社会功能对灾难化和疼痛之间的关系的调解效应,慢性腰部疼痛患者的疼痛
Lauren N Papianou1, Jenna M Wilson1, Robert R Edwards1
1Department of Anesthesiology and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, United States.
Pain medicine (Malden, Mass.)
|July 3, 2023
概括
疼痛灾难化对慢性腰部疼痛 (cLBP) 患者的社会功能产生负面影响. 社会功能受损调解了cLBP中灾难化和疼痛严重程度增加之间的联系.
科学领域:
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
- 社会神经科学是一种社会神经科学.
背景情况:
- 疼痛灾难化是一种人际应对策略,可以悖论地损害社会功能.
- 有限的研究已经探索了疼痛灾难性的社会背景,特别是在慢性疼痛人群中.
- 了解这些社会动态对于有效的疼痛管理至关重要.
研究的目的:
- 研究慢性下背痛 (cLBP) 患者与无疼痛对照者之间的疼痛灾难化作为社会功能差异的媒介.
- 探索社会功能在cLBP群体内疼痛灾难化和疼痛严重程度之间的关系中扮演的调解角色.
主要方法:
- 一项观察性研究将62名参与者与cLBP和79名无疼痛对照进行了比较.
- 经过验证的措施评估了疼痛,社会功能和疼痛的灾难化.
- 调解分析研究了灾难化对社会功能和社会功能,灾难化和疼痛之间的相互作用的间接影响.
主要成果:
- 与对照组相比,患有cLBP的参与者表现出更高的疼痛,更差的社会功能,以及增加的灾难性行为.
- 灾难性的疼痛部分调解了群体之间的社会功能观察到的差异.
- 发现社会功能调解了cLBP亚组中更高的疼痛灾难化和更高的疼痛强度之间的关联.
结论:
- 社交功能受损是关键因素,将更高的疼痛灾难性与cLBP患者的更糟糕的疼痛结果联系在一起.
- 对cLBP的干预应整合解决疼痛灾难化和增强社会功能的策略.
- 认知行为治疗方法可能有利于同时针对这些方面.
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