Review: The Effects and Mechanisms of Cognitive-behavioral Therapy and Virtual Reality Intervention on Neuropathic Pain
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1)Zhejiang Provincial Key Laboratory of Pathophysiology, Health Science Center, Ningbo University, Ningbo 315211, China;2)Hengjie Township Hospital in Haishu District of Ningbo City, Ningbo 315181, China;3)Ningbo No.2 Hospital, Ningbo 315010, China;4)Department of Neurology, The First Affiliated Hospital of Ningbo University, Ningbo 315020, China

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This work was supported by grants from Natural Science Foundation of Zhejiang Province (LY23H090005), Ningbo Key Research and Development Plan Project (2023Z173, 2022Z147), Natural Science Foundation of Ningbo (2022J118, 2022J250, 2021J250), and the K. C. Wong Magna Fund in Ningbo University.

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    Abstract:

    Neuropathic pain (NP) is caused by lesion or disease of peripheral or central somatosensory system, accompanied by a certain degree of functional loss and cognitive impairment. Pharmacological treatment makes vital contributions to analgesia, but excessive pharmacological treatment often causes serious side effects, or only provides partial pain relief at tolerable doses. Cognitive-behavioral therapy (CBT) and virtual reality (VR) intervention, as new, non-invasive and safer alternative treatment methods for pain, alleviate neuropathic pain by diverting attention, altering neuroplasticity and neural circuits, and regulating the expression of proinflammatory and anti-inflammatory cytokines. This article analyzed the underlying pathogenesis of neuropathic pain, as well as the analgesic effects and mechanisms of CBT and VR therapy, so as to provide important theoretical guidance for the treatment and intervention of neuropathic pain.

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RUAN Ting-Ting, WENG Ming-Qi, WU Can, BAO Xiao-Ming, NIU Yan-Fang, XU Shu-Jun.Review: The Effects and Mechanisms of Cognitive-behavioral Therapy and Virtual Reality Intervention on Neuropathic Pain[J]. Progress in Biochemistry and Biophysics,2023,50(10):2396-2405

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History
  • Received:August 03,2023
  • Revised:September 07,2023
  • Accepted:September 01,2023
  • Online: October 20,2023
  • Published: October 20,2023