Hursey K G, Jacks S D
Department of Psychology, Texas A&M University, College Station 77843.
Headache. 1992 Jun;32(6):283-6. doi: 10.1111/j.1526-4610.1992.hed3206283.x.
We investigated the role of fear of pain in headache sufferers using the Fear of Pain Questionnaire (FPQ). Seventy-six headache sufferers and 58 controls completed the FPQ and measures of depression, anxiety, and anger. Headache sufferers also completed measures of stress-related physical symptoms and coping with pain. We found that the FPQ has excellent internal consistency as well as good concurrent and construct validity indicated by the high correlations between the FPQ subscales and both anxiety and depression but low correlations with anger. There were marked differences between headache sufferers and controls on the FPQ; headache sufferers showed much greater fear of severe and medical pain and lower fear of minor pain. Fear of pain was generally not related to headache characteristics such as frequency, severity, or duration. On the other hand, it was related to headache impact such as disruption of pleasurable activities. These results are consistent with models of chronic pain disorders which emphasize the role of fear of pain over the nociceptive intensity of the pain stimulus.
我们使用疼痛恐惧问卷（FPQ）对头痛患者中疼痛恐惧的作用进行了调查。76名头痛患者和58名对照者完成了FPQ以及抑郁、焦虑和愤怒的测量。头痛患者还完成了与压力相关的身体症状和应对疼痛的测量。我们发现，FPQ具有出色的内部一致性，以及良好的同时效度和结构效度，这表现为FPQ各分量表与焦虑和抑郁之间的高相关性，但与愤怒的相关性较低。头痛患者和对照者在FPQ上存在显著差异；头痛患者对严重疼痛和医疗疼痛的恐惧要大得多，而对轻微疼痛的恐惧则较低。疼痛恐惧通常与头痛的特征如频率、严重程度或持续时间无关。另一方面，它与头痛的影响如愉快活动的中断有关。这些结果与慢性疼痛障碍模型一致，该模型强调疼痛恐惧在疼痛刺激的伤害性强度方面的作用。
