Liu Ling-Jun, Peng Hsiu-Ling, Lin Edward Meng-Hua, Liang Wan-Ping
Department of Anesthesiology, Changhua Christian Hospital, Changhua City, Taiwan.
Department of Statistics, Tunghai University, Taichung City, Taiwan.
Pain Res Manag. 2025 Apr 17;2025:3056383. doi: 10.1155/prm/3056383. eCollection 2025.
Resilience to pain is a protective factor against aversive pain outcomes, such as suicide. Religiosity as a cornerstone of resilience has been found to be associated with reduced risk of suicidality in chronic pain. However, affiliations to different religions have displayed differences in suicide risk. This study focuses on the roles of pain resilience and Dao religion in mitigating suicidal experience in individuals with chronic pain. This study adopted a mixed-method approach. A preliminary investigation was conducted regarding the internal consistency and construct validity of the translated version of the pain resilience scale (PRS). Qualitative data were collected through interviews with individuals experiencing chronic pain. Levels of PRS and gender were included in the logistic regression on the probability of suicide attempts. The role of Dao practice was qualitatively analyzed through narrative analysis. Among the 24 participants, 14 were affiliated with the Dao religion; therefore, the transcripts of these 14 interviews were analyzed. Individuals with moderate scores on the PRS were 11.60 times less likely to have attempted suicide than those with low PRS scores. The likelihood further decreased by 38.7 times in those with high PRS scores. Four themes emerged from the qualitative interviews. The participants experienced a burden from pain, made efforts to please the deities in exchange for better pain control, continuously adjusted to pain, and ultimately developed a new perspective on the relationship between their religion and pain. Many individuals have engaged in Dao rituals to try to alleviate their physical and psychological pain. Most participants tended to offer a religious interpretation of enlightening moments after surviving a suicide attempt. This study illustrates how pain resilience and Dao religious practices mitigate suicidality in chronic pain. ClinicalTrials.gov identifier: NCT05148364.
对疼痛的耐受力是预防诸如自杀等不良疼痛后果的一个保护因素。宗教信仰作为耐受力的基石，已被发现与慢性疼痛患者自杀风险的降低有关。然而，不同宗教信仰在自杀风险方面存在差异。本研究聚焦于疼痛耐受力和道教在减轻慢性疼痛个体自杀经历方面的作用。本研究采用了混合研究方法。对疼痛耐受力量表（PRS）翻译版本的内部一致性和结构效度进行了初步调查。通过对慢性疼痛个体的访谈收集定性数据。将PRS水平和性别纳入自杀未遂概率的逻辑回归分析中。通过叙事分析对道教修行的作用进行了定性分析。在24名参与者中，有14人信奉道教；因此，对这14次访谈的记录进行了分析。PRS得分中等的个体自杀未遂的可能性比PRS得分低的个体低11.60倍。PRS得分高的个体，其可能性进一步降低至38.7倍。定性访谈中出现了四个主题。参与者经历了疼痛带来的负担，努力取悦神灵以换取更好的疼痛控制，不断适应疼痛，并最终对他们的宗教与疼痛之间的关系形成了新的看法。许多人参与道教仪式以试图减轻他们的身心疼痛。大多数参与者倾向于对自杀未遂后获得启示的时刻给出宗教解释。本研究阐明了疼痛耐受力和道教修行如何减轻慢性疼痛中的自杀倾向。ClinicalTrials.gov标识符：NCT05148364。
