The relation between pain-related fear and disability: a meta-analysis.
The relation between pain-related fear and disability: a meta-analysis.
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DOI：
10.1016/j.jpain.2013.05.005
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发表时间：
2013-10
期刊：
影响因子：
4
通讯作者：
Ditre, Joseph W.
中科院分区：
文献类型：
--
作者：
Zale, Emily L.;Lange, Krista L.;Fields, Sherecce A.;Ditre, Joseph W.
在生物心理社会框架内，心理因素被认为在慢性疼痛的发生和发展中起着重要作用。慢性疼痛的认知-行为恐惧-回避模型提示疼痛相关恐惧有助于疼痛相关残疾的发展和维持。然而，对与疼痛相关的恐惧和残疾之间关系的调查表明，研究之间存在相当大的差异。当前荟萃分析的主要目的是综合研究疼痛相关恐惧和残疾之间横断面关联的研究结果，以估计这种关系的程度。我们还测试了潜在的调节因素，包括使用的测量类型、人口统计学特征和相关的疼痛特征。在PubMed和psyinfo中搜索总共产生了46个独立样本（N = 9579），这些样本报告了急性或慢性疼痛患者与疼痛相关的恐惧和残疾之间的相关性。效应大小估计是使用随机效应模型和人工分布方法产生的。疼痛相关恐惧与残疾之间的正相关程度为中等到较大，并且在人口统计学和疼痛特征中保持稳定。尽管在疼痛相关的恐惧测量中观察到一些差异，但结果在很大程度上与慢性疼痛的恐惧-回避模型一致。
Within a biopsychosocial framework, psychological factors are thought to play an important role in the onset and progression of chronic pain. The cognitive-behavioral fear-avoidance model of chronic pain suggests that pain-related fear contributes to the development and maintenance of pain-related disability. However, investigations of the relation between pain-related fear and disability have demonstrated considerable between-study variation. The main goal of the current meta-analysis was to synthesize findings of studies investigating cross-sectional associations between pain-related fear and disability, in order to estimate the magnitude of this relation. We also tested potential moderators, including type of measure used, demographic characteristics, and relevant pain characteristics. Searches in PubMed and PsycINFO yielded a total of 46 independent samples (N = 9579) that reported correlations between pain-related fear and disability among persons experiencing acute or chronic pain. Effect size estimates were generated using a random effects model and artifact distribution method. The positive relation between pain-related fear and disability was observed to be moderate to large in magnitude, and stable across demographic and pain characteristics. Although some variability was observed across pain-related fear measures, results were largely consistent with the fear-avoidance model of chronic pain.
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DOI：
10.1097/01.jom.0000184870.81120.49
发表时间：
2006-03-01
影响因子：
3.2
作者：
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影响因子：
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