Kopera Maciej, Brower Kirk J, Suszek Hubert, Jakubczyk Andrzej, Fudalej Sylwia, Krasowska Aleksandra, Klimkiewicz Anna, Wojnar Marcin
Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
Department of Psychiatry, Addiction Research Center, University of Michigan, Ann Arbor, MI, USA.
J Pain Res. 2017 Jul 11;10:1611-1618. doi: 10.2147/JPR.S134019. eCollection 2017.
Chronic pain is a significant comorbidity in individuals with alcohol dependence (AD). Emotional processing deficits are a substantial component of both AD and chronic pain. The aim of this study was to analyze the interrelations between components of emotional intelligence and self-reported pain severity in AD patients.
A sample of 103 participants was recruited from an alcohol treatment center in Warsaw, Poland. Information concerning pain level in the last 4 weeks, demographics, severity of current anxiety and depressive symptoms, as well as neuroticism was obtained. The study sample was divided into "mild or no pain" and "moderate or greater pain" groups.
In the logistic regression model, across a set of sociodemographic, psychological, and clinical factors, higher emotion regulation and higher education predicted lower severity, whereas increased levels of anxiety predicted higher severity of self-reported pain during the previous 4 weeks. When the mediation models looking at the association between current severity of anxiety and depressive symptoms and pain severity with the mediating role of emotion regulation were tested, emotion regulation appeared to fully mediate the relationship between depression severity and pain, and partially the relationship between anxiety severity and pain.
The current findings extend previous results indicating that emotion regulation deficits are related to self-reported pain in AD subjects. Comprehensive strategies focusing on the improvement of mood regulation skills might be effective in the treatment of AD patients with comorbid pain symptoms.
慢性疼痛是酒精依赖(AD)个体的一种重要合并症。情绪加工缺陷是AD和慢性疼痛的一个重要组成部分。本研究的目的是分析AD患者情商各成分与自我报告的疼痛严重程度之间的相互关系。
从波兰华沙的一个酒精治疗中心招募了103名参与者作为样本。获取了有关过去4周疼痛水平、人口统计学信息、当前焦虑和抑郁症状的严重程度以及神经质的信息。研究样本被分为“轻度或无疼痛”组和“中度或更严重疼痛”组。
在逻辑回归模型中,在一系列社会人口学、心理和临床因素中,较高的情绪调节能力和较高的教育程度预示着较低的严重程度,而焦虑水平的升高预示着前4周自我报告疼痛的严重程度较高。当测试考察当前焦虑和抑郁症状的严重程度与疼痛严重程度之间的关联且以情绪调节为中介作用的中介模型时,情绪调节似乎完全中介了抑郁严重程度与疼痛之间的关系,部分中介了焦虑严重程度与疼痛之间的关系。
目前的研究结果扩展了先前的结果,表明情绪调节缺陷与AD患者自我报告的疼痛有关。专注于改善情绪调节技能的综合策略可能对治疗伴有疼痛症状的AD患者有效。