纤维肌痛女性对疼痛、功能及疼痛强度的元认知
Metacognitions on Pain, Functionality and Intensity of Pain in Women with Fibromyalgia.
作者信息
Ortega-González Misleydis, Aguirre-Acevedo Daniel-Camilo, Jiménez-Benítez Mercedes
机构信息
Grupo de Neuropsicología y Conducta, Facultad de Medicina, Universidad de Antioquia. Medellín, Colombia. Universidad de Antioquia Universidad de Antioquia Medellín Colombia.
Grupo Académico de Epidemiología Clínica, Instituto de Investigaciones Médicas, Facultad de Medicina, Universidad de Antioquia. Medellín, Colombia. Universidad de Antioquia Universidad de Antioquia Medellín Colombia.
出版信息
Int J Psychol Res (Medellin). 2021 Jan-Jun;14(1):78-90. doi: 10.21500/20112084.4897.
To determine the explanatory capacity of pain metacognitions and beliefs over the functionality, coping and pain intensity, following the Model of Self-Regulatory Executive Functions (S-REF) in a sample of women with fibromyalgia from Medellín and its Metropolitan Area. Method: Metacognitions Scale on Symptom Control, Pain Self-efficacy Questionnaire, Chronic Pain Catastrophizing Scale, Chronic Pain Coping Questionnaire, WHODAS 2.0 Scale, and Pain Intensity Numerical Scale. The sample was represented by 108 women between 24 and 60 years old with a diagnosis of fibromyalgia. A modeling process was carried out through an analysis of structural equations. Results: The final model fails to fit. Despite this, the analysis suggests that negative metacognitions and pain self-efficacy have an effect over the tendency to catastrophizing. The latter and the pain self-efficacy are the main mediators in the effects of functionality. The intensity of pain is not determined by the metacognitions related to it.
为了根据自我调节执行功能模型（S-REF），确定疼痛元认知和信念对功能、应对方式及疼痛强度的解释能力，研究对象为来自麦德林及其大都市区的纤维肌痛女性样本。方法：采用症状控制元认知量表、疼痛自我效能问卷、慢性疼痛灾难化量表、慢性疼痛应对问卷、世界卫生组织残疾评定量表2.0版以及疼痛强度数字量表。样本由108名年龄在24至60岁之间、被诊断为纤维肌痛的女性组成。通过结构方程分析进行建模过程。结果：最终模型未能拟合。尽管如此，分析表明消极元认知和疼痛自我效能对灾难化倾向有影响。后者和疼痛自我效能是功能影响的主要中介因素。疼痛强度并非由与之相关的元认知所决定。
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