The role of pain anxiety, coping, and pain self-efficacy in rheumatoid arthritis patient functioning
The role of pain anxiety, coping, and pain self-efficacy in rheumatoid arthritis patient functioning
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DOI：
10.1016/s0005-7967(99)00102-3
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发表时间：
2000-09-01
影响因子：
4.1
通讯作者：
Dinnel, DL
中科院分区：
文献类型：
--
作者：
Strahl, C;Kleinknecht, RA;Dinnel, DL
人们越来越认识到，对疼痛的焦虑是导致疼痛感知和疼痛行为增加的因素之一[McCracken, L. M., Faber S.D., & Janeck A. S. (1998) 疼痛相关焦虑预示着慢性疼痛患者的非特异性身体不适。行为研究与治疗，36, 621-630；麦克拉肯 L. 和格罗斯 R. (1995)。疼痛焦虑症状量表（PASS）和对疼痛的情绪反应评估。临床实践的创新：原始书，14, 309-321]。为了评估慢性疼痛患者对疼痛的这种情绪反应，McCracken、Zayfert 和 Gross [McCracken, L., Zayfert, C., & Gross, R. (1992)。疼痛焦虑症状量表：开发和验证衡量疼痛恐惧的量表。 Pain, 50, 67-73] 制定了疼痛焦虑症状量表（PASS），由四个分量表组成：认知焦虑、恐惧评估、逃避回避和生理焦虑。本研究扩展了之前的工作，通过检查疼痛焦虑维度、主动和被动应对策略的使用以及关节炎自我效能之间的关系作为 154 名类风湿性关节炎 (RA) 患者功能状态的预测因子。使用关节炎影响量表第二版 (AIMS2) 的五因素模型评估功能状态：身体功能、情感体验、症状、社交互动和角色功能。对每个 AIMS2 标准变量的分层多元回归分析表明，疼痛焦虑、疼痛和症状自我效能、健康状况和应对策略能够解释 5 个 AIMS2 变量中 9% 至 38% 的方差。目前的结果支持了疼痛焦虑的假设作用以及先前确定的自我效能和应对策略在影响慢性 RA 患者的身体、社会、情感和角色功能方面的作用。 (C) 2000 Elsevier Science Ltd. 保留所有权利。
Anxiety about pain is increasingly recognized as one factor contributing to increased pain perception and pain behavior [McCracken, L. M., Faber S. D., & Janeck A. S. (1998) Pain-related anxiety predicts nonspecific physical complaints in persons with chronic pain. Behavior Research and Therapy, 36, 621-630; McCracken L., & Gross R. (1995). The pain anxiety symptoms scale (PASS) and the assessment of emotional responses to pain. Innovations in clinical practice: a source book, 14, 309-321]. To assess this emotional reaction to pain in chronic pain patients, McCracken, Zayfert and Gross [McCracken, L., Zayfert, C., & Gross, R. (1992). The Pain Anxiety Sympton Scale: development and validation of a scale to measure fear of pain. Pain, 50, 67-73] developed the Pain Anxiety Symptom Scale (PASS) composed of four subscales: Cognitive Anxiety, Fearful Appraisal, Escape Avoidance and Physiological Anxiety. The present study extended previous work by examining the relationship among pain anxiety dimensions, use of active and passive coping strategies and arthritis self-efficacy as predictors of functional status in 154 rheumatoid arthritis (RA) patients. Functional status was assessed using the Five-Factor Model of the Arthritis Impact Scale, 2nd ed., (AIMS2): Physical Functioning, Affective Experience, Symptoms, Social Interaction and Role Function. Hierarchical multiple regression analysis on each of the AIMS2 criterion variables showed that pain anxiety, pain and symptom self-efficacy, health status and coping strategics were able to explain between 9 and 38% of the variance in the five AIMS2 variables. The present results support the hypothesized role of pain anxiety along with previously established contributions of self-efficacy and coping strategies, in affecting physical, social, emotional and role functioning in chronic RA patients. (C) 2000 Elsevier Science Ltd. All rights reserved.