Ratcliff Chelsea G, Lohiya Shrasti, Robinson-Whelen Susan, Taylor Heather, Ahn Alice, Korupolu Radha
Department of Psychology and Philosophy, Sam Houston State University.
Department of Physical Medicine and Rehabilitation, University of Texas Health Sciences Center at Houston.
Rehabil Psychol. 2024 Nov 11. doi: 10.1037/rep0000593.
Chronic pain is common among people with spinal cord injury (PwSCI) and impacts mental health (MH). Mindfulness may buffer the association of pain with MH, but few studies have examined this among PwSCI. This study examines the extent to which mindfulness moderates the association of pain intensity with MH among PwSCI.
PwSCI ( = 64) and chronic pain provided demographic and disability information, ratings of pain intensity (0-10 Numeric Rating Scale), pain interference, depression (eight-item Patient Health Questionnaire [PHQ-8]), anxiety (Generalized Anxiety Disorder-7 [GAD-7]), positive affect/wellbeing (SCI-QOL Positive Affect and Well-Being Short Form [PAWB-SF]), stress (Perceived Stress Scale-4 [PSS-4]), and mindfulness (15-item Five Facet Mindfulness Questionnaire [FFMQ-15]) at the time of their enrollment in a randomized controlled trial of a mindfulness intervention. The present, cross-sectional study used baseline data. Pain intensity, pain interference, mindfulness (FFMQ-15), the Pain Intensity × FFMQ-15 interaction, and relevant covariates were regressed on the four outcome measures (PHQ-8, GAD-7, PAWB-SF, and PSS-4).
There was a significant Pain Intensity × FFMQ-15 interaction effect on PHQ-8 ( = .008) and GAD-7 ( = .021), such that mindfulness buffered the positive relation of pain intensity with depression and anxiety. Additionally, there was a significant Pain Intensity × FFMQ-15 interaction effect on PAWB-SF ( = .032), but contrary to the hypothesis, mindfulness intensified a positive relation between pain intensity and positive affect/well-being.
Dispositional mindfulness may buffer the association of pain intensity with depression and anxiety. Examining interventions to enhance mindfulness among PwSCI is warranted. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
慢性疼痛在脊髓损伤患者（PwSCI）中很常见，并且会影响心理健康（MH）。正念可能会缓冲疼痛与心理健康之间的关联，但很少有研究在脊髓损伤患者中对此进行过考察。本研究考察了正念在多大程度上调节脊髓损伤患者中疼痛强度与心理健康之间的关联。
脊髓损伤患者（n = 64）及慢性疼痛患者提供了人口统计学和残疾信息、疼痛强度评分（0 - 10数字评分量表）、疼痛干扰、抑郁（八项患者健康问卷[PHQ - 8]）、焦虑（广泛性焦虑障碍量表 - 7[GAD - 7]）、积极情绪/幸福感（脊髓损伤生活质量积极情绪与幸福感简表[PAWB - SF]）、压力（感知压力量表 - 4[PSS - 4]），以及在他们参加一项正念干预随机对照试验入组时的正念水平（15项五因素正念问卷[FFMQ - 15]）。本横断面研究使用了基线数据。将疼痛强度、疼痛干扰、正念（FFMQ - 15）、疼痛强度×FFMQ - 15交互项以及相关协变量对四项结果指标（PHQ - 8、GAD - 7、PAWB - SF和PSS - 4）进行回归分析。
疼痛强度×FFMQ - 15交互项对PHQ - 8（p = .008）和GAD - 7（p = .021）有显著影响，即正念缓冲了疼痛强度与抑郁和焦虑之间的正相关关系。此外，疼痛强度×FFMQ - 15交互项对PAWB - SF有显著影响（p = .032），但与假设相反，正念增强了疼痛强度与积极情绪/幸福感之间的正相关关系。
特质正念可能会缓冲疼痛强度与抑郁和焦虑之间的关联。有必要研究提高脊髓损伤患者正念水平的干预措施。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
