Karl Landsteiner Institute for Outpatient Rehabilitation Research, Vienna, Austria.
Department of Psychology, Harvard University, Cambridge, MA, USA.
J Back Musculoskelet Rehabil. 2021;34(2):207-219. doi: 10.3233/BMR-200034.
The struggle with pain often interferes with the ability of chronic low back pain (CLBP) patients to pursue important life values due to psychological inflexibility.
This research examined life values, related inhibitors and facilitators relevant to personalized therapy planning.
Two hundred and forty-four CLBP patients completed the Chronic Pain Values Inventory (CPVI). Of these, 68 patients were interviewed to assess inhibitors and facilitators related to life values. Mixed-effects models quantitatively examined differences in the values, structuring content analysis served to qualitatively analyze the interviews.
Participants rated the value "family" as being of highest importance and success. The largest discrepancy between importance and success was found for "health". Content analyses revealed a broad range of inhibitors and facilitators related to the examined life values with the highest number of inhibitors related to "work". Facilitators were also found to be of relevance to all life values, but to a lower extent than inhibitors.
The perceived importance and success of life values and their related inhibitors and facilitators may differentially affect CLBP patients. Considering such individual aspects is therefore of utmost importance to improve patient care, as they enable treatment goals and the therapeutic strategies to be adapted accordingly.
由于心理灵活性不足，慢性下背痛（CLBP）患者常因疼痛而难以追求重要的生活价值。
本研究旨在探讨与个性化治疗计划相关的生活价值、相关抑制因素和促进因素。
244 名 CLBP 患者完成了慢性疼痛价值观量表（CPVI）。其中，68 名患者接受了访谈，以评估与生活价值相关的抑制因素和促进因素。混合效应模型定量分析了价值观的差异，结构内容分析则定性分析了访谈内容。
参与者将“家庭”评为最重要和最成功的价值观。“健康”是重要性和成功之间差异最大的价值观。内容分析显示，与所研究的生活价值相关的抑制因素和促进因素范围广泛，与“工作”相关的抑制因素最多。促进因素也与所有生活价值相关，但程度低于抑制因素。
生活价值的感知重要性和成功，以及它们的相关抑制因素和促进因素，可能会对 CLBP 患者产生不同的影响。因此，考虑这些个体方面对于改善患者护理至关重要，因为这使治疗目标和治疗策略能够相应地进行调整。
