Goubert Liesbet, Crombez Geert, Van Damme Stefaan
Department of Experimental-Clinical and Health Psychology, Ghent University, Henri Dunantlaan 2, B-9000 Ghent, Belgium Research Institute for Psychology and Health, Utrecht, The Netherlands.
Pain. 2004 Feb;107(3):234-241. doi: 10.1016/j.pain.2003.11.005.
The present study aimed at clarifying the precise role of pain catastrophizing, pain-related fear and personality dimensions in vigilance to pain and pain severity by means of structural equation modelling. A questionnaire survey was conducted in 122 patients with chronic or recurrent low back pain. Results revealed that pain catastrophizing and pain-related fear mediated the relationship between neuroticism and vigilance to pain. Furthermore, vigilance to pain was found to be associated with heightened pain severity. Finally, we found that neuroticism moderated the relationship between pain severity and catastrophic thinking about pain. The results strongly support the idea that vigilance to pain is dependent upon catastrophic thinking and pain-related fear. Neuroticism is best conceived of as a vulnerability factor; it lowers the threshold at which pain is perceived as threatening, and at which catastrophic thoughts about pain emerge.
本研究旨在通过结构方程模型阐明疼痛灾难化、疼痛相关恐惧和人格维度在对疼痛的警觉性和疼痛严重程度方面的确切作用。对122例慢性或复发性下腰痛患者进行了问卷调查。结果显示，疼痛灾难化和疼痛相关恐惧介导了神经质与对疼痛的警觉性之间的关系。此外，发现对疼痛的警觉性与疼痛严重程度的增加有关。最后，我们发现神经质调节了疼痛严重程度与对疼痛的灾难性思维之间的关系。这些结果有力地支持了这样一种观点，即对疼痛的警觉性取决于灾难性思维和疼痛相关恐惧。神经质最好被视为一个易感性因素；它降低了疼痛被视为威胁以及出现关于疼痛的灾难性想法的阈值。
