Tanik Faruk, Ozer Kaya Derya
Department of Physiotherapy and Rehabilitation, Health Sciences Institute, Izmir Katip Celebi University, Izmir, Turkey; Physiotherapy and Rehabilitation Application and Research Center, Izmir Katip Celebi University, Izmir, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey; Physiotherapy and Rehabilitation Application and Research Center, Izmir Katip Celebi University, Izmir, Turkey.
Pain Manag Nurs. 2024 Dec;25(6):645-651. doi: 10.1016/j.pmn.2024.06.008. Epub 2024 Jul 12.
This study aimed to investigate the relationship between pain and functional levels with pain catastrophizing, rumination, decision-making, and critical thinking in people with chronic neck pain.
The study included 62 patients with chronic neck pain who had presented to a physiotherapy center with pain complaints for at least 3 months. The visual analog scale for pain severity, the Neck Disability Index for functional level, the Pain Catastrophizing Scale, the Ruminative Thinking Scale, the Melbourne Decision-Making Scale I-II, and the Marmara Critical Thinking Inventory were used for assessments.
Activity pain, night pain, and disability were positively correlated with rumination (rho: 0.368, p = .003; rho: 0.423, p = <.001; rho = 0.334, p = .008). There was a positive correlation between night pain, disability, and pain catastrophizing (rho = 0.298, p = .019; rho = .434 p < .001). A negative correlation was observed between patients' pain severity and disability with critical thinking scores (rho = -0.393, p = .002; rho = -0.377 p = .003, rho = -0.428 p < .001, rho = -0.441 p < .001).
The study suggested that there were positive correlations between pain severity and disability with rumination and pain catastrophizing. Additionally, chronic neck pain was found to have negative correlations with critical thinking scores, indicating potential impacts on cognitive processes. These findings may provide insights into the complex interplay between chronic pain and psychological factors, which can inform the development of interventions to enhance chronic pain management.
本研究旨在探讨慢性颈痛患者的疼痛与功能水平与疼痛灾难化、沉思、决策和批判性思维之间的关系。
该研究纳入了62例慢性颈痛患者，这些患者因疼痛主诉至少3个月而就诊于一家物理治疗中心。使用疼痛严重程度视觉模拟量表、功能水平颈部残疾指数、疼痛灾难化量表、沉思思维量表、墨尔本决策量表I-II和马尔马拉批判性思维量表进行评估。
活动疼痛、夜间疼痛和残疾与沉思呈正相关（rho：0.368，p = 0.003；rho：0.423，p < 0.001；rho = 0.334，p = 0.008）。夜间疼痛、残疾与疼痛灾难化之间存在正相关（rho = 0.298，p = 0.019；rho = 0.434，p < 0.001）。观察到患者的疼痛严重程度和残疾与批判性思维得分呈负相关（rho = -0.393，p = 0.002；rho = -0.377，p = 0.003，rho = -0.428，p < 0.001，rho = -0.441，p < 0.001）。
该研究表明，疼痛严重程度和残疾与沉思和疼痛灾难化之间存在正相关。此外，发现慢性颈痛与批判性思维得分呈负相关，表明对认知过程有潜在影响。这些发现可能为慢性疼痛与心理因素之间的复杂相互作用提供见解，可为加强慢性疼痛管理的干预措施的制定提供参考。
