纤维肌痛中的睡眠质量,疼痛,担忧和:调解分析的结果
Michael Tenti1,2, William Raffaeli1, Corrado Fagnani3
1ISAL Foundation, Institute for Research on Pain, 47921 Rimini, Italy.
Journal of clinical medicine
|October 29, 2025
概括
纤维肌痛疼痛与睡眠问题,担忧和反有关. 抑郁的反会直接影响疼痛,而担心会通过睡眠障碍间接影响疼痛.
科学领域:
- 心理学 心理学 心理学
- 疼痛医学 医学 疼痛医学
- 睡眠科学 睡眠科学
背景情况:
- 纤维肌痛 (FM) 是一种慢性疾病,其特点是广泛的疼痛,睡眠障碍,焦虑和抑郁的反.
- 以前的研究表明,这些因素之间存在联系,但睡眠障碍在反复的负面思维和FM疼痛强度之间的关系中扮演的调解角色仍未得到充分研究.
研究的目的:
- 调查睡眠障碍是否调解了纤维肌痛患者焦虑和疼痛强度之间的关系.
- 检查睡眠障碍是否调解了纤维肌痛患者抑郁性反和疼痛强度之间的关系.
主要方法:
- 一项横截面在线调查对733名被诊断为纤维肌痛的意大利成年人进行了调查.
- 参与者填写了验证的问卷,评估了焦虑 (宾夕法尼亚州焦虑问卷),抑郁性反 (反性反应量表),疼痛强度 (简要疼痛清单) 和睡眠质量 (匹兹堡睡眠质量指数).
- 调解分析使用海斯的PROCESS宏 (模型4) 进行.
主要成果:
- 抑郁性反显示出对疼痛强度有显著的直接影响,通过睡眠障碍有显著的间接影响,表明部分调解.
- 担心对疼痛强度没有显著的直接影响,但通过睡眠障碍表现出显著的间接影响,表明完全调解.
- 这些发现突出了纤维肌痛中心理因素,睡眠和疼痛感知之间的复杂相互作用.
结论:
- 疼痛强度,睡眠质量,担忧和抑郁的反在纤维肌痛中相互关联.
- 抑郁性反显著影响疼痛感知,独立于睡眠质量.
- 针对认知行为策略,元认知方法和以睡眠为重点的治疗的综合干预可以改善纤维肌痛患者的疼痛和睡眠结果.
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