Levenig Claudia G, Kellmann Michael, Kleinert Jens, Belz Johanna, Hesselmann Tobias, Hasenbring Monika I
Department of Medical Psychology and Medical Sociology, Ruhr-University Bochum, Bochum, Germany, Phone: +49 234 29442.
Unit of Sport Psychology, Faculty of Sport Science, Ruhr-University Bochum, Bochum, Germany.
Scand J Pain. 2019 Jan 28;19(1):147-156. doi: 10.1515/sjpain-2018-0104.
Background and aims Body image as an increasing research field has been integrated into pain research within the last years. However, research on cognitive-affective dimensions of body image dependent on different pain groups like acute/subacute and chronic pain patients, and healthy controls is still lacking. Therefore, this study aims to explore three dimensions of body image, namely self-acceptance, physical efficacy, and health in patients with low back pain and healthy controls. The present study is the first to distinguish between patients with low back pain in different stages of pain with regard to the concept of body image. In a second step we investigated the differences in exercise frequency between the three groups. Methods Seventy seven patients (53.2% female) suffering from low back pain and 57 healthy controls (42.1% female) filled in a battery of questionnaires in terms of body image, pain parameters and exercise frequency. Results Main results indicate first that patients suffering from chronic low back pain revealed a more negative body image in all three body image-dimensions than healthy controls. Second, patients suffering from subacute pain revealed a more negative body image of physical efficacy compared to the healthy controls. Conclusions Our results suggest that body image is relevant for the treatment of low back pain, because patients suffering from low back pain revealed a more negative body image than healthy controls. Implications To investigate the cognitive-affective dimensions of body image in different patient groups suffering from low back pain seems to be an important aspect for future research to improve therapy options and prevention of low back pain. Future research should also focus on improvements or on positive aspects of body image in patients with low back pain.
身体意象作为一个日益受到关注的研究领域，在过去几年已被纳入疼痛研究中。然而，针对依赖不同疼痛群体（如急性/亚急性和慢性疼痛患者以及健康对照）的身体意象认知-情感维度的研究仍较为缺乏。因此，本研究旨在探讨腰痛患者和健康对照者身体意象的三个维度，即自我接纳、身体效能和健康状况。本研究首次在身体意象概念方面区分了处于不同疼痛阶段的腰痛患者。第二步，我们调查了三组之间运动频率的差异。方法：77名腰痛患者（女性占53.2%）和57名健康对照者（女性占42.1%）填写了一系列关于身体意象、疼痛参数和运动频率的问卷。结果：主要结果首先表明，慢性腰痛患者在身体意象的所有三个维度上均比健康对照者呈现出更消极的身体意象。其次，与健康对照者相比，亚急性疼痛患者在身体效能方面呈现出更消极的身体意象。结论：我们的结果表明身体意象与腰痛治疗相关，因为腰痛患者比健康对照者呈现出更消极的身体意象。启示：研究不同腰痛患者群体的身体意象认知-情感维度似乎是未来研究改善治疗方案和预防腰痛的一个重要方面。未来研究还应关注腰痛患者身体意象的改善或积极方面。
