Waugh Olivia C, Byrne Donald G, Nicholas Michael K
Research School of Psychology, Australian National University, Canberra, Australia.
Research School of Psychology, Australian National University, Canberra, Australia.
J Pain. 2014 May;15(5):550.e1-10. doi: 10.1016/j.jpain.2014.02.001. Epub 2014 Feb 15.
Although persistent pain occurs in a sociocultural context, the influence of personal devaluation and invalidation is often neglected. As such, the present study sought to consider whether individuals' experience, perception, or anticipation of negative social reactions to their pain may become internalized and affect the self. To examine this issue, 92 adults with chronic pain responded to a questionnaire exploring the presence of internalized stigma and its association with a range of psychological consequences. As predicted, a large percentage of people with chronic pain (38%) endorsed the experience of internalized stigma. The results showed that internalized stigma has a negative relationship with self-esteem and pain self-efficacy, after controlling for depression. Internalized stigma was also associated with cognitive functioning in relation to pain, in terms of a greater tendency to catastrophize about pain and a reduced sense of personal control over pain. Overall, this study presents a new finding regarding the application of internalized stigma to a chronic pain population. It offers a means of extending our understanding of chronic pain's psychosocial domain. Implications are discussed in terms of the potential to inform clinical treatment and resiliency into the future.
This article presents a novel finding regarding the presence of internalized stigma among people living with chronic pain. Internalized stigma is strongly associated with indicators of patient outcome. It presents an area for future work with the aim to improve our understanding and treatment of people living with pain.
尽管持续性疼痛发生在社会文化背景中，但个人贬值和无效化的影响常常被忽视。因此，本研究试图探讨个体对自身疼痛的负面社会反应的经历、感知或预期是否会被内化并影响自我。为了研究这个问题，92名患有慢性疼痛的成年人回答了一份问卷，该问卷探讨了内化耻辱感的存在及其与一系列心理后果的关联。正如所预测的，很大一部分慢性疼痛患者（38%）认可内化耻辱感的经历。结果表明，在控制抑郁因素后，内化耻辱感与自尊和疼痛自我效能感呈负相关。内化耻辱感还与疼痛相关的认知功能有关，表现为对疼痛进行灾难化思考的倾向增加以及对疼痛的个人控制感降低。总体而言，本研究提出了关于内化耻辱感在慢性疼痛人群中的应用的新发现。它提供了一种扩展我们对慢性疼痛心理社会领域理解的方法。文中讨论了其对未来临床治疗和恢复力的潜在影响。
本文提出了关于慢性疼痛患者内化耻辱感存在的新发现。内化耻辱感与患者预后指标密切相关。它为未来的工作提供了一个领域，旨在增进我们对疼痛患者的理解和治疗。
