Pardue Caleb M, White Kamila S, Gervino Ernest V
Department of Psychological Sciences, University of Missouri-St Louis, One University Blvd., St. Louis, MO, 63121, USA.
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
J Clin Psychol Med Settings. 2019 Jun;26(2):131-141. doi: 10.1007/s10880-018-9572-9.
The aim of this study was to investigate the role of disease conviction in the chest pain and life interference of patients with non-cardiac chest pain (NCCP), after controlling for anxiety sensitivity and body vigilance. While all three psychological constructs are theoretically implicated and empirically associated with the experience of NCCP, no research has examined the influence of disease conviction in the context of other relevant constructs. The sample included 229 participants with NCCP who were recruited after a medical evaluation failed to elicit an organic explanation for their chest pain. Hierarchical regression analyses revealed that while anxiety sensitivity significantly predicted chest pain severity and interference, only body vigilance contributed significant additional variance to chest pain severity, and only disease conviction contributed significant additional variance to chest pain interference. While anxiety sensitivity, body vigilance, and disease conviction all appear to affect those with NCCP, it seems that their impact is manifest in different domains (i.e., pain perception vs. psychosocial impairment).
本研究的目的是在控制焦虑敏感性和身体警觉性之后，调查疾病确信在非心源性胸痛（NCCP）患者的胸痛及生活干扰中所起的作用。虽然这三种心理结构在理论上都与NCCP的体验有关，且在实证研究中也存在关联，但尚无研究在其他相关结构的背景下考察疾病确信的影响。样本包括229名NCCP患者，他们是在医学评估未能对其胸痛给出器质性解释后招募的。分层回归分析显示，虽然焦虑敏感性显著预测胸痛严重程度和干扰，但只有身体警觉性对胸痛严重程度有显著的额外方差贡献，只有疾病确信对胸痛干扰有显著的额外方差贡献。虽然焦虑敏感性、身体警觉性和疾病确信似乎都会影响NCCP患者，但它们的影响似乎体现在不同领域（即疼痛感知与心理社会损害）。
