Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington 98104, USA.
Am J Phys Med Rehabil. 2010 Mar;89(3):213-24. doi: 10.1097/PHM.0b013e3181c9f9a1.
The purpose of the current study was to examine the associations among measures of psychosocial factors, pain, and adjustment in persons with postpoliomyelitis syndrome.
A cross-sectional survey design was used. Sixty-three community-dwelling individuals with postpoliomyelitis syndrome returned completed questionnaires (71% response rate) that included measures of pain intensity and interference, psychological functioning, pain catastrophizing, social support, and pain-related beliefs and coping.
After controlling for demographic variables, the group of psychosocial variables accounted for an additional 23% of the variance in pain intensity. These variables explained an additional 35% and 50% of the variance in pain interference and psychological functioning, respectively, after accounting for demographic variables and pain intensity. Social support was associated with both psychological functioning and pain interference, whereas catastrophizing was most closely related to psychological functioning. Individual pain beliefs and coping strategies were variably related to the three criterion measures.
The overall results of the current study are consistent with a biopsychosocial framework for understanding pain and functioning in individuals with postpoliomyelitis syndrome. Although additional research is needed to clarify the nature of the relationships between individual psychosocial variables and functional indices, the findings suggest the need for a multidisciplinary approach to pain management in individuals with postpoliomyelitis syndrome.
本研究旨在探讨肌萎缩侧索硬化症患者心理社会因素、疼痛与适应之间的关系。
采用横断面调查设计。63 名居住在社区的肌萎缩侧索硬化症患者返回了完整的问卷（71%的回复率），其中包括疼痛强度和干扰、心理功能、疼痛灾难化、社会支持以及与疼痛相关的信念和应对措施的测量。
在控制人口统计学变量后，这组心理社会变量解释了疼痛强度的另外 23%的方差。在控制人口统计学变量和疼痛强度后，这些变量分别解释了疼痛干扰和心理功能的另外 35%和 50%的方差。社会支持与心理功能和疼痛干扰均相关，而灾难化与心理功能最密切相关。个体的疼痛信念和应对策略与三个标准测量指标有不同程度的关联。
本研究的总体结果与肌萎缩侧索硬化症患者疼痛和功能的生物心理社会框架一致。尽管需要进一步研究来阐明个体心理社会变量与功能指标之间关系的性质，但研究结果表明，需要对肌萎缩侧索硬化症患者的疼痛管理采取多学科方法。
