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影响自我报告疼痛的心理因素。

Psychological factors that influence self-reported pain.

作者信息

Parker J C, Doerfler L A, Tatten H A, Hewett J E

出版信息

J Clin Psychol. 1983 Jan;39(1):22-5. doi: 10.1002/1097-4679(198301)39:1<22::aid-jclp2270390104>3.0.co;2-w.

DOI:10.1002/1097-4679(198301)39:1<22::aid-jclp2270390104>3.0.co;2-w
PMID:6826748
Abstract

Explored the relationship among the MMPI, the Beck Depression Inventory, and the pain dimensions from the McGill Pain Questionnaire. The instruments were administered to 30 male VA patients with histories of pain for longer than 3 months. Multiple regression analyses that investigated the relationship between depression and the pain measures found no statistically significant correlations. Additionally, the MMPI subscales were not related significantly to the sensory-discriminative pain scores, the cognitive-evaluative pain scores, the present pain intensity scores, the percent of body area in pain, or the total number of pain words endorsed. In contrast, the MMPI subscales were related significantly to the motivational-affective pain dimension and the miscellaneous pain dimension. In the motivational-affective analysis, a significant positive correlation was found for the PT subscale, but a significant negative correlation was found for the Sc subscale. In the miscellaneous pain analysis, a significant positive correlation was found for the Hs subscale. The results are interpreted in the context of cognitive-behavioral conceptualizations of chronic pain.

摘要

探讨了明尼苏达多相人格测验(MMPI)、贝克抑郁量表和麦吉尔疼痛问卷中的疼痛维度之间的关系。对30名有超过3个月疼痛病史的男性退伍军人管理局患者进行了这些测评工具的测试。研究抑郁与疼痛测量之间关系的多元回归分析未发现统计学上的显著相关性。此外,MMPI分量表与感觉辨别性疼痛评分、认知评价性疼痛评分、当前疼痛强度评分、疼痛身体部位百分比或认可的疼痛词汇总数均无显著相关性。相比之下,MMPI分量表与动机情感性疼痛维度和其他疼痛维度显著相关。在动机情感性分析中,发现Pt分量表存在显著正相关,但Sc分量表存在显著负相关。在其他疼痛分析中,发现Hs分量表存在显著正相关。研究结果在慢性疼痛的认知行为概念框架下进行了解释。

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