患有慢性肌肉骨疼痛的患者之间的人际关系:一项病例对照研究分析了核心冲突关系主题和人际问题
Pernilla Abrahamsson1, Bo Vinnars2, Annika Lindgren2
1Division of Clinical Psychology, Department of Psychology, Uppsala University, Uppsala, 751 42, Sweden. pernilla.abrahamsson@psyk.uu.se.
BioPsychoSocial medicine
|July 29, 2025
概括
人际困扰在非特异性慢性肌肉骨疼痛 (CMP) 中比在骨关节炎 (OA) 中更为普遍. 这表明心理社会因素显著影响非特异性疼痛状况,影响患者关系.
科学领域:
- 心理学 心理学 心理学
- 疼痛医学 医学 疼痛医学
- 社会科学 社会科学 社会科学
背景情况:
- 心理社会因素影响慢性疼痛,特别是非特异性疼痛,如慢性肌肉骨疼痛 (CMP).
- 与骨关节炎 (OA) 等特定疾病相比,心理社会因素在CMP中的作用需要进一步研究.
研究的目的:
- 调查CMP患者的诊断和疼痛经验是否比OA患者更有问题的人际关系.
- 在CMP与OA中探索疼痛经验和人际关系问题之间的关系.
主要方法:
- 使用了核心冲突关系主题 (CCRT) 编码和人际问题清单 (IIP) 在19名CMP患者和16名OA对照中.
- 分析了采访数据,以评估人际关系主题和问题.
主要成果:
- 与OA患者相比,CMP患者表现出更多不和的人际关系组件 (CCRT) 和一般人际困扰 (IIP),即使在控制年龄,工作状况和疼痛经历之后.
- 在CMP患者中,增加的疼痛经历与更高的人际困扰和社会避开性-非积极性问题相关,而主导性-侵入性行为则减少.
- 在OA患者中没有观察到这些疼痛体验-人际问题相互作用.
结论:
- 人际困扰在非特异性慢性疼痛 (CMP) 中比在特定疼痛条件 (OA) 中发挥更重要的作用.
- 人际关系问题可能使个人倾向于非特异性疼痛或加剧现有的疼痛状况.
- 研究结果表明,考虑到CMP患者的心理社会因素,可以量身定制治疗方案.
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