Travmatik Yaşantılar ve Duygular Bağlamında Kronik Ağrı Mekanizmaları

Year 2026, Volume: 18 Issue: 1, 86 - 100

Merve Er , Fatıma Tuba Yaylaci

https://doi.org/10.18863/pgy.1570014

Abstract

Dünya çapında yaygın bir şekilde görülmekte olan kronik ağrının bedensel ve psikolojik açıdan olumsuz etkileri söz konusudur ve hayat kalitesinde ciddi düşüşlere neden olabilmektedir. Kronik ağrının kas-iskelet ağrısı, nöropatik ağrı, baş-yüz ağrısı gibi çeşitli türleri bulunmakta ve farklı etkenlerden kaynaklı olarak ortaya çıkmaktadır. Bununla birlikte, beden üzerinde kendini gösteren kronik ağrının yalnızca biyolojik sebeplerden kaynaklanmadığı, psikolojik arka planının da bulunabileceği göz önünde bulundurulması gereken konulardan biridir. Bu bağlamda ruhsal travmanın ağrı duyarlılığını ve şiddetini artırarak kronik ağrının başlangıcında önemli bir rol oynadığına dair birçok kanıt bulunmaktadır. Bu bilgiler ışığında travmanın ‘psikolojik travma’, ‘travma sonrası stres bozukluğu’ ‘çocukluk çağı travmaları’ olmak üzere farklı türlerinin kronik ağrıya ne şekilde etki ettiğinden ayrıntılı bahsedilmiştir. Bunun yanı sıra duygusal faktörlerin de kronik ağrıda rolü bulunmakta, hatta ağrı ve duygular ortak bir nörobiyolojiyi paylaşmaktadırlar. Farklı duygu türlerinin de kronik ağrı ile ilişkisinin ne şekilde olduğuna dair araştırma bulguları ortaya konulmuştur. Alan yazında duyguların ve ruhsal travma öyküsünün beden ile olan bağlantısı noktasında birçok çalışma bulunmaktadır. Fakat özellikle Türkiye’de kronik ağrı özelinde bu değişkenlerin incelendiği çalışmalar yetersiz olup daha fazla araştırmaya ihtiyaç olduğu düşünülmektedir. Bu doğrultuda bu makalenin amacı kronik ağrı, travma ve duygular arasındaki ilişkiye dair mevcut kuramlar ve araştırmaları gözden geçirmektir.

Keywords

Kronik ağrı , travmatik yaşantılar , duygular

Mechanisms of Chronic Pain Related to Traumatic Experiences and Emotions

Abstract

Chronic pain, which is widespread worldwide, has negative physical and psychological effects and can cause serious decreases in quality of life. There are various types of chronic pain such as musculoskeletal pain, neuropathic pain, head-facial pain and it is caused by different factors. However, it is one of the issues that should be taken into consideration that chronic pain that manifests itself on the body is not only caused by biological reasons, but may also have a psychological background. In this context, there is a lot of evidence that psychological trauma plays an important role in the onset of chronic pain by increasing pain sensitivity and severity. In the light of this information, how different types of trauma such as ‘psychological trauma’, ‘post-traumatic stress disorder’, ‘childhood traumas’ affect chronic pain has been mentioned in detail. In addition, emotional factors also play a role in chronic pain, and even pain and emotions share a common neurobiology. Research findings on how the relationship between different types of emotions and chronic pain has been revealed. In the literature, there are many studies on the connection of emotions and psychological trauma history with the body. However, especially in Turkey, studies examining these variables in chronic pain are insufficient and it is thought that more research is needed. Accordingly, the aim of this article is to review the existing theories and research on the relationship between chronic pain, trauma and emotions.

Keywords

Chronic pain , traumatic experiences , emotions

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