Bowers Hannah M, Pincus Tamar, Jones Gareth, Wroe Abigail L
Department of Psychology, Royal Holloway University of London, Egham, UK.
Frimley Health NHS Foundation Trust, Frimley, UK.
Br J Pain. 2019 May;13(2):112-120. doi: 10.1177/2049463718820882. Epub 2019 Jan 9.
This study aims to explore the relationships between beliefs about emotions, emotional suppression, distress and global impact (i.e. the extent to which a patient's symptoms impact their life) in a longitudinal design with patients who are taking part in a pain management programme.
A total of 40 participants with fibromyalgia took part in pain management programmes at multiple sites as part of their usual care in the National Health Service. Measures of beliefs about the unacceptability of experiencing and expressing emotions, emotional suppression, distress and global impact were completed before and after the programmes.
Beliefs about emotions significantly reduced following treatment, but emotional suppression did not. Changes in beliefs about emotion correlated with changes in emotional suppression. Changes in distress were related to changes in suppression and the relationship between global impact and beliefs about emotions was approaching significance.
Emotional suppression and beliefs about emotions may play a role in the improvement in distress following treatment. However, future research should examine these variables as mediators of the effect of treatment compared to waitlist controls in a larger sample.
本研究旨在通过纵向设计,探究参与疼痛管理项目的患者在情绪观念、情绪抑制、痛苦和整体影响(即患者症状对其生活的影响程度)之间的关系。
共有40名纤维肌痛患者在多个地点参加了疼痛管理项目,作为他们在国民医疗服务体系常规护理的一部分。在项目前后完成了关于体验和表达情绪的不可接受性、情绪抑制、痛苦和整体影响的测量。
治疗后情绪观念显著降低,但情绪抑制没有。情绪观念的变化与情绪抑制的变化相关。痛苦的变化与抑制的变化有关,整体影响与情绪观念之间的关系接近显著。
情绪抑制和情绪观念可能在治疗后痛苦的改善中起作用。然而,未来的研究应该在更大的样本中,将这些变量作为与等待名单对照组相比的治疗效果的中介进行检验。