Personality and pain-related beliefs/coping strategies: A prospective study
Personality and pain-related beliefs/coping strategies: A prospective study
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DOI：
10.1097/01.ajp.0000146218.31780.0b
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发表时间：
2006-01-01
影响因子：
2.9
通讯作者：
Nicholas, MK
中科院分区：
文献类型：
--
作者：
Asghari, A;Nicholas, MK
目的：人们适应慢性疼痛的方式部分归因于预先存在的个性特征，但迄今为止，大多数证据来自横断面研究，主要是关节炎组。本研究探讨了5个人格维度对疼痛相关信念和灾难性评估措施的影响，这些措施相隔9个月，采用异质性慢性疼痛样本。145名慢性疼痛患者在医院疼痛中心完成了NEO人格量表修订版，3项疼痛相关信念测量，应对策略问卷的灾难化量表，和0到10的疼痛等级九个月的初步评估，患者完成了相同的措施，除了NEO-人格量表修订版。结果：5个人格维度的研究，只有神经质与疼痛相关的变量。多层次回归分析显示，神经质是一个显着的预测剩余变化的疼痛自我效能的信念和疼痛控制评估的时间的研究，控制后的初始值的两个结构。然而，这些影响很小，这表明除了神经质之外，其他因素也在确定这种信念中发挥作用。相比之下，神经质不是一个显着的预测残留变化的灾难性反应在同一时期。这些发现为先前存在的人格特质使一些患者对慢性疼痛适应不良的假设提供了部分支持。
Objectives: The ways in which people adjust to chronic pain has been partly attributed to pre-existing personality traits, but most evidence to date is from cross-sectional studies and mainly with arthritis groups. The present study examined the effects of 5 personality dimensions on measures of pain-related beliefs and catastrophizing assessed 9 months apart with a heterogeneous chronic pain sample.Method: One hundred forty-five patients with chronic pain presenting to a hospital pain center completed the NEO-Personality Inventory-Revised, 3 measures of pain related beliefs, the Catastrophizing scale of the Coping Strategy Questionnaire, and a 0 to 10 pain scale. Nine months from the initial assessment, patients completed the same measures, apart from the NEO-Personality Inventory-Revised.Results: Of the 5 personality dimensions studied, only neuroticism was related to the pain-related variables. Multiple hierarchical regression analyses revealed that neuroticism was a significant predictor of residualized change in pain self-efficacy beliefs and pain control appraisals over the time of the study, after controlling for initial values of both constructs. However, the effects were small, suggesting that other factors play a role in the determination of such beliefs, in addition to neuroticism. In contrast, neuroticism was not a significant predictor of residualized change in catastrophizing responses over the same period. The findings provide partial support for the hypothesis that pre-existing personality traits place some patients at risk for poor adjustment to chronic pain.