Pain coping strategies and depression in rheumatoid arthritis.
Pain coping strategies and depression in rheumatoid arthritis.
复制标题
类风湿性关节炎的疼痛应对策略和抑郁症。
DOI：
10.1037//0022-006x.57.5.652
复制
发表时间：
1989
影响因子：
5.9
通讯作者：
Wallston,KA
中科院分区：
文献类型：
--
作者：
Brown,GK;Nicassio,PM;Wallston,KA
对287例类风湿关节炎(RA)患者进行了一项研究，以考察疼痛发作的作用以及主动和被动疼痛应对策略在预测抑郁中的作用。在6个月的时间间隔内，对疼痛和疼痛应对策略的独立效应以及疼痛和疼痛应对策略对抑郁的交互作用进行了横断面前瞻性评估。横断面研究结果表明，疼痛、消极应对以及疼痛与消极应对之间的交互作用贡献了独立变量，所有这些因素都解释了更高的抑郁。主要感兴趣的是，研究发现，面对高度疼痛时，频繁使用被动疼痛应对策略导致了随着时间的推移，最严重的抑郁水平。这些结果是在控制了既往抑郁、功能障碍和用药状态的潜在混杂影响后得出的。这些数据暗示，在认知-行为疼痛管理计划中，开发减少使用被动疼痛应对策略来处理慢性关节炎疼痛的技术可能有潜在的好处。
A study was conducted to examine the role of pain episodes and the role of active and passive pain coping strategies in predicting depression in 287 patients with rheumatoid arthritis (RA). The independent effects of pain and pain coping strategies, as well as the interaction effects between pain and pain coping strategies on depression, were evaluated cross-sectionally and prospectively over a 6-month interval. The cross-sectional findings revealed that pain, passive coping, and the interaction between pain and passive coping contributed independent variance, all accounting for higher depression. Of principal interest was the finding that the frequent use of passive pain coping strategies in the face of high pain contributed to the most severe level of depression over time. These results were obtained after controlling for the potentially confounding effects of prior depression, functional disability, and medication status. These data imply that there may be a potential benefit of developing techniques to reduce the use of passive pain coping strategies to deal with chronic arthritis pain in cognitive-behavioral pain management programs.