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疼痛灾难化在成年初期网络疑病症中的作用。

The role of pain catastrophizing in cyberchondria among emerging adults.

机构信息

Department of Psychology, University of Cincinnati , Cincinnati , OH , USA.

Aspire Behavioral Health , Miamisburg , OH , USA.

出版信息

Psychol Health Med. 2019 Dec;24(10):1267-1276. doi: 10.1080/13548506.2019.1605087. Epub 2019 Apr 11.

Abstract

Chronic pain is a prevalent and debilitating health problem that often persists in the absence of an identifiable biomedical cause. Uncertainty regarding the origins of a pain problem may lead to pain catastrophizing and unfruitful healthcare seeking behaviors. Individuals with chronic pain often turn to the internet to identify possible causes or sources of their pain symptoms, thus affirming their pain experience. Despite evidence that pain catastrophizing amplifies distress about pain complaints, no studies have investigated whether it is associated with escalations in health anxiety that result from searching for online health information (i.e., cyberchondria). The aim of the present study was to investigate whether pain catastrophizing predicted variance in cyberchondria above and beyond health anxiety. Undergraduate students ( = 221, 70.6% female) completed questionnaires assessing pain catastrophizing, health anxiety, and cyberchondria. Results from hierarchical regression models indicated that pain catastrophizing predicted unique variance in four dimensions of cyberchondria: compulsion, distress, excessiveness, and reassurance. Findings are consistent with research highlighting the consequences of pain catastrophizing on myriad psychological outcomes. Individuals who catastrophize about pain experiences may be vulnerable to developing severe health anxiety from searching the internet for health information. Implications for research among individuals with chronic pain are discussed.

摘要

慢性疼痛是一种普遍且使人虚弱的健康问题,通常在没有明确的生物医学原因的情况下持续存在。对疼痛问题根源的不确定性可能导致疼痛灾难化和无益的医疗保健寻求行为。患有慢性疼痛的人经常上网寻找可能的疼痛原因或来源,从而证实他们的疼痛体验。尽管有证据表明疼痛灾难化会放大对疼痛投诉的痛苦,但没有研究调查它是否与因搜索在线健康信息(即网络疑病症)而导致的健康焦虑升级有关。本研究旨在调查疼痛灾难化是否可以预测除健康焦虑之外的网络疑病症的差异。大学生(n=221,70.6%为女性)完成了评估疼痛灾难化、健康焦虑和网络疑病症的问卷。分层回归模型的结果表明,疼痛灾难化可以预测网络疑病症的四个维度(强迫、苦恼、过度和安心)的独特差异。研究结果与强调疼痛灾难化对众多心理结果的后果的研究一致。对疼痛体验灾难化的人可能容易因上网搜索健康信息而产生严重的健康焦虑。讨论了对慢性疼痛患者进行研究的意义。

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