McCracken L M, Goetsch V L, Semenchuk E M
Department of Psychiatry, University of Chicago, Illinois, USA.
Behav Med. 1998 Spring;24(1):29-34. doi: 10.1080/08964289809596378.
Coping with chronic pain during exposure to pain produced by activity was examined in 30 patients with chronic low back pain referred to a university pain management center. Patients' range of motion, autonomic responses, and anticipatory anxiety ratings before exposure and ratings of pain and anxiety after exposure were assessed, and the number of repetitions of the activities that produced the pain was recorded. Analyses showed that using coping self-statement was associated with lower skin conductance during anticipation and greater range of motion. Praying, hoping, and catastrophizing were associated with greater anticipatory anxiety, greater anxiety during the painful activity, and less range of motion from the onset of increased pain to the point of pain tolerance. Praying and hoping were associated with higher pain ratings and fewer repetitions of the activity. Assessment of coping during an incident of pain and multiple methods to measure pain and distress provided convincing evidence that patients' self-management responses influence the consequences of pain exposure.
对转至某大学疼痛管理中心的30名慢性下腰痛患者在暴露于由活动产生的疼痛期间应对慢性疼痛的情况进行了研究。评估了患者在暴露前的活动范围、自主反应和预期焦虑评分，以及暴露后的疼痛和焦虑评分，并记录了产生疼痛的活动的重复次数。分析表明，使用应对自我陈述与预期期间较低的皮肤电导率和更大的活动范围相关。祈祷、抱有希望和灾难化思维与更大的预期焦虑、疼痛活动期间更大的焦虑以及从疼痛加剧开始到疼痛耐受点的活动范围减小相关。祈祷和抱有希望与更高的疼痛评分和更少的活动重复次数相关。对疼痛事件期间应对情况的评估以及测量疼痛和痛苦的多种方法提供了令人信服的证据，表明患者的自我管理反应会影响疼痛暴露的后果。
