Relationships of stress, appraisal and coping, to chronic low back pain.
Relationships of stress, appraisal and coping, to chronic low back pain.
复制标题
压力、评估和应对与慢性腰痛的关系。
DOI：
10.1016/0005-7967(87)90006-4
复制
发表时间：
1987
影响因子：
4.1
通讯作者：
Vitaliano,PP
中科院分区：
文献类型：
--
作者：
Turner,JA;Clancy,S;Vitaliano,PP
有证据表明应对策略在慢性疼痛问题中发挥着重要作用。本研究的目的是检查压力源、评估、应对反应和慢性腰痛之间的关系。 85 名患有慢性腰痛的社区志愿者完成了疼痛的自我报告测量和反向应对方式清单，这是一份评估主要压力源以及相关评估和应对反应的调查问卷。只有 43% 的人认为疼痛或身体限制是他们的主要压力源。在将疼痛或身体限制视为主要压力源的患者与没有将疼痛或身体限制视为主要压力源的患者之间，发现过去一周的平均疼痛、应对策略和对压力源的评估存在显着差异。对评估和应对之间关系的检查表明，对疼痛问题的某些评估与某些应对反应相关。评估与疼痛评级没有直接关系，但自责与前一周的平均疼痛评级呈负相关，寻求社会支持与麦吉尔疼痛问卷当前的疼痛评级呈负相关。研究结果表明研究慢性疼痛患者的评估和应对过程的重要性，并提出了未来研究的方向。
There is evidence that coping strategies play an important role in chronic pain problems. The purpose of this study was to examine the relationships between Stressors, appraisals, coping responses, and chronic low back pain. Eighty-five community volunteers with chronic low back pain completed self-report measures of pain and the reversed Ways of Coping Checklist, a questionnaire assessing primary Stressor and related appraisals and coping responses. Only 43% identified pain or physical limitations as their primary Stressor. Significant differences in average pain during the past week, coping strategies, and appraisals of the Stressor were found between patients who identified pain or physical limitations as their primary Stressor and those who did not. Examination of the relationships between appraisal and coping revealed that certain appraisals of the pain problem were associated with certain coping responses. Appraisals were not directly associated with pain ratings, but blaming oneself was negatively related to ratings of average pain during the previous week, and seeking social support was negatively related to present pain ratings on the McGill Pain Questionnaire. The findings indicate the importance of studying appraisal and coping processes in chronic pain patients, and directions for future research are suggested.