"Being" in pain: The role of self-discrepancies in the emotional experience and activity patterns of patients with chronic low back pain
"Being" in pain: The role of self-discrepancies in the emotional experience and activity patterns of patients with chronic low back pain
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DOI：
10.1016/j.pain.2010.11.009
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发表时间：
2011-02-01
期刊：
影响因子：
7.4
通讯作者：
Vlaeyen, Johan W. S.
中科院分区：
文献类型：
--
作者：
Kindermans, Hanne P. J.;Huijnen, Ivan P. J.;Vlaeyen, Johan W. S.
慢性疼痛不仅干扰日常活动，还可能通过自我差异对自我的完整性产生负面影响。自我差异是实际自我与自我指导之间的体验距离，可以从两个角度（即自己的角度和他人的角度）存在。自我差异与消极情绪状态有关，并会激发自我调节行为以减少这些差异。本研究旨在复制慢性腰痛患者自我差异的情绪后果，并扩展目前对自我差异行为后果（即回避和坚持等行为活动模式）的认识。对 83 名完成多项自我报告测量的患者进行了横断面设计。我们假设理想与应该的差异以及恐惧的一致性与抑郁和焦虑的情绪有关。在行为层面上，假设理想与应该的自我差异与坚持行为之间存在U形关系，而恐惧的自我差异则被假设与回避行为有关。结果部分符合假设。就情绪后果而言，害怕（自己和他人）的自我差异预示着抑郁和焦虑情绪。关于活动模式，结果显示，理想与他人的自我差异与坚持行为之间呈 U 形关系，而恐惧自我差异与回避行为之间呈正相关。与预期相反，其他自我差异均与活动模式无关。有趣的是，回避行为而非坚持行为可以预测更高程度的残疾和更低水平的生活质量。 (c) 2010 年国际疼痛研究协会。由 Elsevier B.V 出版。保留所有权利。
Chronic pain not only interferes with daily activities, it may also have a negative impact on the perceived integrity of one's self through self-discrepancies. Self-discrepancies are experienced distances between the actual self and self-guides that can exist from 2 perspectives (ie, own and other). Self-discrepancies are associated with negative mood states and incite self-regulatory behavior in order to reduce these discrepancies. The present study was aimed at replicating the emotional consequences of self-discrepancies in patients with chronic low back pain, and extending current knowledge of the behavioral consequences of self-discrepancies (ie, behavioral activity patterns such as avoidance and persistence). A cross-sectional design was employed with 83 patients who completed a number of self-report measures. We hypothesized that ideal and ought discrepancies, as well as feared congruencies were associated with depressed and anxious mood. On the behavioral level, a U-shaped relationship was hypothesized between ideal and ought self-discrepancies and persistence behavior, whereas feared self-discrepancies were hypothesized to be related to avoidance behavior. Results were partially in line with the hypotheses. With respect to the emotional consequences, feared (own and other) self-discrepancies were predictive of depressive and anxious mood. With regard to activity patterns, results showed a U-shaped relationship between ideal-other self-discrepancies and persistence behavior and a positive relationship between feared-own self-discrepancies and avoidance behavior. In contrast to expectations, none of the other self-discrepancies was related to activity patterns. Of interest was that avoidance, but not persistence behavior, was predictive of higher levels of disability and lower levels of quality of life. (c) 2010 International Association for the Study of Pain. Published by Elsevier B. V. All rights reserved.