Vowles Kevin E, Zvolensky Michael J, Gross Richard T, Sperry Jeannie A
Department of Psychology, West Virginia University, P.O. Box 6040, Morgantown, West Virginia 26506-6040, USA.
J Behav Med. 2004 Feb;27(1):77-89. doi: 10.1023/b:jobm.0000013645.40613.42.
This study evaluated the relation of particular aspects of pain-related anxiety to characteristics of chronic pain distress in a sample of 76 individuals with low-back pain. Consistent with contemporary cognitive-behavioral models of chronic pain, the cognitive dimension of the Pain Anxiety Symptoms Scale (PASS; McCracken, Zayfert, and Gross, 1992, Pain 50:67-73) was uniquely predictive of cognitive-affective aspects of chronic pain, including affective distress, perceived lack of control, and pain severity. In contrast, the escape and avoidance dimension of the PASS was more predictive of behavioral interference in life activities. Overall, the findings are discussed within the context of identifying particular pain-related anxiety mechanisms contributing to differential aspects of pain-related distress and clinical impairment.
本研究评估了76名腰痛患者样本中与疼痛相关焦虑的特定方面与慢性疼痛困扰特征之间的关系。与当代慢性疼痛的认知行为模型一致，疼痛焦虑症状量表（PASS；McCracken、Zayfert和Gross，1992年，《疼痛》50:67 - 73）的认知维度可独特地预测慢性疼痛的认知情感方面，包括情感困扰、感知到的缺乏控制以及疼痛严重程度。相比之下，PASS的逃避和回避维度更能预测生活活动中的行为干扰。总体而言，这些发现是在确定导致疼痛相关困扰和临床损害不同方面的特定疼痛相关焦虑机制的背景下进行讨论的。
