nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2017-3-4-9nnp-765Research ArticleLECTURESЛЕКЦИЯChronic pain-associated cognitive impairmentКогнитивные расстройства, ассоциированные с хронической больюКоберскаяН. Н.KoberskayaN. N.

Кафедра нервных болезней и нейрохирургии

119021, Москва, ул. Россолимо, 11

11, Rossolimo St., Moscow 119021

Department of Nervous System Diseases and Neurosurgery

grtabeeva@gmail.comТабееваГ. Р.TabeevaG. R.

Кафедра нервных болезней и нейрохирургии

119021, Москва, ул. Россолимо, 11

 

11, Rossolimo St., Moscow 119021

Department of Nervous System Diseases and Neurosurgery

grtabeeva@gmail.comФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава РоссииРоссияI.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaRussian Federation2017011120179349Copyright © Koberskaya N.N., Tabeeva G.R., 20172017Коберская Н.Н., Табеева Г.Р.Koberskaya N.N., Tabeeva G.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/765

The current understanding of the mechanisms of chronic pain (CP) implies the mandatory consideration of not only its properly sensory proper, but also emotional, affective, and cognitive aspects. Cognitive impairment (CI) in patients with different chronic pain syndromes makes a substantial contribution to impairment in daily functioning. In recent years, the ideas about the mechanisms of CI and emotional disorders in this patient group have been considerably extended due to functional neuroimaging investigations. Experimental studies demonstrate that there are changes in both the structures related to pain control and the brain regions responsible for key cognitive functions. These data expand the views of mechanisms for polymorphic clinical symptoms in patients with CP and justify the feasibility of using psychological methods in its combined therapy.

Современное понимание механизмов формирования хронической боли (ХБ) предполагает обязательное рассмотрение не только собственно сенсорных, но и эмоционально-аффективных и когнитивных ее аспектов. Когнитивные нарушения (КН) у пациентов с различными хроническими болевыми синдромами вносят существенный вклад в нарушение повседневного функционирования. В последние годы благодаря исследованиям функциональной нейровизуализации представления о механизмах формирования КН и эмоциональных расстройств у этой категории больных существенно расширились. Результаты экспериментальных исследований демонстрируют изменения как в структурах, относящихся к системам контроля боли, так и в областях мозга, ответственных за ключевые когнитивные функции. Эти данные расширяют представления о механизмах формирования полиморфной клинической симптоматики у пациентов с ХБ, а также обосновывают целесообразность использования психологических методов в комбинированной терапии ХБ.

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The authors declare that there are no conflicts of interest present.