Department of Psychology, Chung-Ang University, 221 Heukseok-dong, Dongjak-gu, Seoul, 156-756, Korea.
J Behav Med. 2013 Oct;36(5):531-8. doi: 10.1007/s10865-012-9448-7. Epub 2012 Aug 2.
This study aimed to examine the temporal patterning of pain acceptance-based coping, activity, and mood in patients with complex regional pain syndrome Type I (CRPS-I), by using a daily diary method. A total of 30 patients with CRPS-I seeking treatment in a tertiary pain management center located in Seoul, Korea participated in the study. Multilevel random effects analyses indicated that (a) engagement in pain acceptance-based coping was significantly associated with lower same-day pain and negative mood and greater same-day activity and positive mood; (b) pain acceptance-based coping predicted increases in activity on the following day; (c) greater pain intensity was significantly associated with lower same-day pain acceptance-based coping and activity and greater same-day negative mood; and (d) pain intensity did not predict pain acceptance-based coping, activity, or mood on the following day. These findings suggest that patients with CRPS-I may benefit from responding to pain with acceptance. Further study and eventual application of this process in CRPS-I may improve upon the success of current approaches to this problem.
本研究旨在通过使用日常日记法，考察复杂区域疼痛综合征 I 型（CRPS-I）患者基于疼痛接受的应对、活动和情绪的时间模式。共有 30 名在韩国首尔一家三级疼痛管理中心接受治疗的 CRPS-I 患者参与了这项研究。多层次随机效应分析表明：（a）参与基于疼痛接受的应对与当天较低的疼痛和负面情绪以及更大的当天活动和积极情绪显著相关；（b）基于疼痛接受的应对预测第二天活动的增加；（c）较高的疼痛强度与当天较低的基于疼痛接受的应对和活动以及更大的当天负面情绪显著相关；（d）疼痛强度不能预测第二天基于疼痛接受的应对、活动或情绪。这些发现表明，CRPS-I 患者可能会受益于用接受来应对疼痛。进一步研究和最终在 CRPS-I 中应用这一过程可能会提高当前治疗该问题方法的成功率。
