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系统性硬化症患者的疼痛强度和身体功能之间的关联的心理社会调节者

Daniel Whibley¹, Deeba Minhas², John A Sturgeon³

¹Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.

Journal of scleroderma and related disorders

|January 23, 2025

概括

在全身性硬化症中,负面情绪和焦虑加剧了疼痛对身体功能的影响. 解决这些心理社会因素可能会改善身体功能,即使有持续的疼痛.

科学领域:

类风湿病学类风湿病学
精神病体医学是一种精神病体医学.
康复康复康复康复

背景情况:

疼痛是系统性硬化症 (SSc) 的常见和衰弱症状.
以前的研究将更高的疼痛强度与SSc患者的身体功能减少联系在一起.
心理社会因素在缓解这种疼痛与身体功能关系中的作用仍然未被充分研究.

研究的目的:

研究心理社会因素对患有全身性硬化症的成年人疼痛强度和身体功能之间的关联的缓和作用.
确定加剧或减轻疼痛对身体功能的影响的特定心理社会因素.

主要方法:

从疲劳自我管理试验中对173名患有系统性硬化症的成年人进行横截面分析.
评估疼痛强度,身体功能 (PROMIS 4a) 和心理社会因素 (影响,弹性,焦虑,抑郁,自我效能).
带有相互作用项的线性回归模型来测试疼痛-身体功能联系的心理社会调节者,调整为共变量.

主要成果:

疼痛强度解释了身体功能的31%的差异.
显著的相互作用表明,更高的负面影响和焦虑放大了疼痛对身体功能的有害影响.
在积极影响,弹性或自我效能方面没有观察到显著的适度.

结论:

负面影响和焦虑显著恶化了疼痛对系统性硬化症的身体功能的影响.
针对负面影响和焦虑的干预措施可能对改善SSc患者的身体功能至关重要.
这些发现强调了生物心理社会方法在治疗系统性硬化症方面的重要性.

关键词:

系统性硬化症系统性硬化症慢性疼痛是一种慢性疼痛.患者报告的结果.身体功能身体功能身体功能心理社会因素心理社会因素

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