Eyni Sanaz, Mousavi Seyede Elham, Sepahvand Hassan
Department of Psychology, University of Kurdistan, Sanandaj, Iran.
Department of Educational Science, Psychological Counseling and Guidance Branch, Ataturk University, Erzurum, Turkey.
Pain Manag Nurs. 2024 Apr;25(2):e144-e151. doi: 10.1016/j.pmn.2023.12.012. Epub 2024 Feb 13.
Acceptance of pain is one of the most significant topics in the field of chronic pain due to its influence on the adaptation and response of people. Also, chronic pain and pain caused by the progress of cancer have a high prevalence in all stages and types of cancer.
The present study aimed to predict the acceptance of chronic pain in patients with cancer based on anxiety sensitivity and emotional suppression with the mediating role of learned helplessness.
The current research method was descriptive-correlation and structural equation modeling. A number of patients with cancer (400), admitted to the oncology department of Imam Khomeini Hospital in Ardabil City of Iran in the second half of 2022, were selected as the convenience sample and responded to McCracker et al.'s chronic pain acceptance scale, Rees et al.'s anxiety sensitivity scale, Roger and Nasho's emotional control questionnaire, and Quinles and Nielson's learned helplessness questionnaire.
Based on the obtained results, the causal relationship between anxiety sensitivity, emotional suppression, learned helplessness, and acceptance of chronic pain in patients with cancer was confirmed based on various fit indices. Anxiety sensitivity, emotional suppression, and learned helplessness had a direct effect on the acceptance of chronic pain in patients with cancer. Moreover, anxiety sensitivity and emotional suppression through learned helplessness had indirect effects on pain acceptance in patients with cancer (p < .05).
Thus, anxiety sensitivity, emotional suppression, and learned helplessness play an essential role in the level of pain acceptance in patients with cancer, and targeting these three components through psychological treatments can be effective in the level of pain acceptance in these patients.
疼痛接纳是慢性疼痛领域最重要的话题之一，因为它会影响人们的适应和反应。此外，慢性疼痛和癌症进展引起的疼痛在所有癌症阶段和类型中都具有很高的患病率。
本研究旨在基于焦虑敏感性和情绪抑制，并以习得性无助为中介作用，预测癌症患者对慢性疼痛的接纳情况。
当前的研究方法为描述性相关性研究和结构方程建模。选取2022年下半年入住伊朗阿尔达比勒市伊玛目霍梅尼医院肿瘤科的若干癌症患者（400名）作为便利样本，让他们对麦克拉肯等人的慢性疼痛接纳量表、里斯等人的焦虑敏感性量表、罗杰和纳肖的情绪控制问卷以及奎因莱斯和尼尔森的习得性无助问卷进行作答。
基于所得结果，根据各项拟合指标证实了癌症患者焦虑敏感性、情绪抑制、习得性无助与慢性疼痛接纳之间的因果关系。焦虑敏感性、情绪抑制和习得性无助对癌症患者慢性疼痛的接纳有直接影响。此外，焦虑敏感性和情绪抑制通过习得性无助对癌症患者的疼痛接纳有间接影响（p < 0.05）。
因此，焦虑敏感性、情绪抑制和习得性无助在癌症患者的疼痛接纳水平中起着至关重要的作用，通过心理治疗针对这三个因素可以有效提高这些患者的疼痛接纳水平。
