情绪调节与慢性疼痛患者的疼痛灾难化之间的关系
Yan Yuan1, Kristin Schreiber2, K Mikayla Flowers2
1School of Social Work, University of Pittsburgh, Pittsburgh, PA 15260, United States.
Pain medicine (Malden, Mass.)
|February 19, 2024
概括
情绪调节困难加剧慢性疼痛,增加疼痛灾难化 (PC). 了解这种联系对于治疗慢性疼痛和改善慢性疼痛患者的治疗结果至关重要.
科学领域:
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
- 临床研究 临床研究
背景情况:
- 疼痛灾难化 (PC) 是一种对疼痛的不适应性认知/情绪反应.
- 情绪调节 (ER) 的困难可以加剧疼痛和情绪控制.
- 慢性疼痛中PC和ER之间的相互作用是研究不足的.
研究的目的:
- 调查情绪调节 (ER) 是否通过疼痛灾难化 (PC) 加剧疼痛经历.
- 检查PC在ER和疼痛结果之间的关系中的调解作用.
主要方法:
- 招募了150名服用阿片类药物的慢性非癌症疼痛 (>3个月) 的成年人.
- 通过关于人口统计,物质使用,心理健康和疼痛结果的问卷收集的数据.
- 结构方程建模用于分析ER,PC和疼痛之间的关系.
主要成果:
- 疼痛干扰和严重程度与焦虑,抑郁,ER,PC和痛苦不耐受有关.
- 心理社会变量与疼痛干扰之间的关联比疼痛严重程度更强.
- 疼痛灾难化 (PC) 完全调解了情绪调节 (ER) 和疼痛体验之间的关系.
结论:
- 认知和情绪因素,如不接受,缺乏意识,放大和无助,在慢性疼痛中都很重要.
- 情绪调节 (ER),由疼痛灾难化 (PC) 介导,在影响疼痛体验方面发挥着至关重要的作用.
- 针对ER和PC可能是慢性疼痛管理的关键.
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