Takaoka Saki, Wakaizumi Kenta, Tanaka Chisato, Tanaka Shintaro, Kawate Morihiko, Hoshino Reiko, Matsudaira Ko, Fujisawa Daisuke, Morisaki Hiroshi, Kosugi Shizuko
Department of Anesthesiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Interdisciplinary Pain Center, Keio University Hospital, Tokyo 160-0016, Japan.
J Clin Med. 2023 Apr 16;12(8):2896. doi: 10.3390/jcm12082896.
Interoceptive awareness, the conscious perception of internal bodily states, is a key construct of mind-body interaction. Decreases in interoceptive awareness, as measured by the Multidimensional Assessment of Interoceptive Awareness (MAIA), are found in chronic pain patients. In this study, we explored whether a specific aspect of interoceptive awareness is a risk for the onset and chronicity of pain. A longitudinal cohort study was conducted in 2018 and 2020 among a sample of full-time workers in an industrial manufacturing company in Japan. Participants completed a questionnaire on pain intensity, MAIA, exercise habits, kinesiophobia, psychological distress and work stress. Principal component analyses using the MAIA identified two principal components: and . Low was associated with the prevalence of moderate to severe pain in 2020 among people with mild or no pain in 2018 ( < 0.01). Lack of exercise habits were associated with the prevalence of moderate to severe pain in 2020 among people with pain in 2018 ( < 0.01). Furthermore, exercise habits were associated with reduction in kinesiophobia among people with moderate to severe pain in 2018 ( = 0.047). Overall, these findings indicate that low may be a risk for the onset of moderate to severe pain; lack of exercise habits may sustain kinesiophobia and be a risk for the chronicity of pain.
内感受性觉知，即对身体内部状态的有意识感知，是身心交互作用的一个关键概念。通过内感受性觉知多维评估（MAIA）测量发现，慢性疼痛患者的内感受性觉知会降低。在本研究中，我们探讨了内感受性觉知的一个特定方面是否是疼痛发作和慢性化的风险因素。2018年和2020年，在日本一家工业制造公司的全职工人样本中进行了一项纵向队列研究。参与者完成了一份关于疼痛强度、MAIA、运动习惯、运动恐惧、心理困扰和工作压力的问卷。使用MAIA进行的主成分分析确定了两个主成分： 和 。低 在2018年轻度疼痛或无疼痛的人群中与2020年中度至重度疼痛的患病率相关（ < 0.01）。缺乏运动习惯与2018年有疼痛的人群中2020年中度至重度疼痛的患病率相关（ < 0.01）。此外，运动习惯与2018年中度至重度疼痛人群的运动恐惧减少相关（ = 0.047）。总体而言，这些发现表明低 可能是中度至重度疼痛发作的风险因素；缺乏运动习惯可能会维持运动恐惧并成为疼痛慢性化的风险因素。
