Vlaeyen Johan W S, Van Eek Hugo, Groenman Nico H, Schuerman Joop A
Institute for Rehabilitation Research, HoensbroekThe Netherlands Lucas Foundation for Rehabilitation, HoensbroekThe Netherlands Department of Medical Psychology, University of Limburg, MaastrichtThe Netherlands.
Pain. 1987 Oct;31(1):65-75. doi: 10.1016/0304-3959(87)90007-8.
This study is a replication of a study done by Turk et al. but under different conditions. It is an attempt to empirically examine the dimensions and components of overt and observable chronic pain behavior. A broader definition of pain behavior is chosen, namely the interaction between the pain patient and his or her direct environment. The results suggest that pain behavior can be characterized by 3 dimensions: withdrawal-approach, high arousal-low arousal and visible-audible. Furthermore, chronic pain behavior seems to be composed of at least 9 components: anxiety, attention seeking, verbal pain complaints, medication use, general verbal complaints, distorted posture and mobility, fatigue, insomnia, and depressive mood. More dimensions and components were discovered than in the study by Turk and his colleagues. However, they correspond with the variety of psychosocial problems associated with the chronic pain syndrome. This information seems to provide a useful basis for the development of an observational measurement technique for chronic pain.
本研究是对Turk等人所做研究的重复，但条件不同。它试图通过实证研究公开且可观察到的慢性疼痛行为的维度和组成部分。我们选择了一个更宽泛的疼痛行为定义，即疼痛患者与其直接环境之间的相互作用。结果表明，疼痛行为可由三个维度来表征：退缩-趋近、高唤醒-低唤醒以及可见-可听。此外，慢性疼痛行为似乎至少由九个组成部分构成：焦虑、寻求关注、言语性疼痛主诉、药物使用、一般性言语抱怨、姿势和行动扭曲、疲劳、失眠以及抑郁情绪。与Turk及其同事的研究相比，发现了更多的维度和组成部分。然而，它们与慢性疼痛综合征相关的各种心理社会问题相对应。这些信息似乎为开发一种慢性疼痛的观察测量技术提供了有用的基础。
