Attempting to solve the problem of pain: A questionnaire study in acute and chronic pain patients
Attempting to solve the problem of pain: A questionnaire study in acute and chronic pain patients
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DOI：
10.1016/j.pain.2007.10.020
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发表时间：
2008-07-31
期刊：
影响因子：
7.4
通讯作者：
De Vlieger, Petra
中科院分区：
文献类型：
--
作者：
Crombez, Geert;Ecceleston, Christopher;De Vlieger, Petra
当面对疼痛问题时，人们可以尝试一种旨在缓解（同化）的解决方案或一种旨在接受（适应）的解决方案。这项研究利用这种适应疼痛的双重过程模型，比较了急性和慢性疼痛患者解决问题的方法。从临床环境中招募了三百六十四名患者。 303 名患有慢性疼痛，61 名患有急性疼痛，并完成了一系列情感和疼痛相关行为的测量，包括疼痛解决方案问卷。还研究了总体疼痛持续时间的影响。慢性疼痛患者比急性疼痛患者报告了更大的残疾和对疼痛的灾难性想法，同化应对与更大的残疾、对疼痛的更多关注和对疼痛的更多灾难性想法相关，超出了人口统计学变量和疼痛严重程度的影响。疼痛持续时间并不能减轻这些关联。只有在对疼痛进行灾难性思考的情况下，人们才发现同化应对的效果会因疼痛持续时间而减弱。对于慢性疼痛患者。当同化应对能力越高时，对疼痛的灾难性思考就越大。这些结果是在适应慢性疼痛的目标导向激励模型的背景下讨论的。 (C) 2007 年国际疼痛研究协会。由 Elsevier B.V. 出版。保留所有权利。
When faced with the problem of pain one can attempt a solution aimed at relief (assimilation) or a solution aimed at acceptance (accommodation). Using this dual process model of adaptation to pain, this study compares acute and chronic pain patients on their approach to problem solving. Three hundred and sixty-four patients were recruited from clinical settings. 303 with chronic pain and 61 with acute pain, and completed a range of measures of both affect and pain-related behavior, including the Pain Solutions Questionnaire. The effects of overall duration of pain were also investigated. Chronic pain patients reported greater disability and catastrophic thinking about pain than acute pain patients, and assimilative coping was associated with greater disability, greater attention to pain, and more catastrophic thinking about pain, beyond the effects of demographic variables and pain severity. Pain duration did not moderate these associations. Only in the case of catastrophic thinking about pain was it found that the effects of assimilative coping were moderated by pain duration. For chronic pain patients. catastrophic thinking about pain was greater when assimilative coping was higher. These results are discussed within the context of a goal directed motivational model of adaptation to chronic pain. (C) 2007 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.