Sensory Versus Affective Pain Descriptors Predicting Functional Versus Psychosocial Disability.
Sensory Versus Affective Pain Descriptors Predicting Functional Versus Psychosocial Disability.
复制标题
DOI：
10.1016/j.jpain.2022.04.002
复制
发表时间：
2022-09
期刊：
影响因子：
4
通讯作者：
Kolaparthi, Krishna
中科院分区：
文献类型：
--
作者：
Fernandez, Ephrem;Wu, Wenbo;Shattuck, Eric C.;Kolaparthi, Krishna
在疼痛的词汇评估中，麦吉尔疼痛问卷的一个分支是疼痛描述系统（PDS），其评估感觉、情感和疼痛的总体强度。为了确定感觉与情感疼痛成分是否可能选择性地与残疾的不同方面相关，对疼痛残疾问卷（PDQ）中与功能状态和心理社会损害相关的PDS评分进行了检查。629名慢性疼痛患者的样本评价了36个PDS词中每个词描述其疼痛的程度，并对PDQ的15个项目进行了评价。将三个回归模型（包括Group Lasso）应用于数据。结果表明，PDS感觉评分能显著预测PDQ功能状态，约占13%的方差; PDS情感评分能显著预测PDQ心理社会损害，约占17%的方差; PDS总分能显著预测PDQ总分，约占24%的方差。这支持疼痛描述符的整体预测有效性，同时确认疼痛的组成部分和残疾的方面之间更具体的联系。在临床上，病人的疼痛感觉的描述可能持有有价值的线索，身体损害，而影响/痛苦的沟通更有可能意味着心理社会功能的困难。
In the lexical assessment of pain, an offshoot of the McGill Pain Questionnaire is the Pain Descriptor System (PDS) which assesses sensory, affective, and overall intensity of pain. To determine if sensory versus affective pain components might be selectively related to different aspects of disability, PDS scores were examined in relation to functional status and psychosocial impairment on the Pain Disability Questionnaire (PDQ). A sample of 629 chronic pain patients rated the degree to which each of 36 PDS words described their pain and also rated 15 items of the PDQ. Three regression models (including Group Lasso) were applied to the data. Results showed that as hypothesized, PDS sensory scores significantly predicted PDQ functional status, accounting for about 13% of the variance; PDS affective scores significantly predicted PDQ psychosocial impairment, accounting for 17% of the variance; PDS total scores significantly predicted PDQ total scores, accounting for approximately 24% of the variance. This supports the overall predictive validity of pain descriptors, while confirming more specific links between components of pain and facets of disability. Clinically, the patient’s description of pain sensation may hold valuable clues to physical impairment, whereas the communication of affect/suffering is more likely to connote psychosocial difficulties in functioning.
登录
查看更多内容
影响因子：
4
作者：
Fernandez, Ephrem;Krusz, John Claude;Hall, Stephanie
通讯作者：
Hall, Stephanie
影响因子：
7.4
作者：
HOLROYD, KA;HOLM, JE;OMALLEY, WB
通讯作者：
OMALLEY, WB
影响因子：
7.4
作者：
MORLEY, S;PALLIN, V
通讯作者：
PALLIN, V
影响因子：
--
作者：
Lippe, Ben;Gatchel, Robert J.;Jones, Stephanie
通讯作者：
Jones, Stephanie
影响因子：
5.7
作者：
Krebs, Erin E.;Lorenz, Karl A.;Bair, Matthew J.;Damush, Teresa M.;Wu, Jingwei;Sutherland, Jason M.;Asch, Steven M.;Kroenke, Kurt
通讯作者：
Kroenke, Kurt