人格类型和慢性疼痛:人格特征与慢性腰部疼痛之间的关系使用Eysenck的人格库存
William J Hanney1, Abigail T Wilson1, Travis Smith1
1School of Kinesiology and Physical Therapy, University of Central Florida, Orlando, FL 32816, USA.
NeuroSci
|November 1, 2024
概括
神经性人格特征与慢性腰部疼痛 (cLBP) 的较差结果有关,包括增加疼痛,残疾和对运动的恐惧. 了解个性可能会改善cLBP治疗和预后.
科学领域:
- 心理学和疼痛感知 心理学和疼痛感知
- 临床疼痛研究 临床疼痛研究
背景情况:
- 人格影响对刺激的反应,但其对疼痛感知的影响,特别是慢性腰痛 (cLBP),尚未完全理解.
- cLBP是一种普遍且使人衰弱的疾病,需要全面了解影响疼痛感知的因素,以便有效的临床管理.
研究的目的:
- 研究患有cLBP的患者的性格类型和疼痛体验之间的关系.
主要方法:
- 124名cLBP患者完成了Eysenck人格清单 (EPI) 的神经性和外向性,以及奥斯威斯特残疾指数 (ODI),运动恐惧症的坦帕尺度 (TSK),数值疼痛评级尺度 (NPRS) 和疼痛灾难化尺度 (PCS).
- 斯皮尔曼等级相关系数评估了疼痛与人格特征之间的关联.
- 层次集群分析 (沃德的方法) 根据个性和疼痛变量确定了子组.
主要成果:
- 较高的神经病症评分 (EPI-N) 与增加的运动恐惧 (p=0.001),疼痛灾难化 (p<0.001),残疾 (p<0.001) 和整体疼痛水平 (p=0.046) 有显著的相关性.
- 与具有更稳定的性格类型的人相比,神经性人格类型的个人报告说,他们更害怕运动,灾难化,残疾和疼痛.
- 集群分析揭示了三个不同的子组,其特点是不同程度的疼痛相关因素和人格特征.
结论:
- 人格类型显著影响与慢性腰痛相关的关键属性.
- 人格评估可以成为预测预后和为cLBP患者量身定制干预措施的宝贵工具.
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