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对疼痛的高度警可能预测从亚急性到慢性背痛的过渡:一项纵向观察性研究

Wen Zhang¹, Martin Löffler^1,2, Katrin Usai¹

¹Department of Neuropsychology and Psychological Resilience Research, Research Group Learning and Brain Plasticity in Mental Disorders, Central Institute of Mental Health, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.

Journal of pain research

|June 30, 2025

概括

心理因素,如疼痛超警更好地预测慢性背痛比单独的奥雷布罗肌肉骨疼痛问卷. 针对疼痛过度警的早期干预可以改善持续背痛的结果.

科学领域:

疼痛研究疼痛研究
心理学心理学心理学
肌肉骨健康肌肉骨健康

背景情况:

低急性背痛可以转变为慢性疼痛,影响生活质量.
目前的预测工具,如 Örebro 肌肉骨疼痛问卷 (ÖMPQ),可能无法捕捉到所有相关的风险因素.
确定额外的预测因素对于及时干预至关重要.

研究的目的:

确定心理和社会风险因素是否有助于预测慢性背痛.
将Örebro肌肉骨疼痛问卷 (ÖMPQ) 的预测能力与其他因素进行比较.
确定预测疼痛持续性的特定心理因素.

主要方法:

在75名患有亚急性背痛的患者进行了长度观察性研究.
评估Örebro肌肉骨疼痛问卷 (ÖMPQ) 和基线上的其他心理/社会因素.
多阶段回归分析以确定六个月疼痛严重程度和干扰的预测因素.

主要成果:

疼痛警和意识问卷 (PVAQ) 得分在六个月内显著预测疼痛严重程度和干扰.
即使在对基线疼痛进行调整后,PVAQ得分仍然是最强的预测指标.
疼痛超警和疼痛行为成为关键预测因素,在预测能力方面超过了Örebro肌肉骨疼痛问卷 (ÖMPQ).

结论:

心理因素,特别是疼痛过度警,是慢性背痛的强有力的预测因素.
仅靠Örebro肌肉骨疼痛问卷 (ÖMPQ) 无法预测长期疼痛的结果.
疼痛高度警是对亚急性背痛早期干预的有希望的目标.

关键词:

焦虑是一种焦虑.背部疼痛疼痛背部疼痛认知认知认知纵向研究是指纵向研究.风险因素风险因素调查和问卷调查和问卷调查.

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