Roth Randy S, Punch Margaret R, Bachman Jan E
Department of Physical Medicine and Rehabilitation, University of Michigan Health System, Ann Arbor, MI 48108, USA.
J Reprod Med. 2011 Mar-Apr;56(3-4):123-9.
To examine the contribution of pain beliefs (fear regarding pain diagnosis) in understanding pain experience, mood, affective distress, marital interactions surrounding pain, and functional disability among women with chronic pelvic pain (CPP).
One hundred forty-nine consecutive females with CPP presenting to a university hospital Chronic Pain Clinic completed self-report inventories assessing demographic status, pain-related morbidity, depressive symptoms and global affective distress. Pain beliefs were assessed by subject response to the question "Do you think your pain is due to something more serious or different from what doctors have told you?" and subjects were categorized into "Yes More Serious" (n = 77) and "Not More Serious" (n = 72) groups.
Subjects who believed they had "something more serious" as a cause for their pain reported more severe pain intensity (p < 0.05) and pain experience (p < 0.05), greater suffering due to pain (p = 0.01), a less attentive spouse/family member when in pain (p < 0.05), more severe pain disability (p < 0.05), and greater affective distress (p < 0.001).
These findings provide further evidence for the psychological distress and functional disability that may result when CPP patients possess concerns,fears and possible misattributions regarding the cause of their pelvic pain.
探讨疼痛信念（对疼痛诊断的恐惧）在理解慢性盆腔疼痛（CPP）女性的疼痛体验、情绪、情感困扰、围绕疼痛的婚姻互动以及功能残疾方面的作用。
连续149名到大学医院慢性疼痛诊所就诊的CPP女性完成了自我报告问卷，评估人口统计学状况、疼痛相关发病率、抑郁症状和总体情感困扰。通过受试者对“你认为你的疼痛是否由比医生告知你的更严重或不同的原因引起？”这一问题的回答来评估疼痛信念，受试者被分为“是，更严重”组（n = 77）和“否，不更严重”组（n = 72）。
认为自己的疼痛有“更严重原因”的受试者报告的疼痛强度更严重（p < 0.05）、疼痛体验更强烈（p < 0.05）、因疼痛而遭受的痛苦更大（p = 0.01）、疼痛时配偶/家庭成员的关注度更低（p < 0.05）、疼痛残疾更严重（p < 0.05）以及情感困扰更严重（p < 0.001）。
这些发现为CPP患者对盆腔疼痛原因存在担忧、恐惧和可能的错误归因时可能导致的心理困扰和功能残疾提供了进一步的证据。
