自我抑制的行为模式和抑郁特征加剧慢性疼痛:使用结构化关联技术方法的心理特征评估
Shin Hashizume1, Masako Nakano1, Chihiro Ikehata1
1Department of Anatomy, Sapporo Medical University School of Medicine, Sapporo, Hokkaido, Japan.
PloS one
|March 17, 2025
概括
心理特征,如自我抑制行为和抑郁症,与老年人的慢性疼痛严重程度有显著的相关性. 早期对母亲的依恋可能会影响这些特征,影响疼痛管理策略.
科学领域:
- 心理学 心理学 心理学
- 老年学是一门学科.
- 疼痛管理 疼痛管理
背景情况:
- 慢性疼痛是老年人普遍存在的问题,通常受心理因素的影响.
- 了解心理特征和疼痛感知之间的相互作用对于有效管理至关重要.
研究的目的:
- 研究心理特征之间的关系,特别是自我抑制的行为模式 (S) 和抑郁症 (D),以及老年人的慢性疼痛严重程度.
- 探索早期母亲的依恋在塑造这些心理特征中的潜在作用.
主要方法:
- 利用结构化关联技术 (SAT) 评估接受康复的105名老年人的心理特征.
- 使用数值评分尺度 (NRS) 评估慢性疼痛的严重程度,并检查母亲的依恋经历.
- 使用相关性和后勤回归分析来识别显著关系.
主要成果:
- 在NRS得分和S尺度 (r=0.31,p=0.001) 和D尺度 (r=0.31,p=0.001) 之间发现了显著的正相关性.
- 在S和D等级上得分高的个体 (SD组) 呈现出严重慢性疼痛的几率比率明显更高 (OR=8.469,p=0.004).
- 在SD群中普遍存在的自我否定特征与母亲的依恋有负相关性,这表明增加疼痛的间接途径.
结论:
- 自我抑制的行为模式和抑郁症是导致老年人慢性疼痛严重程度的重要心理因素.
- 早期的生活经历,如母亲的依恋,可能会影响心理特征的发展,加剧慢性疼痛.
- 评估和解决自我抑制的行为模式和抑郁症可能为管理慢性疼痛提供一种有价值的方法.
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