Stroud M W, Thorn B E, Jensen M P, Boothby J L
Department of Rehabilitation, University of Washington, Box 356490, Seattle, WA 98195, USA.
Pain. 2000 Feb;84(2-3):347-52. doi: 10.1016/s0304-3959(99)00226-2.
Cognitions and beliefs appear important in predicting adjustment to chronic pain. The current study examines how cognitions and beliefs are related to psychosocial functioning. One hundred and sixty-three chronic pain out-patients were assessed. Regression analyses were performed using scores on the Pain Beliefs and Perceptions Inventory and the Inventory of Negative Thoughts in Response to Pain as predictor variables and responses to the West Haven Yale Multidimensional Pain Inventory as criterion variables. Pain cognitions and pain beliefs were correlated. After controlling for demographics, employment status and pain severity, pain beliefs and cognitions accounted for a significant amount of the variance in general activity, pain interference, and affective distress. Negative cognitions, particularly negative self-statements, were more predictive of outcome than pain beliefs. Although these data are correlational, they provide additional support for a biopsychosocial model of adjustment to chronic pain.
认知和信念在预测对慢性疼痛的适应方面似乎很重要。当前的研究考察了认知和信念与心理社会功能是如何相关的。对163名慢性疼痛门诊患者进行了评估。使用疼痛信念和认知量表以及应对疼痛的消极思维量表的得分作为预测变量，以对韦斯特黑文-耶鲁多维疼痛量表的反应作为标准变量进行回归分析。疼痛认知和疼痛信念相互关联。在控制了人口统计学、就业状况和疼痛严重程度后，疼痛信念和认知在一般活动、疼痛干扰和情感困扰方面解释了相当大的变异量。消极认知，尤其是消极的自我陈述，比疼痛信念更能预测结果。尽管这些数据是相关性的，但它们为慢性疼痛适应的生物心理社会模型提供了额外的支持。
