Philpot Lindsey M, Schumann Matthew E, Ebbert Jon O
Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic College of Medicine, Rochester, MN, USA.
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
J Patient Exp. 2020 Jun;7(3):316-323. doi: 10.1177/2374373519862934. Epub 2019 Aug 7.
Chronic daily pain is experienced by 11.2% of United States adults and psychosocial factors have significant impact on self-reported pain. Most research in this area has focused on pain-related conditions, not the general population. This study sought to understand the associations between clinically significant chronic pain and multiple dimensions of social relationship quality in a general population.
A cross-sectional survey was deployed and adjusted logistic regression models were constructed for chronic pain against independent social support domains. The moderating effect of self-rated health on social support quality was explored.
Of all, 26.1% of surveys were completed (3920/15 000) and 18.8% reported clinically significant chronic pain. Patients with chronic pain had lower friendship quality (aOR = 0.78; 0.64-0.94) and higher perceived rejection (aOR = 1.26; 1.04-1.53) and perceived hostility (aOR = 1.26; 1.05-1.52). Within our moderation analysis, chronic pain patients with low self-rated health had higher odds of low friendship quality, high loneliness, and high perceived rejection.
Chronic pain patients experience social relationships differently than those without, and self-rated health differentially impacts these perceptions.
11.2%的美国成年人经历过慢性每日疼痛，心理社会因素对自我报告的疼痛有重大影响。该领域的大多数研究都集中在与疼痛相关的病症上，而非普通人群。本研究旨在了解普通人群中具有临床意义的慢性疼痛与社会关系质量多个维度之间的关联。
开展了一项横断面调查，并针对慢性疼痛与独立的社会支持领域构建了调整后的逻辑回归模型。探讨了自评健康对社会支持质量的调节作用。
总共26.1%的调查问卷被完成（3920/15000），18.8%的人报告有具有临床意义的慢性疼痛。慢性疼痛患者的友谊质量较低（调整后比值比[aOR]=0.78；0.64 - 0.94），感知到的被拒绝感较高（aOR = 1.26；1.04 - 1.53），感知到的敌意较高（aOR = 1.26；1.05 - 1.52）。在我们的调节分析中，自评健康状况较差的慢性疼痛患者出现低友谊质量、高孤独感和高感知到的被拒绝感的几率更高。
慢性疼痛患者与无慢性疼痛者在社会关系体验上有所不同，自评健康对这些认知有不同影响。
