The role of neuroticism, pain catastrophizing and pain-related fear in vigilance to pain: a structural equations approach
The role of neuroticism, pain catastrophizing and pain-related fear in vigilance to pain: a structural equations approach
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DOI：
10.1016/j.pain.2003.11.005
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发表时间：
2004-02-01
期刊：
影响因子：
7.4
通讯作者：
Van Damme, S
中科院分区：
文献类型：
--
作者：
Goubert, L;Crombez, G;Van Damme, S
本研究的目的是澄清确切的作用，疼痛灾难化，疼痛相关的恐惧和人格维度的警惕性，疼痛和疼痛的严重程度，通过结构方程模型。对122例慢性或复发性腰痛患者进行问卷调查。结果表明，疼痛灾难化和疼痛相关的恐惧介导神经质和疼痛的警觉性之间的关系。此外，发现对疼痛的警惕性与疼痛严重程度升高相关。最后，我们发现神经质调节疼痛严重程度和对疼痛的灾难性思考之间的关系。研究结果有力地支持了这样一种观点，即对疼痛的警惕取决于灾难性思维和与疼痛相关的恐惧。神经质最好被认为是一种脆弱性因素;它降低了疼痛被视为威胁的门槛，以及对疼痛产生灾难性想法的门槛。(C)2003年国际疼痛研究协会。Elsevier B. V.出版，保留所有权利。
The present study aimed at clarifying the precise role of pain catastrophizing, pain-related fear and personality dimensions in vigilance to pain and pain severity by means of structural equation modelling. A questionnaire survey was conducted in 122 patients with chronic or recurrent low back pain. Results revealed that pain catastrophizing and pain-related fear mediated the relationship between neuroticism and vigilance to pain. Furthermore, vigilance to pain was found to be associated with heightened pain severity. Finally, we found that neuroticism moderated the relationship between pain severity and catastrophic thinking about pain. The results strongly support the idea that vigilance to pain is dependent upon catastrophic thinking and pain-related fear. Neuroticism is best conceived of as a vulnerability factor; it lowers the threshold at which pain is perceived as threatening, and at which catastrophic thoughts about pain emerge. (C) 2003 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.