Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Sydney, Australia.
Graduate School of Health, University of Technology Sydney, Sydney, Australia.
Pain Med. 2022 Dec 1;23(12):2073-2084. doi: 10.1093/pm/pnaa467.
Metaphor, frequently used in chronic pain, can function as a communicative tool, facilitating understanding and empathy from others. Previous research has demonstrated that specific linguistic markers exist for areas such as pain catastrophizing, mood, as well as diagnostic categories. The current study sought to examine potential associations between the types of pain metaphors used and diagnostic category, disability, and mood.
Online cross-sectional survey in Sydney, Australia.
People with chronic pain (n = 247, age 19-78 years, M = 43.69).
The data collected included demographics, pain metaphors, the Brief Pain Inventory (BPI) and the Depression, Anxiety, and Stress Scales (DASS-21). Associations between metaphor source domains, obtained via Systematic Metaphor Analysis, and scores on the BPI, DASS-21, as well as diagnostic group were considered using binary logistic analysis.
Use of different pain metaphors was not associated with pain intensity, however the extent to which pain interfered with daily life did have a relationship with use of metaphorical language. Preliminary support was found for an association between the use of certain pain metaphors and self-reported diagnostic categories, notably Endometriosis, Complex Regional Pain Syndrome, and Neuropathic pain.
There may be specific linguistic metaphorical markers to indicate pain interference and for particular diagnoses. Appreciation of pain metaphors has potential to facilitate communication and enhance understanding in interactions between clinicians and people with chronic pain.
隐喻在慢性疼痛中经常被使用，它可以作为一种沟通工具，促进他人的理解和共鸣。先前的研究表明，在疼痛灾难化、情绪以及诊断类别等领域存在特定的语言标记。本研究旨在探讨使用不同疼痛隐喻类型与诊断类别、残疾和情绪之间的潜在关联。
澳大利亚悉尼的在线横断面调查。
慢性疼痛患者（n=247，年龄 19-78 岁，M=43.69）。
收集的数据包括人口统计学资料、疼痛隐喻、简明疼痛量表（BPI）和抑郁、焦虑和压力量表（DASS-21）。通过系统隐喻分析获得的隐喻源域与 BPI、DASS-21 评分以及诊断组之间的关联，使用二项逻辑分析进行考虑。
不同疼痛隐喻的使用与疼痛强度无关，但疼痛对日常生活的干扰程度与隐喻性语言的使用有关。初步支持某些疼痛隐喻的使用与自我报告的诊断类别之间存在关联，特别是子宫内膜异位症、复杂性区域疼痛综合征和神经病理性疼痛。
可能存在特定的语言隐喻标记来表示疼痛干扰和特定的诊断。对疼痛隐喻的理解有可能促进临床医生与慢性疼痛患者之间的沟通和理解。
