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慢性疼痛与抑郁:普遍的还是个人的无助感?

Chronic pain and depression: universal or personal helplessness?

作者信息

Skevington S M

出版信息

Pain. 1983 Mar;15(3):309-17. doi: 10.1016/0304-3959(83)90065-9.

DOI:10.1016/0304-3959(83)90065-9
PMID:6222278
Abstract

The study investigates beliefs about control and links it to the depression found in those with chronic pain. These beliefs are interpreted within the new model of learned helplessness which distinguishes personal helplessness from universal helplessness on the basis of attributions. Despite higher levels of depressive symptoms in the pain group, this was not reflected by higher levels of self-blame or beliefs in the actions of others, so personal helplessness was discounted. Higher beliefs in chance, lack of self-blame and correlations between chance, depression and pain support the presence of universal helplessness in this group. The reporting behaviour of pain patients is discussed in the light of these findings.

摘要

该研究调查了关于控制的信念,并将其与慢性疼痛患者中发现的抑郁症联系起来。这些信念在习得性无助的新模型中得到解释,该模型根据归因将个人无助与普遍无助区分开来。尽管疼痛组的抑郁症状水平较高,但这并未通过更高的自责水平或对他人行为的信念得到体现,因此个人无助被排除。对机遇的更高信念、缺乏自责以及机遇、抑郁和疼痛之间的相关性支持了该组中存在普遍无助。根据这些发现对疼痛患者的报告行为进行了讨论。

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J Pain. 2007 Sep;8(9):718-29. doi: 10.1016/j.jpain.2007.05.006. Epub 2007 Jul 5.
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Chronic back pain and rheumatoid arthritis: predicting pain and disability from cognitive variables.慢性背痛与类风湿性关节炎:从认知变量预测疼痛和残疾状况
J Behav Med. 1988 Jun;11(3):251-65. doi: 10.1007/BF00844431.