Shen Megan Johnson, Redd William H, Winkel Gary, Badr Hoda
Icahn School of Medicine at Mount Sinai, New York, NY, USA,
J Behav Med. 2014 Aug;37(4):595-606. doi: 10.1007/s10865-013-9529-2. Epub 2013 Aug 13.
Metastatic breast cancer (MBC) patients often experience pain which can trigger pain behaviors, such as distorted ambulation. Psychological variables, such as individuals' attitudes toward pain, play a role in pain intervention. In this study, we used the cognitive-behavioral model of pain to examine the influence of patients' attitudes toward pain (as measured by the survey of pain attitudes or SOPA) on their pain behaviors (as measured by the pain behaviors checklist). Two hundred-one MBC patients completed surveys at treatment initiation and again 3 and 6 months later. Linear Mixed Model with repeated measures analyses showed that SOPA-solicitude, SOPA-emotions, SOPA-cure, SOPA-disability, and SOPA-medication pain attitudes were consistently significantly associated with pain behaviors at each assessment time point. Additionally, the belief that a medical cure for pain exists buffered the positive association between pain severity and pain behaviors. Our findings support and extend the cognitive-behavioral model of pain and suggest that it may be useful to target pain attitudes in pain management interventions for MBC patients.
转移性乳腺癌（MBC）患者常经历疼痛，这可能引发疼痛行为，如行走姿势扭曲。心理变量，如个体对疼痛的态度，在疼痛干预中起作用。在本研究中，我们使用疼痛的认知行为模型来检验患者对疼痛的态度（通过疼痛态度调查或SOPA测量）对其疼痛行为（通过疼痛行为清单测量）的影响。201名MBC患者在治疗开始时以及3个月和6个月后再次完成了调查。重复测量分析的线性混合模型显示，在每个评估时间点，SOPA关怀、SOPA情绪、SOPA治愈、SOPA残疾和SOPA药物疼痛态度均与疼痛行为持续显著相关。此外，认为存在疼痛医学治愈方法的信念缓冲了疼痛严重程度与疼痛行为之间的正相关。我们的研究结果支持并扩展了疼痛的认知行为模型，并表明针对MBC患者的疼痛管理干预措施中的疼痛态度可能是有用的。
