Fear of pain as a predictor of concurrent and downstream PTSD symptoms.
Fear of pain as a predictor of concurrent and downstream PTSD symptoms.
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DOI：
10.1016/j.janxdis.2021.102441
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发表时间：
2021-08
影响因子：
10.3
通讯作者：
Wang X
中科院分区：
文献类型：
--
作者：
Barbano AC;Tull MT;Christ NM;Xie H;Kaminski B;Wang X
疼痛焦虑与更严重的创伤后应激障碍（PTSD）症状相关。然而，疼痛焦虑各具体领域在预测PTSD严重程度方面的独特作用尚未得到探究。本研究旨在考察特定的疼痛焦虑领域（即认知焦虑、逃避/回避、疼痛恐惧和生理焦虑）是否能在其他PTSD风险因素之外，预测PTSD症状的当下及后续情况。
参与者为63名创伤事件幸存者，他们在急诊科接受治疗，基线疼痛程度为中到重度，并在3个月和12个月时接受PTSD症状和疼痛焦虑评估。
3个月时的疼痛恐惧和生理焦虑（呈负相关）这两个疼痛焦虑领域，在其他已确定的PTSD风险因素（即性别、年龄、疼痛和创伤类型）之外，能显著预测当下3个月的PTSD症状。然而，只有3个月时的疼痛恐惧能显著预测12个月时的PTSD症状。
研究结果凸显了特定疼痛焦虑领域与当下及未来PTSD症状的相关性，并表明在PTSD患者中评估疼痛焦虑的重要性。聚焦于提高对疼痛恐惧的体验意愿和耐受能力的干预措施，可能有助于降低这一风险，从而改善有急性PTSD症状个体的预后。
Pain anxiety has been associated with more severe posttraumatic stress disorder (PTSD) symptoms. However, the unique role of individual domains of pain anxiety has yet to be explored in the prediction of PTSD severity. This study examined whether specific pain anxiety domains (i.e., cognitive anxiety, escape/avoidance, fear of pain, and physiological anxiety) predict both concurrent and downstream PTSD symptoms above and beyond other PTSD risk factors. Participants were 63 survivors of traumatic events with moderate to high baseline pain treated in the emergency department and assessed for PTSD symptoms and pain anxiety at 3- and 12-months. Three-month pain anxiety domains of fear of pain and physiological anxiety (inversely related) significantly predicted concurrent 3-month PTSD symptoms above and beyond other established PTSD risk factors (i.e., sex, age, pain, and trauma type). However, only 3-month fear of pain significantly predicted 12-month PTSD symptoms. Findings highlight the relevance of specific pain anxiety domains in concurrent and future PTSD symptoms and suggest the importance of evaluating pain anxiety among patients with PTSD. Interventions focused on increasing willingness to experience and tolerate fear of pain may help mitigate this risk, thereby improving outcomes for individuals with acute PTSD symptoms.
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影响因子：
11.3
作者：
Forbes, Courtney N.;Tull, Matthew T.;Wang, Xin
通讯作者：
Wang, Xin
影响因子：
--
作者：
KESSLER, RC;SONNEGA, A;NELSON, CB
通讯作者：
NELSON, CB
影响因子：
3.3
作者：
Forbes, Courtney N;Tull, Matthew T;Rapport, Daniel;Xie, Hong;Kaminski, Brian;Wang, Xin
通讯作者：
Wang, Xin
DOI：
10.1037/tra0000032
发表时间：
2015-07-01
影响因子：
6.3
作者：
Gil, Sharon;Weinberg, Michael
通讯作者：
Weinberg, Michael
影响因子：
12.8
作者：
Asmundson, GJG;Norton, PJ;Norton, GR
通讯作者：
Norton, GR