La régulation émotionnelle chez le patient douloureux chronique

Emotional regulation in patients with chronic pain

Résumé

Gross et al. ont élaboré un cadre théorique permettant de formaliser et de mieux comprendre les processus de régulation émotionnelle. Ce modèle, en raison de l’enthousiasme qu’il a suscité à la fois chez les cliniciens et les chercheurs, a généré de nombreuses publications au cours des deux dernières décennies. La régulation émotionnelle a profité de cet intérêt manifeste en gagnant en clarté. Toutefois, peu d’études ont été consacrées à l’évaluation de la régulation émotionnelle chez le patient douloureux chronique bien que les émotions aient un rôle primordial dans le maintien et le développement de la douleur chronique. Deux stratégies de régulation, la suppression expressive des émotions et la réévaluation cognitive, ont fait l’objet de quelques travaux prometteurs qui nécessitent d’être approfondis chez le patient douloureux chronique. Ces deux stratégies sont considérées ici sous l’angle de l’altérité afin de rendre compte de leur implication dans l’exacerbation de la douleur chronique. Dans ce manuscrit, nous avons introduit brièvement le concept de régulation émotionnelle et mis l’accent sur la suppression expressive de la colère, une émotion très fréquente chez le patient douloureux chronique. La suppression expressive de la colère a été considérée en fonction du style de gestion de la colère de l’individu. Finalement, nous envisageons le cas d’une patiente et les aspects thérapeutiques de la colère.

Abstract

Gross and al. have provided a framework to better understand the emotional regulation processes. Enthusiasm for this topic continues to gain conceptual clarity. However, few attentions have been focused on emotional regulation in patients with chronic pain despite the fact that emotion has been implicated in the development and maintenance of chronic pain. The two emotional regulation strategies that have been the center of attention for the past few years are expressive suppression and cognitive reappraisal. Both these strategies were considered with a focus on possible deficiencies that contribute to the exacerbation of chronic pain. In this article, we tend to briefly 1) introduce the concept of emotional regulation and 2) emphasize on expressive suppression of anger in the context of patients’ anger management style (anger-in vs. anger out). Finally, the article concludes with suggestions for future therapeutic management resulting from this new area of research in chronic pain.

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Correspondence to S. Baudic.

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Beauroy Eustache, ML., Baudic, S. La régulation émotionnelle chez le patient douloureux chronique. Douleur analg 30, 223–229 (2017). https://doi.org/10.1007/s11724-017-0534-z

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Mots clés

  • Régulation émotionnelle
  • Suppression expressive
  • Réévaluation cognitive
  • Douleur chronique
  • Colère

Keywords

  • Emotional regulation
  • Emotion regulation strategies of suppression and reappraisal
  • Chronic pain
  • Anger