', 10126 Turin, Italy., Laino F; Unit of Pain Management and Palliative Care, Department of Anesthesia, Intensive Care and Emergency, Hospital 'Città della Salute e della Scienza di Torino', 10126 Turin, Italy., Palumbo F; Department of Neuroscience 'Rita Levi Montalcini', University of Turin, 10126 Turin, Italy., Ardito RB; Department of Psychology, University of Turin, 10124 Turin, Italy.
Jazyk:	angličtina
Zdroj:	Medical sciences (Basel, Switzerland) [Med Sci (Basel)] 2024 May 17; Vol. 12 (2). Date of Electronic Publication: 2024 May 17.
DOI:	10.3390/medsci12020027
Abstrakt:	Background: In clinical practice, the implementation of tailored treatment is crucial for assessing the patient's emotional processing profile. Here, we investigate all three levels of analysis characterizing emotion processing, i.e., recognition, representation, and regulation, in patients with peripheral neuropathic pain (PNP). Methods: Sixty-two patients and forty-eight healthy controls underwent quantitative sensory testing, i.e., psychophysical tests to assess somatosensory functions such as perception of cold (CDT), heat-induced pain (HPT), and vibration (VDT), as well as three standardized tasks to assess emotional processing: (1) the Ekman 60-Faces Test (EK-60F) to assess recognition of basic facial emotions, (2) the Reading the Mind in the Eyes Test (RME) to assess the ability to represent the feelings of another person by observing their eyes, and (3) the 20-item Toronto Alexithymia Scale (TAS-20) to assess emotional dysregulation, i.e., alexithymia. Results: General Linear Model analysis revealed a significant relationship between left index finger VDT z-scores in PNP patients with alexithymia. The RME correlated with VDT z-scores of the left little finger and overall score for the EK-60F. Conclusions: In patients with PNP, emotion processing is impaired, which emphasizes the importance of assessing these abilities appropriately in these patients. In this way, clinicians can tailor treatment to the needs of individual patients.
Databáze:	MEDLINE
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