Somers Tamara J, Keefe Francis J, Godiwala Neha, Hoyler Georgia H
Duke University Medical Center, Durham, North Carolina 27705, USA.
Curr Opin Rheumatol. 2009 Sep;21(5):501-6. doi: 10.1097/BOR.0b013e32832ed704.
The present paper reviews recent psychosocial research in the area of osteoarthritis pain. First, the review highlights studies of psychosocial factors that can influence osteoarthritis pain. Next, research testing the efficacy of psychosocial treatments for osteoarthritis pain is summarized.
Recent studies suggest that asking osteoarthritis patients to recall pain experiences may not be as accurate as having them keep daily pain records. New studies also support the notion that fatigue and increased weight are linked to higher osteoarthritis pain. Osteoarthritis patients who report higher levels of depression are more prone to report increased osteoarthritis pain. New studies also indicate that social factors such as ethnic background, ability to communicate pain to others, and participation in social activities can influence osteoarthritis pain and disability. Cognitions about pain (i.e. pain catastrophizing, acceptance, self-efficacy for pain) also have been found to relate to pain in patients with osteoarthritis. Recent, randomized controlled studies suggest that psychosocial interventions (i.e. self-management programs, exercise) can decrease osteoarthritis pain and disability.
Several psychosocial variables have been suggested as influencing osteoarthritis pain and disability. There is evidence that psychosocial interventions may decrease osteoarthritis pain and disability.
本文综述了骨关节炎疼痛领域近期的社会心理研究。首先，该综述重点介绍了可能影响骨关节炎疼痛的社会心理因素的研究。其次，总结了检验社会心理治疗对骨关节炎疼痛疗效的研究。
近期研究表明，让骨关节炎患者回忆疼痛经历可能不如让他们记录每日疼痛情况准确。新研究还支持疲劳和体重增加与更高的骨关节炎疼痛相关这一观点。报告抑郁水平较高的骨关节炎患者更倾向于报告骨关节炎疼痛加剧。新研究还表明，种族背景、向他人表达疼痛的能力以及参与社交活动等社会因素会影响骨关节炎疼痛和残疾情况。关于疼痛的认知（即疼痛灾难化、接受程度、疼痛自我效能感）也被发现与骨关节炎患者的疼痛有关。近期的随机对照研究表明，社会心理干预（即自我管理项目、运动）可以减轻骨关节炎疼痛和残疾程度。
有几种社会心理变量被认为会影响骨关节炎疼痛和残疾情况。有证据表明，社会心理干预可能会减轻骨关节炎疼痛和残疾程度。
