Suso-Ribera Carlos, García-Palacios Azucena, Botella Cristina, Ribera-Canudas Maria Victoria
Department of Basic and Clinical Psychology and Psychobiology, Universitat Jaume I, Castelló de la Plana, Spain.
Department of Basic and Clinical Psychology and Psychobiology, Universitat Jaume I, Castelló de la Plana, Spain; Ciber Fisiopatología de la Obesidad y la Nutrición (CB06/03), Instituto de Salud Carlos III, Madrid, Spain.
Pain Res Manag. 2017;2017:9762864. doi: 10.1155/2017/9762864. Epub 2017 Feb 28.
Pain catastrophizing is known to contribute to physical and mental functioning, even when controlling for the effect of pain intensity. However, research has yet to explore whether the strength of the relationship between pain catastrophizing and pain-related outcomes varies across pain intensity levels (i.e., moderation). If this was the case, it would have important implications for existing models of pain and current interventions. The present investigation explored whether pain intensity moderates the relationship between pain catastrophizing and pain-related outcomes. Participants were 254 patients (62% women) with heterogeneous chronic pain. Patients completed a measure of pain intensity, pain interference, pain catastrophizing, and physical and mental health. Pain intensity moderated the relationship between pain catastrophizing and pain interference and between pain catastrophizing and physical health status. Specifically, the strength of the correlation between pain catastrophizing and these outcomes decreased considerably as pain intensity increased. In contrast, pain intensity did not moderate the relationship between pain catastrophizing and mental health. Study findings provide a new insight into the role of pain intensity (i.e., moderator) in the relationship between pain catastrophizing and various pain-related outcomes, which might help develop existent models of pain. Clinical implications are discussed in the context of personalized therapy.
即使在控制疼痛强度的影响时,疼痛灾难化也被认为会影响身体和心理功能。然而,研究尚未探讨疼痛灾难化与疼痛相关结果之间关系的强度是否会因疼痛强度水平而异(即调节作用)。如果是这样,这将对现有的疼痛模型和当前的干预措施产生重要影响。本研究探讨了疼痛强度是否会调节疼痛灾难化与疼痛相关结果之间的关系。参与者为254名患有多种慢性疼痛的患者(62%为女性)。患者完成了疼痛强度、疼痛干扰、疼痛灾难化以及身心健康的测量。疼痛强度调节了疼痛灾难化与疼痛干扰之间以及疼痛灾难化与身体健康状况之间的关系。具体而言,随着疼痛强度增加,疼痛灾难化与这些结果之间的相关性强度显著降低。相比之下,疼痛强度并未调节疼痛灾难化与心理健康之间的关系。研究结果为疼痛强度(即调节因素)在疼痛灾难化与各种疼痛相关结果之间的关系中所起的作用提供了新的见解,这可能有助于完善现有的疼痛模型。在个性化治疗的背景下讨论了临床意义。
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