Centre for Pain Services, Royal National Hospital for Rheumatic Diseases & Centre for Pain Research, University of Bath, Bath, UK.
Pain Med. 2011 Jun;12(6):904-12. doi: 10.1111/j.1526-4637.2011.01115.x. Epub 2011 May 3.
Sleep disturbance is a common complaint in people with chronic pain, and is associated with a range of adverse outcomes including reports of greater pain and disability. Research into insomnia with chronic pain sufferers has not yet examined the role of psychological flexibility, a process from acceptance and commitment therapy. We examined this role.
Participants in this study were 159 adult patients attending an assessment at a specialist pain center. They were mostly women, 63%, and the mean age was 43.8 years.
In preliminary analyses 79% of participants met the criteria for significant insomnia based on their self-reported symptoms. As predicted, significant positive correlations were found between components of psychological flexibility, particularly acceptance of pain and values-based action, and all measures of sleep quality. In regression analyses, the components of psychological flexibility considered together accounted for between 11% and 19% of variance across a range of measures of sleep quality.
These results suggest the need to further develop treatment services for people with chronic pain and insomnia.
睡眠障碍是慢性疼痛患者常见的主诉，与一系列不良后果相关，包括疼痛加剧和残疾报告。对慢性疼痛患者失眠的研究尚未探讨心理灵活性的作用，这是一种从接受和承诺疗法中衍生出的过程。我们对此进行了研究。
本研究的参与者是 159 名在专科疼痛中心接受评估的成年患者。他们大多数是女性（63%），平均年龄为 43.8 岁。
在初步分析中，根据自我报告的症状，79%的参与者符合显著失眠的标准。正如预测的那样，心理灵活性的各个组成部分，特别是对疼痛的接受和基于价值的行动，与所有睡眠质量指标之间存在显著的正相关。在回归分析中，心理灵活性的各个组成部分共同解释了一系列睡眠质量指标中 11%至 19%的方差。
这些结果表明，需要进一步为慢性疼痛和失眠患者开发治疗服务。
