Department of Epidemiology & Preventive Medicine, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia.
Psychology Department, Epworth HealthCare, Melbourne, Australia.
J Health Psychol. 2022 Jan;27(1):188-198. doi: 10.1177/1359105320947819. Epub 2020 Aug 10.
This study investigated relationships between post-traumatic stress symptoms (PTSS) and pain disability. Fifty people with chronic pain (probable PTSD, = 22) completed measures assessing pain interference, PTSS, fear avoidance, and pain self-efficacy. We hypothesized that people with probable PTSD would have higher fear avoidance and lower pain self-efficacy; and that PTSS would be indirectly associated with pain disability via fear avoidance and self-efficacy. People with probable PTSD had higher fear avoidance, but there were no differences in self-efficacy, pain severity or disability. There was an indirect association between PTSS and pain disability via fear avoidance, but not via self-efficacy.
本研究调查了创伤后应激症状 (PTSS) 与疼痛残疾之间的关系。50 名慢性疼痛患者（可能患有 PTSD，n=22）完成了评估疼痛干扰、PTSS、恐惧回避和疼痛自我效能的测量。我们假设可能患有 PTSD 的患者会有更高的恐惧回避和更低的疼痛自我效能；并且 PTSS 通过恐惧回避和自我效能与疼痛残疾间接相关。患有可能 PTSD 的患者的恐惧回避更高，但自我效能、疼痛严重程度或残疾无差异。PTSS 通过恐惧回避与疼痛残疾间接相关，但不通过自我效能。
