患有疼痛膝关节关节炎的人对活动活动有负面的隐性态度
Brian W Pulling1,2, Felicity A Braithwaite1,2, Joanne Mignone3
1Persistent Pain Research Group, Hopwood Centre for Neurobiology, Lifelong Health Theme, South Australia Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia.
Pain
|April 18, 2024
概括
与没有疼痛的人相比,患有膝关节关节炎 (KOA) 的人在活动和危险之间表现出更强烈的无意识负面关联. 这些隐含的态度提供了超越自我报告措施的独特见解,以了解KOA中减少的身体活动.
科学领域:
- 心理学 心理学 心理学
- 康复科学 康复科学 康复科学
- 生物医学工程 生物医学工程
背景情况:
- 对骨关节炎的负面态度,疼痛和活动减少了膝关节骨关节炎 (KOA) 患者的身体活动.
- 自我报告问卷捕捉了有意识的信念,但可能错过了自动关联.
- 隐性评估方法可以揭示影响行为的无意识偏见.
研究的目的:
- 开发和验证隐性关联测试 (IAT),以评估KOA患者的威胁活动关联.
- 为了比较KOA患者与无疼痛和非KOA下肢疼痛控制组的隐性威胁活动关联.
- 检查隐性态度与骨关节炎信仰和运动恐惧的自我报告措施之间的相关性.
主要方法:
- 558名参与者接受了在线调查,其中223人患有疼痛性KOA,207人没有疼痛,99人患有非KOA下肢疼痛.
- 一个IAT测量了膝盖活动/休息图像与感知到的威胁 (安全与危险) 之间的关联.
- 自我报告措施包括疼痛知识,骨关节炎/疼痛/活动信念和对运动的恐惧.
主要成果:
- 在所有组中都发现了"危险"和"活动"之间的显著隐性关联.
- 这种"危险活动"的关联在KOA组明显大于无疼痛和非KOA下肢疼痛组.
- 隐性措施与自我报告的态度之间的相关性是无意义的或弱的.
结论:
- 患有疼痛膝关节关节炎的个体表现出加剧的隐性威胁活动关联.
- 这些隐含的关联提供了独特的信息,传统的自我报告措施无法捕捉到这些信息.
- 需要进一步的研究来将隐含的威胁活动关联与KOA的身体活动水平联系起来.
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