Iddon Joanne E, Taylor Peter J, Unwin Jen, Dickson Joanne M
Complex Rehabilitation Unit, The Walton Centre NHS Foundation Trust, Liverpool, UK.
Division of Psychology and Mental Health, The University of Manchester, Manchester Academic Health Sciences Centre, UK.
Br J Pain. 2019 Nov;13(4):230-238. doi: 10.1177/2049463718824857. Epub 2019 Jan 18.
Individuals with chronic pain commonly report significant functional impairment and reduced quality of life. Despite this, little is known about psychological processes and mechanisms underpinning enhancements in well-being within this population. The study aimed to investigate whether (1) increased levels of pain intensity and interference were associated with lower levels of mental well-being, (2) increased positive goal engagement was associated with higher levels of mental well-being and (3) whether the relationships between pain characteristics and mental well-being were mediated by increased positive goal engagement. A total of 586 individuals with chronic pain participated in the cross-sectional, online study. Participants completed self-report measures to assess pain intensity and interference, mental well-being and goal motivation variables. Results showed that pain interference and positive goal engagement were associated with mental well-being. Moreover, the relationship between pain interference and mental well-being was partially mediated by positive goal engagement. The results provide tentative evidence for the protective role of positive goal engagement in enabling individuals with chronic pain to maintain a sense of mental well-being. The study develops the biopsychosocial model of chronic pain by examining the roles and relationships of relevant yet previously unexplored psychological constructs. The promotion of mental well-being through the enhancement of positive goal engagement is discussed, offering a platform for further research and clinical interventions.
患有慢性疼痛的个体通常报告有明显的功能障碍和生活质量下降。尽管如此，对于该人群幸福感提升背后的心理过程和机制却知之甚少。该研究旨在调查：（1）疼痛强度和干扰程度的增加是否与较低的心理健康水平相关；（2）积极目标投入的增加是否与较高的心理健康水平相关；以及（3）疼痛特征与心理健康之间的关系是否通过积极目标投入的增加来介导。共有586名慢性疼痛患者参与了这项横断面在线研究。参与者完成了自我报告测量，以评估疼痛强度和干扰、心理健康和目标动机变量。结果表明，疼痛干扰和积极目标投入与心理健康相关。此外，疼痛干扰与心理健康之间的关系部分由积极目标投入介导。研究结果为积极目标投入在使慢性疼痛患者保持心理健康感方面的保护作用提供了初步证据。该研究通过考察相关但此前未被探索的心理结构的作用和关系，拓展了慢性疼痛的生物心理社会模型。讨论了通过增强积极目标投入来促进心理健康，为进一步的研究和临床干预提供了一个平台。
