Department of Psychology, Division of Social Sciences, Mid Sweden University, Östersund, Sweden.
Qual Life Res. 2011 Oct;20(8):1215-25. doi: 10.1007/s11136-011-9860-4. Epub 2011 Feb 3.
To identify/quantify predictors of QOL among women with pain over time.
The study comprised 2,300 women aged 18-64 years with and without pain. A longitudinal panel survey with two waves of measurement, 1 year apart, by means of questionnaires was used. Multiple linear regression analyses were used to identify and quantify predictors of QOL.
After controlling for socio-demographics, physical health, and baseline pain parameters, QOL, psychological factors, and pain-related disability at base line, as well as their changer scores, predicted differential aspects of social, psychological, and physical QOL, respectively, over time. Aspects of social support were central for the social dimension of QOL and to a lower degree for the psychological dimension. Change scores of burnout and distress were related to all dimensions of QOL.
QOL seems to be a rather stable characteristic influenced not only by pain but also related to psychosocial factors over time. Addressing such factors seems central in treatment interventions aiming at improving QOL among individuals with pain.
确定/量化随时间推移女性疼痛患者生活质量的预测因素。
该研究包括 2300 名年龄在 18-64 岁之间的有疼痛和无疼痛的女性。使用纵向面板调查，两次测量之间间隔 1 年，通过问卷调查进行。采用多元线性回归分析确定和量化生活质量的预测因素。
在控制了社会人口统计学、身体健康和基线疼痛参数后，基线时的生活质量、心理因素和与疼痛相关的残疾，以及它们的变化分数，分别预测了随时间推移社会、心理和身体生活质量的不同方面。社会支持方面对于社会生活质量的各个方面以及心理生活质量的较低程度都是至关重要的。倦怠和困扰的变化分数与生活质量的所有方面都有关。
生活质量似乎是一个相对稳定的特征，不仅受疼痛影响，而且随着时间的推移还与心理社会因素有关。在旨在提高疼痛患者生活质量的治疗干预中，解决这些因素似乎是核心。
