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使用在线疼痛管理项目的人群中的疼痛模式及其与心理测量指标的关联。

Pain patterns and their association with psychological measures among people accessing an online pain management program.

作者信息

Gardner Tania, Shiner Christine T, Mahoney Alison, Loui Henry, McKay Marnee

机构信息

Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.

Clinical Research Unit for Anxiety and Depression (CRUfAD), St Vincent's Hospital, Sydney, Australia.

出版信息

Pain Manag. 2025 Apr;15(4):205-212. doi: 10.1080/17581869.2025.2487408. Epub 2025 Apr 3.

Abstract

AIM

This study aimed to explore the association between the distribution of pain sites and psychosocial measures at baseline of patients enrolled in an online MPMP.

PATIENTS

This study analyzed baseline data from adults ( = 2002) enrolled in the 'Reboot Online' pain program.

METHODS

Participants completed measures of Pain Self-Efficacy Questionnaire (PSEQ), Tampa Scale for Kinesiophobia (TSK), Pain Disability Index (PDI), Patient Health Questionnaire (PHQ-9), and Kessler Psychological Distress Scale (K-10). Pain was categorized by the number of body regions affected: 1, 2, 3, >3. One-way ANOVA tests examined psychosocial measure differences across these groups.

RESULTS

The majority of participants had multisite pain, with multisite pain showing significantly worse psychosocial outcome measures ( < .05) compared to those with a single pain site, except for kinesiophobia, which was consistently high across groups.

CONCLUSION

Most online participants reported multisite pain, with multisite pain associated with poorer baseline psychosocial outcome measures, excluding kinesiophobia. The pattern of pain should be considered when developing and implementing online programs.

摘要

目的

本研究旨在探讨参加在线多部位疼痛管理项目(MPMP)的患者在基线时疼痛部位分布与心理社会指标之间的关联。

患者

本研究分析了参加“重启在线”疼痛项目的成年人(n = 2002)的基线数据。

方法

参与者完成了疼痛自我效能问卷(PSEQ)、坦帕运动恐惧量表(TSK)、疼痛残疾指数(PDI)、患者健康问卷(PHQ - 9)和凯斯勒心理困扰量表(K - 10)的测评。疼痛根据受影响的身体区域数量进行分类:1个、2个、3个、超过3个。单向方差分析检验考察了这些组间心理社会指标的差异。

结果

大多数参与者存在多部位疼痛,与单一疼痛部位的参与者相比,多部位疼痛的参与者心理社会结局指标显著更差(P < 0.05),运动恐惧除外,其在各组中一直较高。

结论

大多数在线参与者报告存在多部位疼痛,多部位疼痛与较差的基线心理社会结局指标相关,但运动恐惧除外。在制定和实施在线项目时应考虑疼痛模式。

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