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疼痛灾难化、情绪智力和疼痛强度在癌症慢性疼痛患者生活质量中的作用。

The Role of Pain Catastrophizing, Emotional Intelligence, and Pain Intensity in the Quality of Life of Cancer Patients with Chronic Pain.

机构信息

Department of Psychology, Panteion University, 136, Syngrou Avenue, 176 71, Athens, Greece.

School of Film, Aristotle University of Thessaloniki, Thessaloniki, Greece.

出版信息

J Clin Psychol Med Settings. 2023 Sep;30(3):501-519. doi: 10.1007/s10880-022-09921-5. Epub 2022 Nov 7.

Abstract

Pain catastrophizing (PC) is a negative cognitive distortion to actual or anticipated pain. This study aims to investigate the relationship between pain catastrophizing, emotional intelligence, pain intensity, and quality of life (QoL) in cancer patients with chronic pain. Eighty-nine outpatients with chronic pain attending pain clinics and palliative care units were recruited. Participants were men (42.7%) and women (57.3%) with an average age of 56.44 years (SD = 14.82). Self-report psychological measures were completed, including a measure of emotional intelligence, a standard measure of PC, a scale assessing pain intensity, and a scale measuring QoL. The PC scale was found to assess three correlated yet different dimensions of pain catastrophizing (helplessness, magnification, and rumination). Moreover, as expected, patients with PC scale scores ≥ 30 had lower scores in functional QoL dimensions and higher scores in the fatigue, pain, and insomnia symptom dimensions. Regression analyses demonstrated that PC (B = - 0.391, p = 0.004), pain intensity (B = - 1.133, p < 0.001), and education (B = 2.915, p = 0.017) remained the only significant variables related to QoL, when controlling for demographic and clinical confounders. Regarding mediating effects, PC and pain intensity were jointly found to be significant mediators in the relationship between emotional intelligence and QoL. Results are discussed in the context of the clinical implications regarding interventions designed to improve cancer patients' quality of life and offer new insight, understanding, and evaluation targets in the field of pain management.

摘要

疼痛灾难化(PC)是对实际或预期疼痛的一种消极认知扭曲。本研究旨在探讨癌症慢性疼痛患者疼痛灾难化、情绪智力、疼痛强度和生活质量(QoL)之间的关系。从疼痛诊所和姑息治疗科招募了 89 名患有慢性疼痛的门诊患者。参与者为男性(42.7%)和女性(57.3%),平均年龄为 56.44 岁(SD=14.82)。完成了自我报告的心理测量,包括情绪智力测量、疼痛灾难化标准测量、疼痛强度评估量表和生活质量评估量表。疼痛灾难化量表被发现评估了疼痛灾难化的三个相关但不同的维度(无助、放大和沉思)。此外,正如预期的那样,疼痛灾难化量表得分≥30 的患者在功能生活质量维度上的得分较低,在疲劳、疼痛和失眠症状维度上的得分较高。回归分析表明,在控制人口统计学和临床混杂因素后,疼痛灾难化(B=-0.391,p=0.004)、疼痛强度(B=-1.133,p<0.001)和教育程度(B=2.915,p=0.017)仍然是与 QoL 相关的唯一显著变量。关于中介效应,PC 和疼痛强度被发现在情绪智力和 QoL 之间的关系中具有共同的中介作用。研究结果在干预措施改善癌症患者生活质量的临床意义方面进行了讨论,并为疼痛管理领域提供了新的见解、理解和评估目标。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d353/10390631/24efb4721873/10880_2022_9921_Fig1_HTML.jpg

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