Momentary mood and coping processes in TMD pain
Momentary mood and coping processes in TMD pain
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DOI：
10.1037/0278-6133.23.4.354
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发表时间：
2004-07-01
影响因子：
4.2
通讯作者：
Napolitano, C
中科院分区：
文献类型：
--
作者：
Litt, MD;Shafer, D;Napolitano, C
与许多慢性疼痛问题一样，颞颌关节功能障碍(TMD)疼痛似乎具有多重决定性。对病程至少6个月的TMD疼痛患者(N=30例)进行问卷调查，测量其特质应对方式和评价，探讨疼痛与应对过程的动态交互作用。然后，向患者发放掌上电脑，促使他们在7天内每天记录4次短暂的疼痛和应对过程。使用倾向和瞬间预测因子的分层线性回归模型表明，瞬间疼痛既是倾向于灾难的倾向的函数，也是灾难、自我效能感和情绪状态的瞬间测量的函数。结果被认为支持慢性TMD疼痛干预的情景模型。
Temporomandibular dysfunction (TMD) pain, like many chronic pain problems, appears to be multiply determined. Patients with TMD pain of at least 6 months duration (N = 30) were administered questionnaires measuring dispositional coping styles and appraisals to explore the dynamic interactions of the pain and coping process. Patients were then issued handheld computers that prompted them to record their momentary pain and coping processes 4 times per day for 7 days. Hierarchical linear regression models using both the dispositional and momentary predictors indicated that momentary pain was a function both of dispositional tendency to catastrophize and of momentary measures of catastrophization, self-efficacy, and mood states. Results were seen as supporting a situational model of intervention for chronic TMD pain.