Pain Intensity, Psychological Inflexibility, and Acceptance of Pain as Predictors of Functioning in Adolescents with Juvenile Idiopathic Arthritis: A Preliminary Investigation
Pain Intensity, Psychological Inflexibility, and Acceptance of Pain as Predictors of Functioning in Adolescents with Juvenile Idiopathic Arthritis: A Preliminary Investigation
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DOI：
10.1007/s10880-011-9243-6
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发表时间：
2011-09-01
影响因子：
2.2
通讯作者：
Goldsmith, Donald P.
中科院分区：
文献类型：
--
作者：
Feinstein, Amanda B.;Forman, Evan M.;Goldsmith, Donald P.
青少年特发性关节炎(JIA)是一种慢性风湿性疾病，与疼痛和适应不良有关。这项研究调查了疼痛、接受疼痛和心理僵硬是否能唯一地预测患有JIA的青少年的功能残疾、焦虑、总体生活质量(QOL)和与健康相关的生活质量(HQOL)。23名患有JIA和疼痛的青少年来自一家儿科风湿病诊所。参与者完成了与关键研究变量有关的自我报告测量。一系列多元回归分析表明，疼痛程度越高，功能残疾程度越高。心理不灵活程度越高，焦虑程度越高，总体生活质量越低，生活质量越低。研究发现，疼痛接受度的提高与一般生活质量的提高是唯一相关的。这些数据证实了疼痛影响功能的先前发现，并提供了初步发现，心理僵化和接受可能是对患有JIA和疼痛的青少年进行心理干预的重要目标，以改善功能和生活质量。
Juvenile Idiopathic Arthritis (JIA) is a chronic rheumatic disease associated with pain and maladjustment. This study investigated whether pain, acceptance of pain, and psychological inflexibility uniquely predicted functional disability, anxiety, general quality of life (QOL), and health-related quality of life (HQOL) among adolescents with JIA. Twenty-three adolescents with JIA and pain were recruited from a pediatric rheumatology clinic. Participants completed self-report measures pertaining to the key study variables. A series of multiple regression analyses demonstrated that higher pain uniquely predicted higher functional disability. Greater psychological inflexibility uniquely predicted higher anxiety, lower general QOL, and lower HQOL. Increases in acceptance of pain were found to be uniquely related to increases in general QOL. These data confirm prior findings that pain impacts functioning, and provide preliminary findings that psychological inflexibility and acceptance may be important targets of psychological intervention for youth with JIA and pain to improve functioning and QOL.