慢性疼痛接纳与疼痛相关残疾之间的关联:一项荟萃分析。

The Association Between Chronic Pain Acceptance and Pain-Related Disability: A Meta-Analysis.

作者信息

White Kyle M, Zale Emily L, Lape Emma C, Ditre Joseph W

机构信息

Department of Psychology, Syracuse University, 352 Marley Educational Building, 765 Irving Avenue, Syracuse, NY, 13244, USA.

Department of Psychology, Binghamton University, Binghamton, NY, 13902, USA.

出版信息

J Clin Psychol Med Settings. 2024 Dec 16. doi: 10.1007/s10880-024-10061-1.

Abstract

Chronic pain acceptance has been identified as a crucial determinant of functioning among individuals living with chronic pain. However, research examining the relationship between chronic pain acceptance and pain-related disability has revealed variability across studies. The aims of this meta-analysis were to synthesize associations between chronic pain acceptance and pain-related disability, and test the moderating influence of pain characteristics, demographic factors, and methodological variables. Searches of PubMed and PsycINFO electronic databases located 24 studies (N = 6072) reporting correlations between chronic pain acceptance and pain-related disability. Meta-analytic calculations were performed using random effects models. Results indicated a negative association between chronic pain acceptance and pain-related disability that can be characterized as moderate in magnitude (r = -.45) and was stable across pain characteristics and demographic factors. Moderator analyses suggested the association between chronic pain acceptance and pain-related disability may be sensitive to the measures used to assess these constructs. These findings underscore the role of chronic pain acceptance in pain-related disability and reinforce the clinical significance of acceptance-based approaches in enhancing functional outcomes among chronic pain patients.

摘要

慢性疼痛接纳已被确定为慢性疼痛患者功能状态的一个关键决定因素。然而,关于慢性疼痛接纳与疼痛相关残疾之间关系的研究显示,各研究结果存在差异。本荟萃分析的目的是综合慢性疼痛接纳与疼痛相关残疾之间的关联,并检验疼痛特征、人口统计学因素和方法学变量的调节作用。通过检索PubMed和PsycINFO电子数据库,找到了24项研究(N = 6072),这些研究报告了慢性疼痛接纳与疼痛相关残疾之间的相关性。使用随机效应模型进行荟萃分析计算。结果表明,慢性疼痛接纳与疼痛相关残疾之间存在负相关,其强度可描述为中等(r = -0.45),且在疼痛特征和人口统计学因素中保持稳定。调节因素分析表明,慢性疼痛接纳与疼痛相关残疾之间的关联可能对用于评估这些构念的测量方法敏感。这些发现强调了慢性疼痛接纳在疼痛相关残疾中的作用,并强化了基于接纳的方法在改善慢性疼痛患者功能结局方面的临床意义。

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