Calo Psychiatric Center, Pingtung County, Taiwan; Nursing Department, MeiHo University, Pingtung County, Taiwan.
Calo Psychiatric Center, Pingtung County, Taiwan.
Psychiatry Res. 2017 Aug;254:284-289. doi: 10.1016/j.psychres.2017.04.059. Epub 2017 Apr 27.
Chronic pain has high comorbidity with psychiatric disorders, therefore, better understanding of the relationship between chronic pain and mental illness is needed. This study aimed to investigate the pathway relationships among parental attachment, personality characteristics, alexithymic trait and mental health in patients with chronic widespread pain, those with chronic regional pain, and controls. Two hundred and thirty participants were recruited. The parental Bonding Inventory, Eysenck Personality Inventory (EPI), 20-item Toronto Alexithymia Scale (TAS-20), Chinese Health Questionnaire, and Short-Form 36 were filled out. The pathway relationships revealed that patients of mothers who were more protective were more neurotic, had more difficulty identifying feelings (DIF), worse mental health, and a higher association with chronic widespread pain. No differences were found between patients with chronic regional pain and the controls. The predisposing factors for chronic widespread pain, when compared with chronic regional pain, may be more closely related to psychiatric disorders. The pathways to chronic regional pain and chronic widespread pain differ, with neuroticism and the alexithymic DIF trait being the main factors defining chronic widespread pain. Therefore, besides therapies targeting pain symptoms, psychiatric consultation, medication and psychotherapy are also recommended for those with chronic widespread pain to alleviate their mental health conditions.
慢性疼痛与精神障碍的共病率很高，因此需要更好地了解慢性疼痛与精神疾病之间的关系。本研究旨在探讨慢性广泛性疼痛患者、慢性区域性疼痛患者和对照组患者中父母依恋、人格特征、述情障碍特征与心理健康之间的路径关系。共招募了 230 名参与者。填写了父母教养方式问卷、艾森克人格问卷（EPI）、20 项多伦多述情障碍量表（TAS-20）、中国健康问卷和简明健康状况量表。结果显示，母亲保护程度较高的患者更神经质，更难以识别情绪（DIF），心理健康状况更差，与慢性广泛性疼痛的关联度更高。慢性区域性疼痛患者与对照组之间无差异。与慢性区域性疼痛相比，慢性广泛性疼痛的易感因素可能与精神障碍更为密切相关。慢性区域性疼痛和慢性广泛性疼痛的发病途径不同，神经质和述情障碍 DIF 特征是定义慢性广泛性疼痛的主要因素。因此，除了针对疼痛症状的治疗外，还建议慢性广泛性疼痛患者进行精神科咨询、药物治疗和心理治疗，以改善他们的心理健康状况。
