独特的多维愤怒概况预测了当前和长期的慢性疼痛结果
Marine Granjon1, Noel Vest2, Sean C Mackey3
1Institute of Biomedical and Oral Research, Hebrew University of Jerusalem, Israel; Department of Psychology, University of Innsbruck, Austria.
The journal of pain
|November 20, 2025
概括
慢性疼痛患者表现出明显的愤怒特征,愤怒和感知不公正程度较高,与更糟糕的疼痛结果有关. 识别这些概况可以改善风险分层和个性化疼痛护理.
科学领域:
- 心理学 心理学 心理学
- 疼痛医学 医学 疼痛医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在慢性疼痛 (CP) 中,愤怒是常见的,通常会加剧痛苦和残疾.
- 了解愤怒维度的相互作用对于有效的CP管理至关重要.
- 当前的研究往往忽视了慢性疼痛中愤怒的多面性质.
研究的目的:
- 通过使用潜伏特征分析 (LPA) 在CP患者中识别明显的愤怒特征.
- 检查这些愤怒特征与疼痛结果的交叉截面和纵向的关联.
- 为了确定愤怒概况是否预测了除了焦虑和抑郁之外的疼痛结果.
主要方法:
- 利用了来自735名成年CP患者的愤怒指标的潜伏概况分析 (LPA).
- 评估状态/特征愤怒,愤怒表达/控制,以及感知不公正.
- 检查了与疼痛强度,分布,干扰,行为和身体功能在基线和随访时的关联 (n=242).
主要成果:
- 根据愤怒程度和感知到的不公正,确定了四个不同的愤怒概况.
- 这些概况与基线和随访时的疼痛结果有显著的相关性,独立于焦虑和抑郁.
- 中等到高愤怒和感知不公正的个人资料预测了最严重的疼痛结果.
结论:
- 多维愤怒特征,特别是那些涉及感知不公正的愤怒特征,与高影响性慢性疼痛有关.
- 早期识别这些概况可以帮助风险分层和个性化疼痛管理.
- 针对性,以愤怒为重点的干预措施对于改善慢性疼痛患者的长期结果至关重要.
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