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慢性肌肉骨骼疼痛患者的自我同情:自我同情与慢性疼痛适应的关系。

Self-compassion in patients with persistent musculoskeletal pain: relationship of self-compassion to adjustment to persistent pain.

机构信息

Duke University Medical Center, Durham, NC 27705, USA.

出版信息

J Pain Symptom Manage. 2012 Apr;43(4):759-70. doi: 10.1016/j.jpainsymman.2011.04.014. Epub 2011 Nov 8.

Abstract

CONTEXT

Self-compassion entails qualities such as kindness and understanding toward oneself in difficult circumstances and may influence adjustment to persistent pain. Self-compassion may be a particularly influential factor in pain adjustment for obese individuals who suffer from persistent pain, as they often experience heightened levels of pain and lower levels of psychological functioning.

OBJECTIVES

The purpose of the present study was to examine the relationship of self-compassion to pain, psychological functioning, pain coping, and disability among patients who have persistent musculoskeletal pain and who are obese.

METHODS

Eighty-eight obese patients with persistent pain completed a paper-and-pencil self-report assessment measure before or after their appointment with their anesthesiologist.

RESULTS

Hierarchical linear regression analyses demonstrated that even after controlling for important demographic variables, self-compassion was a significant predictor of negative affect (β=-0.48, P<0.001), positive affect (β=0.29, P=0.01), pain catastrophizing (β=-0.32, P=0.003), and pain disability (β=-0.24, P<0.05).

CONCLUSION

The results of this study indicate that self-compassion may be important in explaining the variability in pain adjustment among patients who have persistent musculoskeletal pain and are obese.

摘要

背景

自我同情是指在困难情况下对自己的友善和理解,它可能会影响到对持续疼痛的适应。对于患有持续疼痛的肥胖个体来说,自我同情可能是疼痛适应的一个特别有影响力的因素,因为他们通常会经历更高水平的疼痛和更低水平的心理功能。

目的

本研究的目的是检验自我同情与肥胖的持续性肌肉骨骼疼痛患者的疼痛、心理功能、疼痛应对和残疾之间的关系。

方法

88 名肥胖的持续性疼痛患者在与麻醉师预约前或预约后完成了一份纸笔式的自我报告评估量表。

结果

层次线性回归分析表明,即使在控制了重要的人口统计学变量后,自我同情仍然是负性情绪(β=-0.48,P<0.001)、正性情绪(β=0.29,P=0.01)、疼痛灾难化(β=-0.32,P=0.003)和疼痛残疾(β=-0.24,P<0.05)的显著预测因子。

结论

本研究的结果表明,自我同情可能是解释肥胖的持续性肌肉骨骼疼痛患者疼痛适应变异性的一个重要因素。

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