Goubert Liesbet, Crombez Geert, Danneels Lieven
Department of Experimental-Clinical and Health Psychology, Ghent University, Henri Dunantlaan 2, 9000 Ghent, Belgium.
Behav Res Ther. 2005 Aug;43(8):1055-67. doi: 10.1016/j.brat.2004.07.005.
The present study investigated whether pain catastrophizing and pain-related fear is related to a reluctance to generalize an experience of lesser pain than expected to other similar situations. Eighty-five patients with chronic low back pain (40 males; 45 females; age range=21-63 years) completed a series of vignettes assessing catastrophizing, overgeneralization, personalization and selective abstraction related to general life experiences and to low back pain (LBP) experiences. Three vignettes also assessed the lack of generalization of corrective experiences related to LBP. Our results showed that dysfunctional cognitions related to general life experiences were the strongest predictor of the self-denigration subscale of the Beck Depression Inventory (BDI), whereas only dysfunctional cognitions related to LBP had a unique contribution in the prediction of the somatic and physical function subscale of the BDI. Furthermore, dysfunctional cognitions related to LBP were significantly correlated with interference with daily life due to pain. As predicted, pain catastrophizing and pain-related fear had a unique contribution in predicting the lack of generalization of corrective experiences, over and above sociodemogaphic variables, pain severity and pain duration.
本研究调查了疼痛灾难化和与疼痛相关的恐惧是否与不愿将比预期程度较轻的疼痛体验推广到其他类似情况有关。八十五名慢性下腰痛患者（40名男性；45名女性；年龄范围=21 - 63岁）完成了一系列评估与一般生活经历及下腰痛（LBP）经历相关的灾难化、过度泛化、个人化和选择性抽象的短文。三篇短文还评估了与LBP相关的纠正经历的泛化不足情况。我们的结果表明，与一般生活经历相关的功能失调认知是贝克抑郁量表（BDI）自我贬低子量表的最强预测因素，而只有与LBP相关的功能失调认知在预测BDI的躯体和身体功能子量表方面有独特贡献。此外，与LBP相关的功能失调认知与疼痛对日常生活的干扰显著相关。正如预期的那样，除了社会人口统计学变量、疼痛严重程度和疼痛持续时间外，疼痛灾难化和与疼痛相关的恐惧在预测纠正经历的泛化不足方面有独特贡献。
