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识别健康成年人生物心理社会疼痛概念的潜在特征。

Identifying Latent Profiles of Healthy Adults' Biopsychosocial Pain Concepts.

作者信息

Lenhof Catherina, Dukek Laura, Wickering Linda, Hitschler Lena, Schneider Michael, Hechler Tanja

机构信息

Department of Clinical Psychology and Psychotherapy for Childhood and Adolescence, University of Trier, Trier 54286, Germany.

Department of Psychiatry, Psychotherapy and Psychosomatics, Faculty of Medicine, RWTH Aachen University, Aachen 52062, Germany.

出版信息

Pain Res Manag. 2025 May 9;2025:5706849. doi: 10.1155/prm/5706849. eCollection 2025.

Abstract

To develop effective, individualized pain science education for people with chronic (primary) pain, underlying pain concepts, defined as the understanding of what pain is, what function it serves, and what processes are thought to underpin it, are essential. Pain concepts and misconcepts of chronic pain can influence its development and maintenance. This study explores whether profiles of healthy adults' biopsychosocial pain concepts can be identified using a newly developed tool, the (BiPS matrix), and if adults assigned to the profiles differ regarding sociodemographic and pain-related variables.  = 229 healthy adults (75% female,  = 22.66 years, SD = 3.61) participated in an online survey. The BiPS matrix assesses biopsychosocial pain concepts through 40 items on the biological, psychological, and social domains combined with the five content dimensions of the common-sense model of self-regulation. A latent profile analysis (LPA) revealed a five-profile solution with distinct patterns of biopsychosocial pain concepts. Participants assigned to Profile 1 demonstrated strongly developed biopsychosocial pain concepts, Profile 2 showed weakly developed concepts, and Profiles 3 to 5 showed different levels of pain concepts. General and neurophysiological pain knowledge differed between profiles, with higher scores being associated with Profile 1 and lower scores with Profile 5. There were no differences in sociodemographic variables in adults assigned to the different profiles. Results provide preliminary evidence for distinct profiles of biopsychosocial pain concepts among healthy adults. Further research should replicate these findings in clinical samples to better understand biopsychosocial pain concepts and their use for individualized pain science education.

摘要

为了为慢性(原发性)疼痛患者开发有效、个性化的疼痛科学教育,潜在的疼痛概念(即对疼痛是什么、其作用是什么以及被认为是其基础的过程的理解)至关重要。慢性疼痛的概念和误解会影响其发展和维持。本研究探讨是否可以使用一种新开发的工具(生物心理社会疼痛概念矩阵,BiPS矩阵)来识别健康成年人的生物心理社会疼痛概念概况,以及分配到不同概况的成年人在社会人口统计学和疼痛相关变量方面是否存在差异。229名健康成年人(75%为女性,平均年龄=22.66岁,标准差=3.61)参与了一项在线调查。BiPS矩阵通过生物学、心理学和社会领域的40个项目以及自我调节常识模型的五个内容维度来评估生物心理社会疼痛概念。潜在概况分析(LPA)揭示了一种具有不同生物心理社会疼痛概念模式的五概况解决方案。分配到概况1的参与者表现出强烈发展的生物心理社会疼痛概念,概况2表现出较弱发展的概念,概况3至5表现出不同水平的疼痛概念。不同概况之间的一般疼痛知识和神经生理疼痛知识存在差异,概况1得分较高,概况5得分较低。分配到不同概况的成年人在社会人口统计学变量方面没有差异。研究结果为健康成年人中生物心理社会疼痛概念的不同概况提供了初步证据。进一步的研究应在临床样本中重复这些发现,以更好地理解生物心理社会疼痛概念及其在个性化疼痛科学教育中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5230/12084786/13e6d672bd22/PRM2025-5706849.001.jpg

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