担忧和沉思：在有疼痛的大学生中疼痛与焦虑和抑郁症状的关系中的解释作用。
Worry and rumination: Explanatory roles in the relation between pain and anxiety and depressive symptoms among college students with pain.
机构信息
a Department of Psychology , University of Houston , Houston , Texas , USA.
b Department of Psychology , Syracuse University , Syracuse , New York , USA.
出版信息
J Am Coll Health. 2019 Apr;67(3):275-282. doi: 10.1080/07448481.2018.1481071. Epub 2018 Oct 25.
OBJECTIVE
Pain affects a significant proportion of college students in the United States and has been linked to anxiety and depressive symptoms. Rumination and worry, two transdiagnostic factors linked to comorbidity, may explain the relationship between pain and mental health symptoms. Current Study: The current study examined worry and rumination as explanatory factors in the relationship between pain and anxiety and depressive symptoms in a sample of college students with pain (n = 1,577; 79.9% female).
RESULTS
Results indicated that both rumination and worry explained the relationship between pain and depressive and social anxiety symptoms, while rumination alone explained the relationship between pain and anxious arousal symptoms.
CONCLUSION
The current study provides novel empirical evidence that worry and rumination each help explain the relationship between pain and anxiety and depressive symptoms among college students with current pain, and college students in pain may benefit from targeted psychosocial strategies aimed at decreasing worry and ruminative responses.
目的
疼痛影响了相当一部分美国大学生，且与焦虑和抑郁症状有关。反刍和担忧是与共病相关的两种跨诊断因素，它们可能解释了疼痛与心理健康症状之间的关系。本研究：本研究在有疼痛的大学生样本中（n=1577；女性占 79.9%），考察了担忧和反刍在疼痛与焦虑和抑郁症状之间关系中的解释作用。
结果
结果表明，反刍和担忧都解释了疼痛与抑郁和社交焦虑症状之间的关系，而只有反刍单独解释了疼痛与焦虑唤醒症状之间的关系。
结论
本研究提供了新的实证证据，表明担忧和反刍各自有助于解释有当前疼痛的大学生以及有疼痛的大学生中疼痛与焦虑和抑郁症状之间的关系，有疼痛的大学生可能受益于针对减少担忧和反刍反应的有针对性的心理社会策略。
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