Fear of pain, pain catastrophizing, and acute pain perception: Relative prediction and timing of assessment
Fear of pain, pain catastrophizing, and acute pain perception: Relative prediction and timing of assessment
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DOI：
10.1016/j.jpain.2008.03.012
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发表时间：
2008-09-01
期刊：
影响因子：
4
通讯作者：
Robinson, Michael E.
中科院分区：
文献类型：
--
作者：
Hirsh, Adam T.;George, Steven Z.;Robinson, Michael E.
与疼痛相关的恐惧和灾难化是个体疼痛体验中需要考虑的重要变量。先前研究的方法学局限性限制了就这些关系得出强有力的结论。在这项后续研究中，我们检验了疼痛恐惧、疼痛灾难化和实验性疼痛感知之间的关系。100名健康志愿者在接受冷加压试验（CPT）之前完成了《疼痛恐惧问卷》（FPQ - III）、《疼痛灾难化量表》（PCS）和《应对策略问卷 - 灾难化量表》（CSQ - CAT）。在CPT之后再次完成CSQ - CAT和PCS，并要求参与者根据试验过程中的体验完成这些测量。收集疼痛阈值、耐受性和强度的测量值，并在不同的回归模型中作为因变量。性别、疼痛灾难化和与疼痛相关的恐惧作为预测变量被纳入。回归分析结果表明，在控制性别因素后，与灾难化相比，与疼痛相关的恐惧始终是更强的疼痛预测因子。当使用不同的灾难化测量方法（CSQ - CAT与PCS）和时间点（任务前与“体内”）时，这些结果是一致的。这些发现在很大程度上证实了我们先前研究的结果，并表明与疼痛相关的恐惧在实验性疼痛体验中的绝对和相对重要性。观点：尽管在实验文献中与疼痛相关的恐惧比疼痛灾难化受到的关注较少，但当前研究的结果与临床报告一致，临床报告强调该变量是疼痛体验的一个重要方面。（C）2008年美国疼痛学会版权所有
Pain-related fear and catastrophizing are important variables of consideration in an individual's pain experience. Methodological limitations of previous studies limit strong conclusions regarding these relationships. In this follow-up study, we examined the relationships between fear of pain, pain catastrophizing, and experimental pain perception. One hundred healthy volunteers completed the Fear of Pain Questionnaire (FPQ-III), Pain Catastrophizing Scale (PCS), and Coping Strategies Questionnaire-Catastrophizing scale (CSQ-CAT) before undergoing the cold pressor test (CPT). The CSQ-CAT and PCS were completed again after the CPT, with participants instructed to complete these measures based on their experience during the procedure. Measures of pain threshold, tolerance, and intensity were collected and served as dependent variables in separate regression models. Sex, pain catastrophizing, and pain-related fear were included as predictor variables. Results of regression analyses indicated that after controlling for sex, pain-related fear was a consistently stronger predictor of pain in comparison to catastrophizing. These results were consistent when separate measures (CSQ-CAT vs PCS) and time points (pretask vs "in vivo") of catastrophizing were used. These findings largely corroborate those from our previous study and are suggestive of the absolute and relative importance of pain-related fear in the experimental pain experience.Perspective: Although pain-related fear has received less attention in the experimental literature than pain catastrophizing, results of the current study are consistent with clinical reports highlighting this variable as an important aspect of the experience of pain. (C) 2008 by the American Pain Society.