The Relationship between Beliefs about Pain and Functioning with Rheumatologic Conditions.
The Relationship between Beliefs about Pain and Functioning with Rheumatologic Conditions.
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DOI：
10.1155/2012/206263
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发表时间：
2012
影响因子：
1.8
通讯作者：
Mulder R
中科院分区：
文献类型：
--
作者：
Pons T;Shipton E;Mulder R
疼痛信念影响对疼痛机制和结果的理解。本研究在风湿性疾病的条件下，试图确定有关疼痛和功能的信念之间的关系。参与者关节炎新西兰（ANZ）的运动和教育计划。使用的人口统计学数据和经验证的工具包括关节炎影响测量量表第二版-简表（AIMS 2-SF），用于测量功能，以及疼痛信念量表（PBQ）中的两种器质性和心理信念量表，用于测量疼痛信念。236名ANZ成员接受了AIMS 2-SF和PBQ的匿名调查，回复率为61%; 144份回复被输入数据库。本研究使用α = 0.05和α 1-β = 0.8来检测显著效应量，估计为r = 0.25。分析显示，PBQ的有机信念量表和AIMS 2-SF的功能之间存在显著相关，r值为0.32，P值为0.00008。PBQ心理信念量表与AIMS 2-SF无相关性。器质性疼痛信念与较差的功能有关。心理上的痛苦信念则不然。信念可能已经被澳新银行的计划所改变。临床医生应该在咨询早期解决器质性疼痛的信念。器质性疼痛的信念和功能之间的因果关系应予以澄清。
Pain beliefs influence understanding of pain mechanisms and outcomes. This study in rheumatologic conditions sought to determine a relationship between beliefs about pain and functioning. Participants in Arthritis New Zealand's (ANZ) exercise and education programmes were used. Demographic data and validated instruments used included the Arthritis Impact Measurement Scale 2nd version-Short Form (AIMS2-SF) to measure functioning, and two scales of organic and psychological beliefs in Pain Beliefs Questionnaires (PBQ) to measure pain beliefs. 236 Members of ANZ were surveyed anonymously with AIMS2-SF and PBQ, with a 61% response rate; 144 responses were entered into the database. This study used α of 0.05 and a 1-β of 0.8 to detect for significant effect size estimated to be r = 0.25. Analysis revealed a significant relationship between organic beliefs scale of PBQ and functioning of AIMS2-SF, with an r value of 0.32 and P value of 0.00008. No relationship was found between psychological beliefs scale of PBQ and AIMS2-SF. Organic pain beliefs are associated with poorer functioning. Psychological pain beliefs are not. Beliefs might have been modified by ANZ programmes. Clinicians should address organic pain beliefs early in consultation. Causal links between organic pain beliefs and functioning should be clarified.