Kronik Ağrının Bellek Süreçleri Üzerindeki Etkilerinin Biyopsikososyal Model Çerçevesinde İncelenmesi

En yaygın ağrı türlerinden biri olan kronik ağrı, bellek güçlükleri gibi bilişsel becerilerde bozulma ile ilişkilendirilmektedir. Mevcut makale, kronik ağrısı olan hastaların belleğini biyolojik, psikolojik ve sosyal bileşenlerin nasıl etkilediğini inceleyen çalışmaların derlenmesini amaçlamaktadır. Araştırmalar, kronik ağrı hastalarının çoğunlukla bellek bozulmalarından şikâyet ettiğini ve biyopsikososyal modelin bu hastaların neden bellek şikayetleri yaşadıklarını daha iyi anlamak için yaygın olarak kullanıldığını göstermiştir. Biyopsikososyal model aynı zamanda her hastaya özgü müdahale modeli geliştirerek hastaların bilişsel ve davranışsal zorluklarla baş etmelerini sağlamaktadır. Birincisi, modelin biyolojik bileşeni, kronik ağrının hastalarda biyolojik değişikliklere neden olduğunu, dikkat ve bellek gibi bilişsel süreçleri olumsuz etkilediğini savunmaktadır. İkinci olarak, psikolojik bileşen, kronik ağrının neden olduğu depresyon ve anksiyete bozukluğu gibi komorbiditeleri tartışmakta ve bunların bellek performansını nasıl etkilediğini araştırmaktadır. Üçüncüsü, sosyal bileşen, hastaların artan sağlık hizmeti maliyetleri ve yetersiz uyku gibi çeşitli bozukluklara bağlı olarak kronik ağrının olumsuz etkilerini deneyimlediklerini öne sürmektedir. Çalışma, kronik ağrısı olan hastaların bellek performansının biyolojik, psikolojik, sosyal bileşenlerden etkilendiği ve bu bileşenlerin birbirleriyle etkileşime girerek bellekte bozulmalara neden olduğu sonucuna varmaktadır.

Examining the Effects of Chronic Pain on Memory Processes within the Framework of the Biopsychosocial Model

Chronic pain, one of the most common types of pain, has been linked to impaired cognitive abilities such as memory difficulties. The current article aims to provide a review of studies examining how the biological, psychological, and social components affect memory in patients with chronic pain. Studies have found that chronic pain patients mostly complain about memory deficits, and the biopsychosocial model is widely used to better understand why these patients have such deficits. The biopsychosocial model also enables each patient to cope with cognitive and behavioral difficulties by developing a unique intervention model. First, the biological component of model argues that chronic pain causes biological changes in patients and negatively affects cognitive processes, such as attention and memory. Second, the psychological component discusses the comorbidities such as depression and anxiety disorder caused by chronic pain and investigates how they influence memory performance. Third, the social component suggests that patients experience adverse impacts of chronic pain due to several impairments, such as increased healthcare costs, and insufficient sleep. The review concludes that memory performance in patients with chronic pain is affected by the biological, psychological, and social components, and these components interact with each other and cause impairments in memory.

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