Marital functioning, chronic pain, and psychological distress
Marital functioning, chronic pain, and psychological distress
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DOI：
10.1016/j.pain.2003.10.003
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发表时间：
2004-01-01
期刊：
影响因子：
7.4
通讯作者：
Foran, H
中科院分区：
文献类型：
--
作者：
Cano, A;Gillis, M;Foran, H
本研究旨在探讨婚姻功能变量是否与独立于疼痛严重程度和身体残疾的心理困扰和抑郁症的诊断有关。参与者是110名慢性肌肉骨骼疼痛患者。分层回归结果显示，婚姻变量（即婚姻满意度，配偶对疼痛的负面反应）对抑郁和焦虑症状的影响显着超过疼痛的严重程度和身体残疾。与此相反，在控制了疼痛变量后，婚姻变量与抑郁症（即重度抑郁症、心境恶劣或两者兼而有之）的诊断无显著相关。在多变量分析中，身体残疾和婚姻满意度与抑郁症状唯一相关，而身体残疾，疼痛严重程度和配偶对疼痛的负面反应与焦虑症状唯一相关。只有身体残疾与重度抑郁症有独特的关系。结果表明，慢性疼痛患者的心理困扰模型可能会通过更重视人际功能和增加对焦虑的关注来增强。(C)2003年国际疼痛研究协会。Elsevier B.V.出版，保留所有权利。
This study examined whether marital functioning variables related uniquely to psychological distress and diagnoses of depressive disorder independent of pain severity and physical disability. Participants were 110 chronic musculoskeletal pain patients. Hierarchical regression results showed that marital variables (i.e. marital satisfaction, negative spouse responses to pain) contributed significantly to depressive and anxiety symptoms over and above the effects of pain severity and physical disability. In contrast, marital variables were not significantly related to diagnoses of depressive disorder (i.e. major depression, dysthymia, or both) after controlling for pain variables. In multivariate analyses, physical disability and marital satisfaction were uniquely related to depressive symptoms whereas physical disability, pain severity, and negative spouse responses to pain were uniquely related to anxiety symptoms. Only physical disability was uniquely related to major depression. The results suggest that models of psychological distress in chronic pain patients might be enhanced by attributing greater importance to interpersonal functioning and increasing attention to anxiety. (C) 2003 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.