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[认知性疼痛应对策略在慢性背痛伴发抑郁症中的作用。初级保健患者的路径分析]

[Role of cognitive pain coping strategies for depression in chronic back pain. Path analysis of patients in primary care].

作者信息

Klasen B W, Brüggert J, Hasenbring M

机构信息

Abteilung für Medizinische Psychologie und Medizinische Soziologie, Ruhr-Universität Bochum.

出版信息

Schmerz. 2006 Sep;20(5):398, 400-2, 404-6 passim. doi: 10.1007/s00482-006-0470-y.

DOI:10.1007/s00482-006-0470-y
PMID:16534572
Abstract

BACKGROUND

The concurrent occurrence of chronic pain syndromes and depressive symptoms is a commonly observed phenomenon.The aim of the present study was to illuminate the mediating role of specific cognitive pain coping strategies as a connective link between pain and depression.

METHODS

A total of 122 chronic and chronic recurrent simple back pain patients were examined in view of the connection between pain, cognitive pain coping strategies, and depression.

RESULTS

The results of the path analysis support the assumption of a mediating effect of cognitive coping strategies between pain and depression (GFI = 0.99; AGFI = 0.96). It could be shown, that cognitive coping mediates the link between pain and depression in back pain patients.

CONCLUSION

The results give further support for the cognitive mediation hypothesis and enhance it by pointing out the role of specific pain-related cognitive appraisals.

摘要

背景

慢性疼痛综合征与抑郁症状同时出现是一种常见现象。本研究的目的是阐明特定认知性疼痛应对策略作为疼痛与抑郁之间的连接纽带所起的中介作用。

方法

针对122例慢性及慢性复发性单纯背痛患者，考察疼痛、认知性疼痛应对策略与抑郁之间的联系。

结果

路径分析结果支持认知应对策略在疼痛与抑郁之间起中介作用的假设（拟合优度指数GFI = 0.99；调整拟合优度指数AGFI = 0.96）。结果表明，认知应对在背痛患者的疼痛与抑郁之间起中介作用。

结论

这些结果进一步支持了认知中介假说，并通过指出特定疼痛相关认知评估的作用对其进行了强化。

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Relation between catastrophizing and depression in chronic pain patients.慢性疼痛患者灾难化思维与抑郁之间的关系。
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Int J Behav Med. 2018 Apr;25(2):207-214. doi: 10.1007/s12529-017-9657-0.
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[The impact of catastrophizing on the effect of depression on pain and functional ability : A longitudinal mediator analysis].

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Int J Behav Med. 2016 Jun;23(3):251-259. doi: 10.1007/s12529-015-9522-y.
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