Psychological resilience, pain catastrophizing, and positive emotions: perspectives on comprehensive modeling of individual pain adaptation.
Psychological resilience, pain catastrophizing, and positive emotions: perspectives on comprehensive modeling of individual pain adaptation.
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DOI：
10.1007/s11916-012-0317-4
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发表时间：
2013-03
影响因子：
3.7
通讯作者：
Zautra, Alex J.
中科院分区：
文献类型：
--
作者：
Sturgeon, John A.;Zautra, Alex J.
疼痛是一个复杂的结构，导致深刻的生理和心理功能障碍，特别是在应对慢性疼痛的个体中。本文建立在先前研究的基础上，描述了一个平衡的概念模型，该模型整合了心理脆弱性和对疼痛的恢复力两个方面，并回顾了适应慢性疼痛过程的保护性和加剧性心理社会因素，包括疼痛灾难化、疼痛接受和积极的心理资源预测增强疼痛应对。本文确定了未来的研究方向，将进一步丰富对疼痛适应的理解，并支持一种方法，将提高心理疼痛应对模型的生态有效性，包括引入先进的统计和概念模型，整合行为，认知，信息处理，动机和情感理论的疼痛应对。
Pain is a complex construct that contributes to profound physical and psychological dysfunction, particularly in individuals coping with chronic pain. The current paper builds upon previous research, describes a balanced conceptual model that integrates aspects of both psychological vulnerability and resilience to pain, and reviews protective and exacerbating psychosocial factors to the process of adaptation to chronic pain, including pain catastrophizing, pain acceptance, and positive psychological resources predictive of enhanced pain coping. The current paper identifies future directions for research that will further enrich the understanding of pain adaptation and espouses an approach that will enhance the ecological validity of psychological pain coping models, including introduction of advanced statistical and conceptual models that integrate behavioral, cognitive, information processing, motivational and affective theories of pain coping.
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