Krzeczkowska Anna, Karatzias Thanos, Dickson Adele
a School of Life, Sport and Social Sciences , Edinburgh Napier University , Edinburgh , UK.
Psychol Health Med. 2015;20(2):210-6. doi: 10.1080/13548506.2014.951370. Epub 2014 Sep 2.
Pain is a significant problem for many people with chronic fatigue syndrome (CFS)/myalgic encephalomyelitis (ME). This exploratory study investigated the extent to which severity of pain was related to coping strategies and post-traumatic symptomatology in people with CFS/ME. Participants comprised 27 individuals with CFS/ME and 27 healthy controls. All participants completed the CFS/ME Symptom Questionnaire, the brief pain inventory, the impact of event scale-revised and the brief-COPE. It was found that CFS/ME participants present with significantly more post-traumatic stress symptoms and report significantly less emotion focused strategies and problem focused coping strategies compared with healthy controls. Severity of pain in the CFS/ME subgroup was not associated with traumatic symptomatology, although those with severe pain reported less use of self-distraction, positive re-framing and acceptance than those with mild pain. Our results suggest that the enhancement of certain coping strategies (facilitated by psychological interventions such as acceptance and commitment therapy) may be beneficial in alleviating pain in people with CFS/ME.
疼痛是许多慢性疲劳综合征（CFS）/肌痛性脑脊髓炎（ME）患者面临的一个重要问题。这项探索性研究调查了CFS/ME患者的疼痛严重程度与应对策略及创伤后症状学之间的关联程度。研究参与者包括27名CFS/ME患者和27名健康对照者。所有参与者均完成了CFS/ME症状问卷、简明疼痛量表、事件影响量表修订版和简易应对方式问卷。结果发现，与健康对照者相比，CFS/ME患者表现出明显更多的创伤后应激症状，且报告较少使用情绪聚焦策略和问题聚焦应对策略。CFS/ME亚组中的疼痛严重程度与创伤症状学无关，不过与轻度疼痛患者相比，重度疼痛患者报告较少使用自我分心、积极重新评价和接受等策略。我们的结果表明，增强某些应对策略（通过诸如接受与承诺疗法等心理干预来促进）可能有助于减轻CFS/ME患者的疼痛。
