Esteve Rosa, Ramírez-Maestre Carmen
Department of Personality, Assessment and Psychological Treatment, University of Málaga, Málaga, Spain,
Ann Behav Med. 2013 Oct;46(2):169-80. doi: 10.1007/s12160-013-9499-1.
Prior studies found that pain fear avoidance and pain acceptance are significantly associated with adjustment to chronic pain.
The purpose of this study is to compare the influence of pain fear avoidance and pain acceptance on adjustment to chronic pain across three samples: patients with chronic back pain treated at primary care centres, patients with heterogeneous pain conditions treated at a pain clinic and patients with pain associated with inflammatory bowel disease.
Structural equation modelling was used to test for differences between groups in the linear relationships between variables.
The model had the best fit for the group of patients with back pain. Three significant relationships were equal across the groups: experiential avoidance on pain fear avoidance, pain intensity on pain fear avoidance, and pain fear avoidance on negative mood.
The associations between both pain fear avoidance and pain acceptance and adjustment to chronic pain vary depending on the pain condition and the type of health care centres where the patients are treated.
先前的研究发现，疼痛恐惧回避和疼痛接受与慢性疼痛的适应显著相关。
本研究的目的是比较疼痛恐惧回避和疼痛接受对三个样本中慢性疼痛适应的影响：在初级保健中心接受治疗的慢性背痛患者、在疼痛诊所接受治疗的患有多种疼痛状况的患者以及患有与炎症性肠病相关疼痛的患者。
使用结构方程模型来检验变量之间线性关系的组间差异。
该模型对背痛患者组的拟合效果最佳。三组之间有三个显著关系是相同的：经验回避对疼痛恐惧回避、疼痛强度对疼痛恐惧回避以及疼痛恐惧回避对负面情绪。
疼痛恐惧回避和疼痛接受与慢性疼痛适应之间的关联因疼痛状况以及患者接受治疗的医疗保健中心类型而异。
