RELATIONSHIP OF PAIN-SPECIFIC BELIEFS TO CHRONIC PAIN ADJUSTMENT
RELATIONSHIP OF PAIN-SPECIFIC BELIEFS TO CHRONIC PAIN ADJUSTMENT
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DOI：
10.1016/0304-3959(94)90005-1
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发表时间：
1994-06-01
期刊：
影响因子：
7.4
通讯作者：
LAWLER, BK
中科院分区：
文献类型：
--
作者：
JENSEN, MP;TURNER, JA;LAWLER, BK
认知行为模型表明，疼痛患者对疼痛的信念在他们的调整中起着至关重要的作用。这项研究试图复制和扩展以前的研究，研究疼痛特异性信念和适应慢性疼痛之间的关系。241例慢性疼痛患者评估可能入院的住院疼痛治疗计划完成了疾病影响概况（SIP）和疼痛态度调查（SOFA），以及疼痛，医疗服务利用和人口统计学特征的措施。结果表明，信念，情绪影响疼痛，其他人应该关心当患者经历疼痛，（对于报告低和中等水平的疼痛严重程度的受试者），一个是残疾的疼痛与社会心理功能障碍呈正相关。认为一个人是残疾人，应该避免活动，因为疼痛意味着损害与身体残疾呈正相关。没有评估的信念是显着相关的医生访问的数量在过去的3个月，虽然信念在药物治疗慢性疼痛的适当性与疼痛相关的急诊室访问呈正相关。研究结果支持慢性疼痛调整的认知行为模型，并建议在治疗研究中检查信念和调整之间的因果关系时针对特定的疼痛信念。
Cognitive-behavioral models suggest that pain patients' beliefs about their pain play a critical role in their adjustment. This study sought to replicate and extend previous research that has examined the relationship between pain-specific beliefs and adjustment to chronic pain. Two hundred forty-one chronic pain patients evaluated for possible admission to an inpatient pain treatment program completed the Sickness Impact Profile (SIP) and the Survey of Pain Attitudes (SOFA), as well as measures of pain, medical services utilization and demographic characteristics. The results indicated that the beliefs that emotions affect pain, that others should be solicitous when the patient experiences pain, and (for subjects reporting low and medium levels of pain severity) that one is disabled by pain were associated positively with psychosocial dysfunction. The beliefs that one is disabled and that activity should be avoided because pain signifies damage were associated positively with physical disability. None of the beliefs assessed was significantly associated with number of physician visits in the previous 3 months, although belief in the appropriateness of medications for managing chronic pain was associated positively with pain-related emergency room visits. The results support a cognitive-behavioral model of chronic pain adjustment and suggest specific pain beliefs to target in treatment studies examining causal relationships between beliefs and adjustment.