The Impact of Social Isolation on Pain Interference: A Longitudinal Study.
The Impact of Social Isolation on Pain Interference: A Longitudinal Study.
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DOI：
10.1093/abm/kay017
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发表时间：
2019-01-01
期刊：
影响因子：
--
通讯作者：
Mackey SC
中科院分区：
文献类型：
--
作者：
Karayannis NV;Baumann I;Sturgeon JA;Melloh M;Mackey SC
社会孤立是疼痛相关评估和应对的重要因素。对于那些从他人那里感受到更大的包容感和参与感的人来说，疼痛的影响会减少。有证据表明，社会互动在疼痛感知中起着重要作用。本研究的目的是确定持续疼痛患者的社会隔离（SI）是否会随着时间的推移影响疼痛干扰（PI）和身体功能。在三级疼痛管理转诊中心寻求治疗的患者在首次咨询和随后的访问中接受患者报告结果测量信息系统（PROMIS®）SI、PI、身体功能、抑郁和平均疼痛强度信息库，作为其常规临床护理的一部分。我们使用倾向得分匹配（n = 4950）对实验进行事后模拟，并对回顾性观察数据进行交叉滞后纵向分析（n = 312）。交叉滞后纵向分析显示，SI预测下一个时间点的PI，超过疼痛强度和协变量的影响，反之则不然。这些数据支持了SI作为疼痛相关评估和应对因素的重要性，并表明对个体社会环境的全面评估可以更好地理解疼痛患者的不同轨迹。我们的研究提供了证据，表明那些从他人那里感受到更大的包容感和参与感的人，疼痛的影响会减少。这项研究增强了对社会因素如何影响疼痛的理解，并对如何提高治疗干预的有效性产生了影响。旨在增加社会联系的治疗干预措施在减少疼痛对参与活动的影响方面具有优点。
Social isolation is an important factor in pain-related appraisal and coping. The impact of pain is reduced in individuals who perceive a greater sense of inclusion from, and engagement with others. Evidence suggests social interactions play an important role in pain perception. The aim of this study was to determine whether social isolation (SI) in people with persistent pain determines pain interference (PI) and physical function over time. Patients seeking care at a tertiary pain management referral center were administered the Patient Reported Outcome Measurement Information System (PROMIS®) SI, PI, physical function, depression, and average pain intensity item banks at their initial consultation and subsequent visits as part of their routine clinical care. We used a post hoc simulation of an experiment using propensity score matching (n = 4,950) and carried out a cross-lagged longitudinal analysis (n = 312) of retrospective observational data. Cross-lagged longitudinal analysis showed that SI predicted PI at the next time point, above and beyond the effects of pain intensity and covariates, but not vice versa. These data support the importance of SI as a factor in pain-related appraisal and coping and demonstrate that a comprehensive assessment of the individuals’ social context can provide a better understanding of the differential trajectories for a person living with pain. Our study provides evidence that the impact of pain is reduced in individuals who perceive a greater sense of inclusion from and engagement with others. This study enhances the understanding of how social factors affect pain and have implications for how the effectiveness of therapeutic interventions may be improved. Therapeutic interventions aimed at increasing social connection hold merit in reducing the impact of pain on engagement with activities.
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影响因子：
12.8
作者：
Hofmann, Stefan G.;Grossman, Paul;Hinton, Devon E.
通讯作者：
Hinton, Devon E.
DOI：
10.1198/016214504000001187
发表时间：
2004-09-01
影响因子：
3.7
作者：
Imai, K;van Dyk, DA
通讯作者：
van Dyk, DA
影响因子：
2.9
作者：
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通讯作者：
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影响因子：
3.5
作者：
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通讯作者：
Riley, William
影响因子：
3.5
作者：
Cella, David;Gershon, Richard;Choi, Seung
通讯作者：
Choi, Seung