对于功能依赖,活动模式和慢性疼痛结果的社会支持:一个交叉滞后的调解小组研究
Sónia F Bernardes1, Tânia Brandão2, Marta Osório de Matos1
1Department of Social and Organizational Psychology, Centre for Social Research and Intervention (Cis-Iscte), Iscte-University Institute of Lisbon.
概括
对于患有慢性疼痛的人来说,对于功能依赖而言,接受无助的社会支持会加剧疼痛结果和活动参与. 这种双向关系凸显了疼痛感知和随着时间推移的社会互动之间的复杂相互作用.
科学领域:
- 老年学是指老年学的学科.
- 疼痛管理 疼痛管理
- 社会心理学 社会心理学
背景情况:
- 社会支持可能会对慢性疼痛患者产生负面影响,特别是当它促进依赖时.
- 疼痛结果与削弱社会支持之间的关系的方向性尚未得到充分理解.
- 随着时间的推移,活动模式作为这些关系中介者的作用仍然不清楚.
研究的目的:
- 研究老年人中破坏活动参与和疼痛结果的社会支持之间的纵向,双向关系.
- 检查活动模式在社会支持和疼痛结果之间的关联中扮演的调解角色.
- 解决有关慢性疼痛和社会支持的跨层面小组研究的文献缺口.
主要方法:
- 进行了为期3个月的前性研究,包括三个数据收集波.
- 130名患有慢性肌肉骨疼痛的老年人参与了这项研究.
- 自我报告措施评估了对功能依赖,活动模式,身体功能,疼痛严重程度和干扰的社会支持.
主要成果:
- 交叉滞后的面板调解模型表明,随着时间的推移,疼痛结果和社会支持之间的双向影响.
- 在基线较差的疼痛结果 (更高的严重程度/干扰,更低的功能) 预测了对功能依赖的社会支持增加.
- 较差的疼痛结果预测了活动避免的增加和不太过分,通过增加对功能依赖的支持来调解.
结论:
- 这项研究揭示了一个循环关系,疼痛影响了所获得的社会支持类型,这反过来又影响了活动模式.
- 研究结果强调需要进一步研究慢性疼痛管理中的这些动态人际关系.
- 在未来的慢性疼痛自我管理干预中,应该考虑人际关系的动态,特别是社会支持.
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