恐惧回避、疼痛接纳与慢性疼痛适应：对686例慢性脊柱疼痛患者样本的横断面研究
Fear-avoidance, pain acceptance and adjustment to chronic pain: a cross-sectional study on a sample of 686 patients with chronic spinal pain.
作者信息
Ramírez-Maestre Carmen, Esteve Rosa, López-Martínez Alicia
机构信息
Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad de Málaga, Campus de Teatinos, 29071, Málaga, Spain,
出版信息
Ann Behav Med. 2014 Dec;48(3):402-10. doi: 10.1007/s12160-014-9619-6.
BACKGROUND
Prior studies found a range of psychological factors related to the perception of pain, maintenance of pain and disability.
PURPOSE
The aim of this study was to investigate the role of pain fear-avoidance and pain acceptance in chronic pain adjustment. The influence of two diathesis variables (resilience and experiential avoidance) was also analyzed.
METHODS
The sample was composed of 686 patients with chronic spinal pain. Structural equation modelling analyses were used to test the hypothetical model.
RESULTS
Experiential avoidance was associated with pain fear-avoidance, and resilience was strongly associated with pain acceptance. Pain acceptance was negatively associated with negative mood, functional impairment and pain intensity. However, pain fear-avoidance was positively and significantly associated with negative mood but had no association with pain intensity. There was a path from functional impairment to pain fear-avoidance.
CONCLUSIONS
Resilience and experiential avoidance appear as variables which could explain individual differences in pain experience.
背景
先前的研究发现了一系列与疼痛感知、疼痛持续以及残疾相关的心理因素。
目的
本研究旨在探讨疼痛恐惧回避和疼痛接受在慢性疼痛适应中的作用。同时还分析了两个素质变量（心理韧性和经验性回避）的影响。
方法
样本由686例慢性脊柱疼痛患者组成。采用结构方程模型分析来检验假设模型。
结果
经验性回避与疼痛恐惧回避相关，心理韧性与疼痛接受密切相关。疼痛接受与消极情绪、功能障碍和疼痛强度呈负相关。然而，疼痛恐惧回避与消极情绪呈正相关且具有显著相关性，但与疼痛强度无关。存在一条从功能障碍到疼痛恐惧回避的路径。
结论
心理韧性和经验性回避似乎是可以解释疼痛体验个体差异的变量。
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