Situational Versus Dispositional Measurement of Catastrophizing: Associations With Pain Responses in Multiple Samples
Situational Versus Dispositional Measurement of Catastrophizing: Associations With Pain Responses in Multiple Samples
复制标题
DOI：
10.1016/j.jpain.2009.08.009
复制
发表时间：
2010-05-01
期刊：
影响因子：
4
通讯作者：
Edwards, Robert R.
中科院分区：
文献类型：
--
作者：
Campbell, Claudia M.;Kronfli, Tarek;Edwards, Robert R.
灾难化被广泛认为是不良疼痛相关结局的重要风险因素。然而，围绕其评估的细节仍然存在问题。特别是，最近的实验室研究表明，评估“情境”灾难化（即，在伤害性刺激期间或之后直接测量的灾难化）可能会提供与标准或“性格”测量所获得的信息不同的信息，这些测量评估个人在日常生活中对灾难化的回忆。然而，相对较少的研究系统地研究了这两种不同形式的疼痛相关灾难化的相互关系和性质。本研究评估了多个样本中的情境和性格灾难化措施：健康个体（N = 84），疼痛性颞下颌关节紊乱病（TMD; N = 48）和疼痛性关节炎患者（N = 43）。所有参与者首先完成疼痛灾难化量表（PCS），然后进行心理物理疼痛测试，其中包括热，冷和压力疼痛。然后，参与者完成了一个情景灾难化的措施，参考他/她刚刚经历的实验室疼痛。在健康参与者和关节炎患者中，情境灾难化评分与性格PCS评分没有显著相关性，尽管它们在TMD患者中相关。对于健康受试者和关节炎患者，情境灾难化与实验性疼痛反应的相关性比倾向性PCS评分更强。一般来说，在所有3个样本中，较高水平的情境灾难化与较低的疼痛阈值和较高的疼痛评级相关。研究结果突出了疼痛相关的灾难化的多维评估的重要性，并建议一个角色，用于测量灾难化相关的具体的，可定义的events.Perspective：这项研究增加了越来越多的文献研究灾难化。我们的研究结果突出了疼痛相关的灾难化的多维评估的潜在重要性，并建议测量灾难化的具体，可定义的事件的作用。(C)2010年美国疼痛协会
Catastrophizing is widely recognized as an important risk factor for adverse pain-related outcomes. However, questions remain surrounding the details of its assessment. In particular, recent laboratory studies suggest that evaluation of "situational" catastrophizing (le, catastrophizing measured during or directly after the administration of noxious stimulation) may provide information distinct from that obtained by standard, or "dispositional" measures, which assess individuals' recall of catastrophizing in daily life. However, comparatively little research has systematically investigated the interrelationships and properties of these 2 different forms of pain-related catastrophizing. The current study evaluated both situational and dispositional catastrophizing measures within multiple samples: healthy individuals (N = 84), patients with painful temporomandibular joint disorders (TMD; N = 48), and patients with painful arthritis (N = 43). All participants first completed the Pain Catastrophizing Scale (PCS), and then underwent psychophysical pain testing, which included heat, cold, and pressure pain. Participants then completed a situational catastrophizing measure with reference to the laboratory pain he/she had just undergone. Situational catastrophizing scores were not significantly correlated with dispositional PCS scores in the healthy participants and arthritis patients, though they were associated in TMD patients. Situational catastrophizing was more strongly associated with experimental pain responses than dispositional PCS scores for the healthy subjects and arthritis patients. In general, higher levels of situational catastrophizing were associated with lower pain thresholds and higher pain ratings across all 3 samples. The findings highlight the importance of multidimensional assessment of pain-related catastrophizing, and suggests a role for measuring catastrophizing related to specific, definable events.Perspective: This study adds to a growing literature examining catastrophizing. Our findings highlight the potential importance of the multidimensional assessment of pain-related catastrophizing, and suggest a role for measuring catastrophizing related to specific, definable events. (C) 2010 by the American Pain Society