Pain-related Activity Patterns Measurement, Interrelationships, and Associations With Psychosocial Functioning
Pain-related Activity Patterns Measurement, Interrelationships, and Associations With Psychosocial Functioning
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DOI：
10.1097/ajp.0b013e31825e452f
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发表时间：
2013-05-01
影响因子：
2.9
通讯作者：
Mazmanian, Dwight
中科院分区：
文献类型：
--
作者：
Cane, Douglas;Nielson, Warren R.;Mazmanian, Dwight
目的：活动的变化经常发生作为持续疼痛的结果。在持续疼痛的个体中通常观察到的三种活动模式是回避、过度和起搏。我们进行了2项研究，调查这些活动模式，它们之间的相互关系，以及它们与关键心理社会因素的关联。研究1描述了一个措施的发展，活动疼痛的模式（POAM-P），以评估这些活动patterns;研究2探讨这些活动patterns.Methods的社会心理相关性：在研究1中，样本393个人与慢性疼痛响应池的51个项目评估活动的一部分，他们的预处理评估。进行项目分析，以创建一个30项措施与3，10项量表评估回避，过度和起搏。在研究2中，一个样本的164个人参加后续计划3个月后，治疗完成了POAM-P沿着的影响，疼痛控制，和disability.Results的措施：规模表现出良好的内部一致性和相关性与其他措施提供了初步的支持结构效度。回避和过度与消极的心理社会结果有关，而起搏与积极的结果有关。与以往的研究相比，起搏和回避是无关的。讨论：POAM-P具有良好的心理特性，并可能是有用的，在临床实践中，以确定与较差的功能和评估干预措施，旨在修改这些活动模式。目前的结果支持先前的研究结果连接回避和各种负面的结果。这些结果也提供了证据，表明起搏可能与治疗后的积极结果有关。
Objectives: Changes in activity frequently occur as a consequence of ongoing pain. Three activity patterns commonly observed among individuals with ongoing pain are avoidance, overdoing, and pacing. We conducted 2 studies investigating these activity patterns, their interrelationships, and their associations with key psychosocial factors. Study 1 describes the development of a measure, the Patterns of Activity-Pain (POAM-P), to assess these activity patterns; Study 2 examines the psychosocial correlates of these activity patterns.Methods: In study 1, a sample of 393 individuals with chronic pain responded to a pool of 51 items assessing activity as part of their pretreatment assessment. Item analyses were conducted to create a 30-item measure with 3, 10-item scales assessing avoidance, overdoing, and pacing. In study 2, a sample of 164 individuals attending a follow-up program 3 months after treatment completed the POAM-P along with measures of affect, pain control, and disability.Results: The scales demonstrated excellent internal consistency and correlations with other measures provided initial support for construct validity. Avoidance and overdoing were associated with negative psychosocial outcomes whereas pacing was associated with positive outcomes. In contrast to previous studies, pacing and avoidance were unrelated.Discussion: The POAM-P has excellent psychometric properties and may be useful in clinical practice to identify activity patterns associated with poorer functioning and to evaluate interventions intended to modify these activity patterns. The present results support previous findings linking avoidance and various negative outcomes. These results also provide evidence that pacing may be related to positive outcomes after treatment.