''Attention'' to pain in persons with chronic pain: A behavioral approach
''Attention'' to pain in persons with chronic pain: A behavioral approach
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DOI：
10.1016/s0005-7894(97)80047-0
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发表时间：
1997-03-01
期刊：
影响因子：
3.7
通讯作者：
McCracken, LM
中科院分区：
文献类型：
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作者：
McCracken, LM
对疼痛的专注或关注可能会影响感知的疼痛严重程度和其他疼痛反应。本研究旨在探讨慢性疼痛患者对疼痛的注意力。本研究的参与者为慢性腰痛患者（N = 80，58.8%为女性），转诊至大学疼痛诊所。本研究构建了一种疼痛注意力的测量方法，即疼痛警惕和意识问卷（PVAQ）。旨在评估一些相关反应，包括意识、警惕性、专注和疼痛观察。PVAQ在短时间内表现出足够的内部一致性和时间稳定性。PVAQ评分与私人身体意识和认知障碍呈正相关，与忽视疼痛的措施呈负相关，支持其有效性。这项研究的结果表明，慢性腰痛的人谁报告更多的关注疼痛也报告更高的疼痛强度，情绪困扰，心理残疾，和疼痛相关的医疗保健利用。回归分析表明，对疼痛的关注程度仍然是痛苦，残疾和医疗保健利用的重要预测因素，独立于疼痛强度和相关人口统计学变量。这些结果提供了初步的支持，注意疼痛的行为概念化。
Preoccupation with or attention to pain may influence perceived pain severity and other pain responses. The purpose of this study was to investigate attention to pain in persons with chronic pain. Participants for this study were patients (N = 80, 58.8% female) with chronic low back pain referred to a university pain clinic. A measure of attention to pain, the Pain Vigilance and Awareness Questionnaire (PVAQ), was constructed for this study. It was intended to assess a number of related responses including awareness, vigilance, preoccupation, and observation of pain. The PVAQ showed adequate internal consistency and temporal stability over a short interval. PVAQ scores were positively correlated with private body consciousness and cognitive disability, and negatively correlated with a measure of ignoring pain, supporting their validity. The results of this study show that persons with chronic low back pain who report greater attention to pain also report higher pain intensity, emotional distress, psychosocial disability, and pain-related health care utilization. Regression analyses showed that level of attention to pain remained a significant predictor of distress, disability, and health care utilization independent of pain intensity and relevant demographic variables. These results provide preliminary support for a behavioral conceptualization of attention to pain.