Simoncsics Eszter, Konkolý Thege Barna, Stauder Adrienne
Doctoral School of Semmelweis University, Budapest, Hungary.
Mission Medical Center, Veresegyház, Hungary.
Front Psychiatry. 2022 Aug 12;13:925251. doi: 10.3389/fpsyt.2022.925251. eCollection 2022.
In chronic pain syndromes, acceptance of pain may be a better approach than pain control. So far, little data have been available on how pain and its acceptance affect illness intrusiveness among patients with low-back pain (LBP).
The present longitudinal study evaluates the impact of pain acceptance on illness intrusiveness in patients with LBP.
Study participants were asked to complete the following questionnaires during their visit (T1) at one of four diverse rheumatologic outpatient clinics, and then 2-3 months later (T2) phone or online: Chronic Pain Acceptance Questionnaire (CPAQ), Illness Intrusiveness Rating Scale (IIRS), Roland-Morris Disability Questionnaire (RMDQ), Patient Health Questionnaire Depression subscale (PHQ9), and socioeconomic data.
One hundred and twenty-seven individuals completed the questionnaires at baseline (31 having acute, 15 subacute and 81 chronic low back pain) and 97 at follow-up. Illness intrusiveness was negatively correlated with chronic pain acceptance both at T1 (r = -0.39) and T2 ( = -0.44). Illness intrusiveness scores have not changed significantly from T1 ( = 28.59 SD = 13.08) to T2 ( = 28.24, SD = 15.76). In a multiple regression model-including pain intensity, functional status, pain acceptance, depression severity, age, sex and educational level-the independent predictors of follow-up illness intrusiveness scores were lower pain acceptance and higher depression scores.
In our study, patients with acute, subacute and chronic low back pain reported similar levels of illness intrusiveness. In addition, illness intrusiveness scores have not changed significantly during the 2-month follow-up period and pain acceptance proved to be a significant independent predictor of illness intrusiveness among patients with chronic low-back pain.
在慢性疼痛综合征中，接受疼痛可能比控制疼痛是更好的方法。到目前为止，关于疼痛及其接受程度如何影响腰痛（LBP）患者的疾病侵扰性的数据还很少。
本纵向研究评估疼痛接受程度对LBP患者疾病侵扰性的影响。
研究参与者在四个不同的风湿病门诊之一就诊时（T1）被要求完成以下问卷，然后在2 - 3个月后（T2）通过电话或在线方式完成：慢性疼痛接受问卷（CPAQ）、疾病侵扰性评定量表（IIRS）、罗兰 - 莫里斯残疾问卷（RMDQ）、患者健康问卷抑郁分量表（PHQ9）以及社会经济数据。
127人在基线时完成了问卷（31人患有急性腰痛，15人患有亚急性腰痛，81人患有慢性腰痛），97人完成了随访。在T1（r = -0.39）和T2（r = -0.44）时，疾病侵扰性与慢性疼痛接受程度均呈负相关。从T1（均值 = 28.59，标准差 = 13.08）到T2（均值 = 28.24，标准差 = 15.76），疾病侵扰性得分没有显著变化。在一个多元回归模型中，包括疼痛强度、功能状态、疼痛接受程度、抑郁严重程度、年龄、性别和教育水平，随访疾病侵扰性得分的独立预测因素是较低的疼痛接受程度和较高的抑郁得分。
在我们的研究中，急性、亚急性和慢性腰痛患者报告的疾病侵扰性水平相似。此外，在2个月的随访期内疾病侵扰性得分没有显著变化，并且疼痛接受程度被证明是慢性腰痛患者疾病侵扰性的一个重要独立预测因素。
