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[慢性疼痛患者的情绪能力:自我与第三方评估]

[Emotional competence of patients with chronic pain : A self- and third-party assessment].

作者信息

Körner Anne Juliane, Sabatowski Rainer, Burdic Lisa, Beyer Linn, Gärtner Anne, Schönbach Benjamin, Kaiser Ulrike

机构信息

Universitätsklinikum Carl Gustav Carus Dresden, UniversitätsSchmerzCentrum (USC), Fetscherstr. 74, 01307, Dresden, Deutschland.

Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.

出版信息

Schmerz. 2024 Apr;38(2):125-131. doi: 10.1007/s00482-023-00720-x. Epub 2023 Jun 6.

Abstract

RESEARCH QUESTION

The aim of the study is to assess the status quo of emotional competence in people with chronic pain. How do patients experience themselves regarding to their ability to perceive, express, and regulate emotions? And does this assessment coincide with the assessment of emotional competence (EC) by mental health professionals?

METHODS

The study took place in the context of interdisciplinary multimodal pain therapy at an outpatient clinic in N = 184 adult German-speaking individuals with non-cancer-related chronic pain. EC was assessed at the end of therapy using the self- and third-party assessment scales of the Emotional Competence Questionnaire. The external assessment was performed by the mental health team. Standard scores were created using the norm sample provided by questionnaires. These were analyzed descriptively and inferentially.

RESULTS

Self-perceived EC was average (M = 99.31; SD = 7.78). The mental health professionals predominantly rated the emotional competence of the patients significantly lower (M = 94,70; SD = 7,81; F(1.179) = 35,73; p < 0.001; η = 0.17). Emotional expressivity, as a component of EC, was externally rated as below average (M = 89.14, SD = 10.33).

DISCUSSION

Patients with chronic pain rate themselves as unimpaired in terms of their daily emotional awareness, expression, and regulation abilities. At the same time, mental health professionals rate these same individuals as significantly less emotionally competent. The question remains open as to what extent the divergent assessments can be explained by assessment bias.

摘要

研究问题

本研究的目的是评估慢性疼痛患者的情绪能力现状。患者如何看待自己感知、表达和调节情绪的能力?这种评估与心理健康专业人员对情绪能力(EC)的评估是否一致?

方法

该研究在一家门诊诊所的跨学科多模式疼痛治疗背景下进行,研究对象为N = 184名说德语的成年非癌症相关慢性疼痛患者。在治疗结束时,使用情绪能力问卷的自我评估和第三方评估量表对情绪能力进行评估。外部评估由心理健康团队进行。使用问卷提供的常模样本创建标准分数。对这些分数进行描述性和推断性分析。

结果

自我感知的情绪能力处于平均水平(M = 99.31;SD = 7.78)。心理健康专业人员对患者情绪能力的评分大多显著较低(M = 94.70;SD = 7.81;F(1,179) = 35.73;p < 0.001;η = 0.17)。作为情绪能力组成部分的情绪表达能力,外部评分低于平均水平(M = 89.14,SD = 10.33)。

讨论

慢性疼痛患者认为自己在日常情绪意识、表达和调节能力方面没有受损。与此同时,心理健康专业人员认为这些患者的情绪能力明显较低。关于评估偏差在多大程度上可以解释这种差异评估的问题仍然悬而未决。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a4f/10959775/b1b165791b6d/482_2023_720_Fig1_HTML.jpg

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