疼痛认知和身体功能之间的关系在一个样本的种族多样化,久坐不动的个体,慢性疼痛
Hannah M Fisher1, Sarah A Kelleher1, Tamara J Somers1
1Pain Prevention and Treatment Research Program, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
概括
关于疼痛的负面想法,如灾难化和运动恐惧症,与疼痛对日常活动的影响程度有关. 然而,这些想法并没有影响慢性肌肉骨疼痛的成年人的客观身体功能测试.
科学领域:
- 疼痛管理 疼痛管理
- 康复科学 康复科学 康复科学
- 心理学 心理学 心理学
背景情况:
- 慢性肌肉骨疼痛显著损害身体功能和日常活动.
- 负面的疼痛认知,如疼痛灾难化和运动恐惧症,是功能限制的潜在贡献者.
- 了解这些关系对于开发有效的干预措施至关重要.
研究的目的:
- 检查疼痛灾难化,运动恐惧症和多式联体身体功能之间的关联.
- 在多样化的成年人样本中调查慢性肌肉骨疼痛的关系.
- 区分自我报告的,基于绩效的和身体功能的客观测量.
主要方法:
- 招募了长期肌肉骨疼痛 (≥3个月) 的久坐不动的成年人.
- 自我报告的措施包括疼痛灾难化量表和运动恐惧症的坦帕量表.
- 通过自我报告 (WHO DAS 2.0),表现 (6分钟步行测试) 和客观监测 (ActiGraph) 来评估身体功能.
主要成果:
- 更高的疼痛灾难化和运动恐惧症显著与自我报告的身体功能更差有关.
- catastrophizing 疼痛和 kinesiophobia 都没有与基于表现或客观测量的身体功能有显著的关系.
- 这些关联在未调整和调整的回归模型中保持一致.
结论:
- 疼痛灾难化和运动恐惧症与慢性疼痛患者的感知身体功能相关.
- 针对认知重组的干预措施可能会改善感知到的身体功能.
- 需要进一步的研究来澄清认知因素与客观的身体功能指标之间的分离.
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