除了疼痛之外:心理因素对纤维肌痛功能状态的影响
Denise Mellace1, Edoardo Nicolò Aiello2, Gaia Del Prete-Ferrucci3
1Department of Oncology and Haemato-Oncology, University of Milan, Italy.
Clinical and experimental rheumatology
|July 5, 2024
概括
心理因素,如疼痛灾难化和自我效能,比疼痛强度本身更明显地影响纤维肌痛患者的日常功能和健康. 这些发现强调了在纤维肌痛管理中解决心理方面的重要性.
科学领域:
- 类风湿病学 类风湿病学
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
背景情况:
- 纤维肌痛 (FM) 是一种慢性疾病,其特点是普遍的疼痛,疲劳,睡眠,认知和情绪障碍.
- 疼痛感知是复杂的,受心理因素的影响,如疼痛灾难化和自我效能.
- 这些心理因素显著影响患者的个人,社会和职业功能.
研究的目的:
- 调查慢性疼痛和相关心理因素对纤维肌痛患者功能结果的影响.
- 确定疼痛强度,疼痛灾难化和自我效能的相对影响在FM的日常功能和生活质量.
主要方法:
- 一项涉及91名意大利纤维肌痛患者的研究,通过在线问卷进行评估.
- 使用数值评分表 (NRS) 和简要疼痛库存 (BPI) 评估疼痛.
- 通过疼痛灾难化量表 (PCS) 和疼痛自我有效性问卷 (PSEQ) 测量的心理因素.
- 使用12项简短形式调查 (SF-12) 评估与健康相关的生活质量.
- 多重回归模型分析了疼痛,心理因素和功能结果之间的关系.
主要成果:
- 疼痛灾难化量表 (PCS) 和疼痛自我有效性问卷 (PSEQ) 显著预测了疼痛干扰 (BPI-干扰).
- 数字评级表 (NRS) 和PSEQ显著预测了SF-12的物理组成部分.
- PCS是SF-12精神组成部分的唯一显著预测因素.
结论:
- 心理变量,特别是灾难性思维和自我效能,显著影响纤维肌痛患者的日常功能.
- 这些心理因素对身体和精神健康状况的影响比仅仅疼痛强度的影响更大.
- 这些发现强调了心理干预在治疗纤维肌痛方面发挥的关键作用.
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