Kempke Stefan, Luyten Patrick, Van Wambeke Peter, Coppens Eline, Morlion Bart
Department of Psychology, University of Leuven, Leuven, Belgium.
Pain Pract. 2014 Apr;14(4):309-14. doi: 10.1111/papr.12071. Epub 2013 May 22.
Self-critical perfectionistic personality features have been shown to influence the onset and perpetuation of pain symptoms. However, no study to date has investigated whether these personality features are associated with treatment response in chronic pain.
Using a naturalistic pre-post design, the present study examined the effect of self-critical perfectionism on treatment outcome in terms of self-reported pain. The study was conducted in a sample of 53 chronic non-cancer pain patients who followed Multidisciplinary Pain Education Program (MPEP), a brief, 2-week cognitive-behaviorally based psycho-educational intervention for chronic pain that was recently found to be effective in reducing pain severity. Pre- and post-treatment pain intensity levels were assessed with the visual analog scale of the McGill Pain Questionnaire-Short Form.
Pretreatment self-critical perfectionism was significantly associated with negative treatment outcome, even after taking into account pretreatment levels of depression.
Results suggest that self-critical perfectionistic personality features may negatively interfere with treatment response in patients with chronic pain. Thus, findings indicate that chronic pain patients with high levels of self-critical perfectionism may benefit less from brief interventions such as MPEP, and therefore may need more intensive and tailored treatment.
自我批判的完美主义人格特征已被证明会影响疼痛症状的发作和持续。然而，迄今为止尚无研究调查这些人格特征是否与慢性疼痛的治疗反应相关。
本研究采用自然主义前后对照设计，从自我报告的疼痛方面考察自我批判的完美主义对治疗结果的影响。研究对象为53名慢性非癌性疼痛患者，他们参加了多学科疼痛教育项目（MPEP），这是一项为期2周的基于认知行为的慢性疼痛心理教育简短干预措施，最近发现该措施在减轻疼痛严重程度方面有效。使用麦吉尔疼痛问卷简表的视觉模拟量表评估治疗前后的疼痛强度水平。
即使考虑到治疗前的抑郁水平，治疗前的自我批判完美主义仍与负面治疗结果显著相关。
结果表明，自我批判的完美主义人格特征可能会对慢性疼痛患者的治疗反应产生负面影响。因此，研究结果表明，自我批判完美主义程度高的慢性疼痛患者可能从MPEP等简短干预措施中获益较少，因此可能需要更强化和个性化的治疗。
