Feinstein Amanda B, Forman Evan M, Masuda Akihiko, Cohen Lindsey L, Herbert James D, Moorthy L Nandini, Goldsmith Donald P
Department of Psychology, Georgia State University, Atlanta, GA 30302-5010, USA.
J Clin Psychol Med Settings. 2011 Sep;18(3):291-8. doi: 10.1007/s10880-011-9243-6.
Juvenile Idiopathic Arthritis (JIA) is a chronic rheumatic disease associated with pain and maladjustment. This study investigated whether pain, acceptance of pain, and psychological inflexibility uniquely predicted functional disability, anxiety, general quality of life (QOL), and health-related quality of life (HQOL) among adolescents with JIA. Twenty-three adolescents with JIA and pain were recruited from a pediatric rheumatology clinic. Participants completed self-report measures pertaining to the key study variables. A series of multiple regression analyses demonstrated that higher pain uniquely predicted higher functional disability. Greater psychological inflexibility uniquely predicted higher anxiety, lower general QOL, and lower HQOL. Increases in acceptance of pain were found to be uniquely related to increases in general QOL. These data confirm prior findings that pain impacts functioning, and provide preliminary findings that psychological inflexibility and acceptance may be important targets of psychological intervention for youth with JIA and pain to improve functioning and QOL.
青少年特发性关节炎（JIA）是一种与疼痛和适应不良相关的慢性风湿性疾病。本研究调查了疼痛、对疼痛的接纳程度和心理灵活性是否能独特地预测JIA青少年的功能残疾、焦虑、总体生活质量（QOL）和健康相关生活质量（HQOL）。从一家儿科风湿病诊所招募了23名患有JIA且有疼痛症状的青少年。参与者完成了与关键研究变量相关的自我报告测量。一系列多元回归分析表明，较高的疼痛程度能独特地预测较高的功能残疾水平。更大的心理灵活性能独特地预测较高的焦虑水平、较低的总体生活质量和较低的健康相关生活质量。研究发现，对疼痛接纳程度的提高与总体生活质量的提高存在独特的关联。这些数据证实了先前关于疼痛影响功能的研究结果，并提供了初步研究结果，即心理灵活性和接纳程度可能是针对患有JIA且有疼痛症状的青少年进行心理干预的重要目标，以改善其功能和生活质量。
