Do illness perceptions predict pain-related disability and mood in chronic orofacial pain patients? A 6-month follow-up study
Do illness perceptions predict pain-related disability and mood in chronic orofacial pain patients? A 6-month follow-up study
复制标题
DOI：
10.1016/j.ejpain.2009.08.011
复制
发表时间：
2010-05-01
影响因子：
3.6
通讯作者：
Gaab, Jens
中科院分区：
文献类型：
--
作者：
Galli, Ursula;Ettlin, Dominik A.;Gaab, Jens
在我们的研究中，我们调查了疾病信念的预测价值，通过修订的疾病感知问卷（IPQ-R）在其他临床预测因素的背景下，在6个月的随访期内，慢性口面疼痛患者。在苏黎世大学牙科和口腔医学及颅颌面外科中心接受跨学科口腔颌面疼痛服务的患者（152例）在治疗前、治疗开始后3个月和6个月接受问卷调查，以评估疼痛和疼痛相关残疾、焦虑、抑郁以及身心生活质量。结果：随着时间的推移，除心理生活质量外，所有结局指标均显着改善。回归分析的结果表明，相信疼痛可能对一个人的生活（IPQ分量表后果）的严重后果是治疗结果的最重要的预测因素之一。低个人控制和慢性时间轴的信念也被证明是预测的结果，虽然解释了一个较小比例的方差。这些结果提供的证据表明，即使在控制疼痛和情绪的情况下，对疼痛的信念也是治疗结果的重要预测因素。因此，他们需要考虑在慢性口面疼痛患者的管理。评估患者的疾病信念可以提供关于这些重要的心理决定因素的基本信息，以适应慢性疼痛，并可能是个性化治疗方法的具体目标。(C)2009年，国际疼痛分会研究协会欧洲联合会。由爱思唯尔有限公司出版。保留所有权利。
In our study, we investigated the predictive value of illness beliefs as measured by the revised illness perception questionnaire (IPQ-R) in the context of other clinical predictors in patients with chronic orofacial pain over a 6-month follow-up period. Consecutive patients (152) referred to the interdisciplinary orofacial pain service at the Centre for Dental and Oral Medicine and Cranio-Maxillofacial Surgery, University of Zurich received questionnaires to assess pain and pain-related disability, anxiety, depression as well as physical and mental quality of life at three time points: prior to treatment, 3 and 6 months after beginning of treatment. Results: significant improvement was found over time for all outcome measures except mental quality of life. Results of the regression analysis indicated that believing pain could have serious consequences on one's life (IPQ subscale consequences) is one of the most important predictors for treatment outcome. The belief in low personal control and in a chronic timeline is also shown to be predictive for outcome, though explaining a smaller proportion of variance. These results provided evidence that beliefs about pain are important predictors for treatment outcome even when controlled for pain and mood. They therefore need to be considered in the management of patients with chronic orofacial pain. Assessing patients' illness beliefs can provide essential information on these important psychological determinants of adjustment to chronic pain and may be specific targets for individualised treatment approaches. (C) 2009 European Federation of International Association for the Study of Pain Chapters. Published by Elsevier Ltd. All rights reserved.