Jensen M P, Karoly P
Department of Psychology, Arizona State University, Tempe 85287-1104.
J Consult Clin Psychol. 1991 Jun;59(3):431-8. doi: 10.1037//0022-006x.59.3.431.
This study examined factors hypothesized to influence adaptation to chronic pain in 118 patients who were interviewed to gauge adjustment (psychological functioning, medical services utilization, and activity level) and several widely discussed predictors of adjustment. Control appraisals and the practice of ignoring pain, using coping self-statements, and increasing activities were positively related to psychological functioning. Control appraisals and the practice of diverting attention, ignoring pain, and using coping self-statements also yielded a positive relation to activity level, but only for those patients reporting relatively low levels of pain severity. None of the predictors were related to medical services utilization. Future research is needed to replicate these findings and help clarify when appraisals and coping strategies are most productive among patients with chronic pain.
本研究调查了118名患者中假设会影响慢性疼痛适应的因素，这些患者接受了访谈以评估其适应情况（心理功能、医疗服务利用情况和活动水平）以及几个广泛讨论的适应预测因素。控制评估以及忽视疼痛、使用应对自我陈述和增加活动的做法与心理功能呈正相关。控制评估以及转移注意力、忽视疼痛和使用应对自我陈述的做法也与活动水平呈正相关，但仅适用于那些报告疼痛严重程度相对较低的患者。没有一个预测因素与医疗服务利用情况相关。需要进一步的研究来重复这些发现，并帮助阐明评估和应对策略在慢性疼痛患者中何时最有效。
