Catastrophizing and pain-coping in young adults: Associations with depressive symptoms and headache pain
Catastrophizing and pain-coping in young adults: Associations with depressive symptoms and headache pain
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DOI：
10.1016/j.jpain.2007.11.005
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发表时间：
2008-04-01
期刊：
影响因子：
4
通讯作者：
Haythornthwaite, Jennifer A.
中科院分区：
文献类型：
--
作者：
Buenaver, Luis F.;Edwards, Robert R.;Haythornthwaite, Jennifer A.
认知和行为的疼痛应对策略，尤其是灾难化思维，是疼痛体验的重要决定因素。大多数关于疼痛应对的研究是在因长期疼痛而寻求治疗的患者样本中进行的。疼痛应对方式的个体差异可能也会显著影响非临床样本的日常疼痛和生活质量，尽管这很少被研究。特别是，头痛在普通人群中很常见，对于非临床环境中的头痛患者，疼痛相关的应对方式如何影响疼痛和生活质量，人们知之甚少。在这项研究中，202名总体健康的受试者被分为两组，一组是报告有头痛问题的受试者，另一组是无疼痛的对照组。两组在疼痛相关的灾难化报告以及积极疼痛应对策略的使用上没有差异，但观察到疼痛应对策略与情绪功能之间存在不同的关联。具体而言，仅在头痛组中，那些报告疼痛灾难化程度较高且积极疼痛应对水平较低的人表现出最高水平的抑郁症状。此外，更高的灾难化程度与更严重的头痛和疼痛相关的干扰有关。这些发现表明，灾难化思维对没有持续疼痛抱怨的人的情绪功能影响很小，并强调了应对在调节疼痛对日常功能的影响方面的重要性，即使是在非临床环境的样本中也是如此。此外，这些发现间接表明，增加适应性应对并减少灾难化的干预措施可能有助于缓解头痛疼痛的一些有害功能后果。观点：这项研究增加了越来越多的文献，这些文献将灾难化概念化为一种素质或风险因素，用于有害的疼痛相关后果。这些数据表明，灾难化可能需要存在疼痛状况才能发挥其有害影响。（2008年美国疼痛学会版权所有）
Cognitive and behavioral pain-coping strategies, particularly catastrophizing, are important determinants of the pain experience. Most studies of pain-coping are performed in samples of treatment-seeking patients with longstanding pain complaints. Individual differences in pain-coping styles may also significantly affect day-to-day pain and quality of life in nonclinical samples, though this has rarely been investigated. in particular, headache pain is common in the general population, and little is known about how pain-related coping affects pain and quality of life among headache sufferers from a nonclinical setting. In this study, 202 generally healthy subjects were divided into 2 groups, those who reported problem headaches and pain-free control subjects. Reports of pain-related catastrophizing and the use of active pain-coping strategies did not differ between the groups, but differential associations between pain-coping strategies and emotional functioning were observed. Specifically, within the headache group only, those reporting higher levels of pain catastrophizing and lower levels of active pain-coping showed the highest level of depressive symptoms. Further, higher catastrophizing was associated with greater headache pain and pain-related interference. These findings suggest that catastrophizing has little influence on emotional functioning in those without ongoing pain complaints and highlight the importance of coping in modulating the consequences of pain on day-to-day functioning, even in samples from nonclinical settings. Moreover, these findings indirectly suggest that interventions that increase adaptive coping and decrease catastrophizing may help to buffer some of the deleterious functional consequences of headache pain.Perspective: This study adds to a growing literature that conceptualizes catastrophizing as a diathesis, or risk factor, for deleterious pain-related consequences. These data suggest that catastrophizing may require the presence of a pain condition before its detrimental effects are exerted. (c) 2008 by the American Pain Society.