它只会变得更糟...还是不是? 疼痛持续时间和心理疼痛因素之间的关系
Cory Alcon1, Austin Haymore1, Jennifer Kale1
1Department of Physical Therapy, High Point University, High Point, NC, USA.
Physiotherapy theory and practice
|November 3, 2025
概括
慢性疼痛的持续时间与增加的心理痛苦无关. 这项研究发现,较长的疼痛持续时间和较高的疼痛之间没有联系,这对疼痛慢性性的假设构成了灾难,具有挑战性.
科学领域:
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 患有慢性疼痛的患者经常面临耻辱,导致人们认为疼痛随着时间的推移变得更加心理.
- 这种看法可能会导致在临床环境中治疗不足和忽略患者症状.
研究的目的:
- 研究疼痛症状持续时间与心理变量之间的关系.
- 挑战这种假设,即疼痛持续时间较长等同于疼痛心理性质的增加.
主要方法:
- 使用在线调查进行的观察性研究.
- 收集了关于疼痛持续时间和严重性的数据,疼痛灾难化量表 (PCS),疼痛心理不灵活性量表 (PIPS) 和患者健康问卷 (PHQ8) 的数据.
主要成果:
- 相关性分析表明,随着疼痛持续时间的增加,PCS,PCS - 放大和PCS - 无助的分数下降.
- 在各种疼痛持续时间组中观察到PCS-放大,PIPS和PHQ8得分的显著差异.
- 在高与低水平的疼痛灾难性的参与者之间,没有发现疼痛持续时间的差异.
结论:
- 这项研究挑战了慢性疼痛与增加的心理痛苦直接相关的假设.
- 研究结果表明,将疼痛持续时间与心理因素联系在一起的临床假设可能是毫无根据的.
- 强调需要避免基于疼痛慢性而对疼痛行为和心理症状的假设,以确保足够的患者护理.
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