新冠疫情期间的心理功能及其与慢性疼痛患者心理灵活性和更广泛功能的关系。
The Psychological Functioning in the COVID-19 Pandemic and Its Association With Psychological Flexibility and Broader Functioning in People With Chronic Pain.
机构信息
Middlesex University, Department of Psychology, UK.
City, University of London, Department of Computer Science, UK; Maggioli S.p.A, Research and Development Lab, Greece.
出版信息
J Pain. 2021 Aug;22(8):926-939. doi: 10.1016/j.jpain.2021.02.011. Epub 2021 Mar 4.
AIMS
People with chronic pain may be particularly vulnerable to the impact of the pandemic COVID-19, and psychological flexibility may protect them. This study investigates psychological functioning in the context of COVID-19, including fear and avoidance in the context of COVID-19, specifically its association with daily functioning, and the role of psychological flexibility, among people with chronic pain.
METHODS
Responses from 555 adults with chronic pain were collected through a cross-sectional online survey and analyzed.
RESULTS
Eight out of 10 participants reported significant depression and nearly 9 out of 10 reported significant functional impairment. COVID-19-related fear and avoidance significantly correlated with pain, pain-related disability, depression, and work and social adjustment (r = 18-.32), as well as psychological flexibility processes, including pain acceptance, self-as-context, and committed action, |r|=.13-.30. COVID-19-related fear and avoidance and COVID-19-related interference were significant predictors of some measures of daily functioning beyond demographics and pain, β = .09-.14. However, these associations weakened when psychological flexibility processes were factored into the models, with fear of COVID-19 no longer being a significant predictor of pain-related disability or depression, and COVID-19 avoidance no longer a significant predictor of depression.
CONCLUSIONS
The psychological functioning in the context of COVID-19 appears to be negatively associated with daily functioning in people with chronic pain, and is statistically significant in this regard. Psychological flexibility may have a role in these associations for people with chronic pain in the pandemic.
PERSPECTIVE
This article demonstrates the psychological implication of COVID-19 and its association with broader emotional and daily functioning in people with chronic pain. It also demonstrates that Psychological flexibility may have a role in these associations for people with chronic pain in the pandemic.
目的
患有慢性疼痛的人可能特别容易受到大流行 COVID-19 的影响，而心理灵活性可能会保护他们。本研究调查了 COVID-19 背景下的心理功能，包括 COVID-19 背景下的恐惧和回避，特别是其与日常功能的关系，以及心理灵活性在慢性疼痛人群中的作用。
方法
通过横断面在线调查收集了 555 名慢性疼痛患者的反应，并进行了分析。
结果
十分之八的参与者报告了明显的抑郁，近十分之九的参与者报告了明显的功能障碍。COVID-19 相关的恐惧和回避与疼痛、与疼痛相关的残疾、抑郁以及工作和社会适应（r=18-32）显著相关，还与心理灵活性过程相关，包括疼痛接受、自我作为背景和承诺行动，|r|=0.13-0.30。COVID-19 相关的恐惧和回避以及 COVID-19 相关的干扰是某些日常功能测量的重要预测因素，超出了人口统计学和疼痛的因素，β=0.09-0.14。然而，当将心理灵活性过程纳入模型时，这些关联减弱，COVID-19 恐惧不再是与疼痛相关的残疾或抑郁的重要预测因素，COVID-19 回避不再是抑郁的重要预测因素。
结论
COVID-19 背景下的心理功能似乎与慢性疼痛患者的日常功能呈负相关，在这方面具有统计学意义。在大流行期间，心理灵活性可能在慢性疼痛患者的这些关联中发挥作用。
观点
本文展示了 COVID-19 的心理影响及其与慢性疼痛患者更广泛的情绪和日常功能的关联。它还表明，在大流行期间，心理灵活性可能在慢性疼痛患者的这些关联中发挥作用。
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