Dezutter Jessie, Offenbaecher Martin, Vallejo Miguel A, Vanhooren Siebrecht, Thauvoye Evalyne, Toussaint Loren
1 Faculty of Psychology and Educational Sciences, KU Leuven - University of Leuven, Leuven, Belgium.
2 Institute of General Medicine, Ludwig-Maximilians University of Munich, Munich, Germany.
Int J Psychiatry Med. 2016 Aug;51(6):563-575. doi: 10.1177/0091217417696738. Epub 2017 Jan 1.
Objective Experiencing pain not only affects patients' biopsychosocial functioning but also the existential domain. Attention to the existential, in addition to the biopsychosocial domains, might thus be important in chronic pain care. Therefore, we investigated: (a) how satisfied patients were with the attention of their practitioners to the impact of pain on biological, psychological, social, and existential life domains, and (b) how satisfaction with each domain was related to patient functioning. Method Pain patients ( N = 163) were questioned on their satisfaction with the attention of their practitioners to biological, psychological, social, and existential life domains, and on pain intensity, pain disability, life satisfaction, and depressive symptoms. Results Patients reported low satisfaction with the attention of their practitioners to the social and existential domains. Satisfaction with each domain was negatively related with pain intensity, pain disability, and depressive symptoms and positively related with life satisfaction. Only satisfaction with the existential domain was able to predict all functional outcomes above and beyond all other satisfaction variables modeled simultaneously. Conclusions Patients reported not feeling satisfied with the attention to the social and existential life domains. Furthermore, practitioners' attention to the existential domain seems highly important for patient functioning. Openness to existential concerns of pain patients might thus be an important aspect of chronic pain care.
目的 经历疼痛不仅会影响患者的生物心理社会功能，还会影响其生存领域。因此，除生物心理社会领域外，关注生存领域在慢性疼痛护理中可能很重要。因此，我们进行了以下调查：(a) 患者对医生关注疼痛对生物、心理、社会和生存生活领域的影响的满意度如何，以及 (b) 对每个领域的满意度与患者功能之间的关系。方法 对疼痛患者（N = 163）进行询问，了解他们对医生关注生物、心理、社会和生存生活领域的满意度，以及疼痛强度、疼痛残疾、生活满意度和抑郁症状。结果 患者报告对医生关注社会和生存领域的满意度较低。对每个领域的满意度与疼痛强度、疼痛残疾和抑郁症状呈负相关，与生活满意度呈正相关。只有对生存领域的满意度能够在同时建模的所有其他满意度变量之外预测所有功能结果。结论 患者报告对社会和生存生活领域的关注不满意。此外，医生对生存领域的关注似乎对患者功能非常重要。因此，对疼痛患者生存问题的开放性可能是慢性疼痛护理的一个重要方面。
