Comparison of stress responses in women with two types of chronic pain: Fibromyalgia and osteoarthritis
Comparison of stress responses in women with two types of chronic pain: Fibromyalgia and osteoarthritis
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DOI：
10.1023/a:1018735413411
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发表时间：
1999-04-01
影响因子：
2.8
通讯作者：
Burke, HM
中科院分区：
文献类型：
--
作者：
Zautra, AJ;Hamilton, NA;Burke, HM
研究了两组患有慢性疼痛的老年女性：52名骨关节炎（OA）女性和50名自我诊断为纤维肌痛综合征（FMS）的女性。这些参与者被管理的人际压力，疼痛，疼痛应对措施，和人格属性。两组在大多数人口统计学变量和疾病属性上具有可比性。两组在人格属性上没有差异，但FMS组在应对疼痛时比OA组使用回避的方式明显更多。两组的人际压力水平没有差异，但与OA参与者不同，那些报告更多人际压力的FMS患者有更高的疼痛。与OA组相比，FMS样本报告的积极人际互动较少，这些低分数与更多的回避应对和对压力性人际事件的更大反应有关。这些发现表明，一个动态的，调整疼痛的模式，导致慢性困难。自我强加的社会隔离和其他回避策略的应对疼痛发作后，可能会导致减少密切的人际关系。失去这种积极的社会互动来源似乎会导致女性对人际压力的反应更加激烈，更难科普疼痛，并报告整体生活质量较低。
Two groups of older adult women with chronic pain were studied: 52 women with osteoarthritis (OA) and 50 women with a self-identified diagnosis of fibromyalgia syndrome (FMS). These participants were administered measures of interpersonal stress, pain, pain coping, and personality attributes. The groups were comparable on most demographic variables and illness attributes. There were no differences between groups in personality attributes, but the FMS group used avoidance significantly more than the OA women when,hen coping with pain. The groups did not differ bl levels of interpersonal stress, but those with FMS who reported more interpersonal stress had higher pain, unlike OA participants. Fewer positive interpersonal interactions were reported by the FMS sample compared with the OA group, and those low scores were associated with more avoidant coping and greater reactivity to stressful interpersonal events. These findings suggest a dynamic, pattenn of adjustment to pain that lends to chronic difficulties. Self-imposed social isolation and other avoidant strategies of coping following pain episodes may lead to a reduction in close interpersonal ties. Loss of that source of positive social interaction appears to lead women to become more reactive to interpersonal stressors, cope more poorly with pain, and report a lower overall quality of life.