Gil K M, Abrams M R, Phillips G, Keefe F J
J Consult Clin Psychol. 1989 Dec;57(6):725-31. doi: 10.1037//0022-006x.57.6.725.
This study examines pain coping strategies in a relatively neglected pain population, sickle cell disease (SCD) patients. Seventy-nine patients diagnosed with SCD were given a structured interview to assess pain, activity level, and health care use during painful episodes. Patients also completed the SCL-90-R as an index of psychological distress and the Coping Strategies Questionnaire. Regression analyses controlled for age, sex, and disease severity measures. Results indicated that the coping strategies factors were important predictors of pain and adjustment. Individuals high on Negative Thinking and Passive Adherence had more severe pain, were less active and more distressed, and used more health care services. Individuals high on Coping Attempts were more active during painful episodes.
本研究调查了一个相对被忽视的疼痛群体——镰状细胞病（SCD）患者的疼痛应对策略。79名被诊断为SCD的患者接受了结构化访谈，以评估疼痛发作期间的疼痛程度、活动水平和医疗保健使用情况。患者还完成了作为心理困扰指标的症状自评量表（SCL-90-R）和应对策略问卷。回归分析对年龄、性别和疾病严重程度指标进行了控制。结果表明，应对策略因素是疼痛和适应情况的重要预测指标。消极思维和被动坚持得分高的个体疼痛更严重，活动较少，痛苦程度更高，且使用的医疗保健服务更多。应对尝试得分高的个体在疼痛发作期间活动更积极。
