在纤维肌痛中,希望,乐观,情绪调节和疼痛之间的关系
Avani Patel1, Jeeshma Vijin2, Abhishek Patil3
1Department of Clinical Psychology, Manipal College of Health Professions, Bengaluru, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Clinical rheumatology
|October 17, 2025
概括
更高的希望水平与纤维肌痛 (FM) 患者的疼痛减少有关. 乐观也显示出与下肢疼痛的联系,这表明心理因素是管理慢性疼痛疾病的关键.
科学领域:
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
- 临床研究 临床研究
背景情况:
- 纤维肌痛 (FM) 是一种慢性疼痛疾病,通常与心理痛苦有关.
- 研究历来专注于FM的负面心理结果,如焦虑和抑郁.
- 这项研究探讨了希望,乐观和情绪调节等积极心理构造对FM患者疼痛感知的影响.
研究的目的:
- 在被诊断为纤维肌痛患者中调查希望,乐观,情绪调节和疼痛严重程度之间的关系.
- 了解积极的心理因素如何影响FM.慢性疼痛的经验.
主要方法:
- 270名纤维肌痛患者的队列参与了这项研究.
- 标准化尺度被用来衡量希望 (成人希望尺度),乐观 (生活导向测试修订),情绪调节 (情绪调节问卷) 和疼痛影响 (纤维肌痛影响问卷修订).
- 斯皮尔曼的相关性分析被用来检查心理变量和报告的疼痛水平之间的关联.
主要成果:
- 观察到希望和疼痛之间存在中等负相关性 (r = -0.34,p < .001),表明更高的希望与较低的疼痛有关.
- 在乐观和疼痛之间发现了微弱的负相关性 (r = -0.12,p = .042).
- 在这项研究中,情绪调节对疼痛结果没有显著影响.
结论:
- 希望成为调节纤维肌痛患者疼痛经历的一个重要因素.
- 将希望和乐观的评估纳入FM管理协议中,可能会提高治疗的有效性.
- 建议采用综合认知行为技术和弹性建设的多学科护理,以全面控制症状并改善患者的福祉.
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