Anxiety sensitivity in the prediction of pain-related fear and anxiety in a heterogeneous chronic pain population

Anxiety sensitivity in the prediction of pain-related fear and anxiety in a heterogeneous chronic pain population
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DOI:
10.1016/s0005-7967(00)00049-8
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发表时间:
2001-06-01
影响因子:
4.1
通讯作者:
Sorrell, JT
Sorrell, JT
中科院分区:
心理学2区
文献类型:
--
作者:
Zvolensky, MJ;Goodie, JL;Sorrell, JT

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本研究评估了焦虑敏感性,沿着抑郁和疼痛严重程度,作为异质性慢性疼痛人群(n=68)中疼痛相关恐惧和焦虑的预测因子。结果表明,由焦虑敏感性指数(ASI:Reiss,Peterson,Gursky和McNally,1986:Reiss,S.,彼得森河一、古尔斯基,M. & McNally,R. J.(1986年)。焦虑,敏感性,焦虑频率和恐惧的预测。行为研究和治疗),24,18)总分,是一个更好的预测恐惧和焦虑的疼痛相对于其他相关变量。此外,ASI的身体关注子量表是疼痛相关恐惧维度的更好预测因子,其特征在于疼痛恐惧量表III上的高度生理症状和行为激活(FPQ-III; McNeil & Rainwater,1998:McNeil,D. W. & Rainwater,A. J.(1998年)。恐惧疼痛量表的发展-III。行为医学杂志。)和疼痛焦虑症状量表(PASS;麦克拉肯,Zayfert & Gross,1992:麦克拉肯,L. M.,Zayfert角& Gross,R. T.(1992年)。疼痛焦虑症状量表:测量疼痛恐惧的量表的开发和验证。Pain,50,67-73).在一个相关的方式,ASI心理问题分量表是一个更好的预测疼痛相关的焦虑维度的特征是认知症状的焦虑。总的来说,这些发现重申了焦虑敏感性在理解疼痛相关的恐惧和焦虑方面的重要性,并表明焦虑和恐惧反应可以更准确地预测特定焦虑敏感性领域与密切匹配该恐惧的事件之间的对应关系。(C)2001爱思唯尔科技有限公司版权所有。
The present study evaluated anxiety sensitivity, along with depression and pain severity, as predictors of pain-related fear and anxiety in a heterogeneous chronic pain population (n=68). The results indicated that the global anxiety sensitivity factor, as indexed by the Anxiety Sensitivity Index (ASI: Reiss, Peterson, Gursky & McNally, 1986: Reiss, S., Peterson, R. A., Gursky, M. & McNally, R. J. (1986). Anxiety, sensitivity, anxiety frequency, and the prediction of fearfulness. Behaviour Research and Therapy), 24, 18) total score, was a better predictor of fear of and anxiety about pain relative to the other relevant variables. Additionally, the physical concerns subscale of the ASI was a better predictor of pain-related fear dimensions characterized by high degrees of physiological symptoms and behavioral activation on both the Fear of Pain Questionnaire-III (FPQ-III; McNeil & Rainwater, 1998: McNeil, D. W. & Rainwater, A. J. (1998). Development of the Fear of Pain Questionnaire-III. Journal of Behavioral Medicine.) and Pain Anxiety Symptoms Scale (PASS; McCracken, Zayfert & Gross, 1992: McCracken, L. M., Zayfert, C. & Gross, R. T. (1992). The Pain Anxiety Symptoms Scale: Development and validation of a scale to measure fear of pain. Pain, 50, 67-73). In a related way, the ASI psychological concerns subscale was a better predictor of pain-related anxiety dimensions characterized by cognitive symptoms of anxiety. Overall, these findings reiterate the importance of anxiety sensitivity in understanding pain-related fear and anxiety, and suggest anxious and fearful responding can be predicted more accurately with higher levels of correspondence between a particular anxiety sensitivity domain and events that closely match that fear. (C) 2001 Elsevier Science Ltd. All rights reserved.