The influence of pain-related beliefs on physical activity and health attitudes in patients with claudication: A pilot study
The influence of pain-related beliefs on physical activity and health attitudes in patients with claudication: A pilot study
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DOI：
10.1177/1358863x17709944
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发表时间：
2017-10-01
影响因子：
3.5
通讯作者：
Barshes, Neal R.
中科院分区：
文献类型：
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作者：
Sharath, Sherene E.;Kougias, Panos;Barshes, Neal R.
我们研究了跛行患者的疼痛信念与症状严重程度、风险/获益预期和基线体力活动之间的关系。Michael E DeBakey退伍军人事务医疗中心的合格患者接受问卷调查，测量：恐惧回避信念（恐惧回避信念问卷[FABQ]），行走障碍，基线体力活动，跛行类型和风险/受益态度。在20名参与者中，中位年龄为69岁（IQR：66-75）。在我们努力了解恐惧避免信念如何影响跛行患者的身体活动时，我们发现19名参与者中有12名（63%）认为他们疼痛的主要病因是步行，而18名（20名参与者中）（90%）人认为步行会加剧他们的腿部症状-这表明人们对步行对跛行的影响存在一些困惑。那些认为步行比手术更有益于他们的症状的人报告了更少的恐惧避免信念（p=0.01），但是那些认为步行会使他们的腿部疼痛更严重的人期望从手术中获得更大的益处（p=0.02）。随着症状严重程度的增加，恐惧回避信念也增加（p=0.001）。症状严重程度和恐惧回避信念之间的关联表明，随着疼痛或损伤的增加，避免被认为会导致疼痛的行为的可能性也会增加。在推荐跛行的体力活动时，应考虑与疼痛相关的信念。
We examined how pain beliefs are related to symptom severity, expectations of risk/benefits, and baseline physical activity among claudicants. Eligible patients at the Michael E DeBakey Veterans Affairs Medical Center were administered questionnaires that measured: fear-avoidance beliefs (Fear-Avoidance Beliefs Questionnaire [FABQ]), walking impairment, baseline physical activity, claudication type, and risk/benefit attitudes. Among 20 participants, the median age was 69 years (IQR: 66-75). In our efforts to understand how fear-avoidance beliefs influenced physical activity among people with claudication, we found that 12 out of 19 participants (63%) thought that the primary etiology of their pain was walking, while 18 (out of 20) (90%) people thought that walking would exacerbate their leg symptoms - suggesting that there was some confusion regarding the effects of walking on claudication. Those who expected that walking would benefit their symptoms more than surgery reported fewer fear-avoidance beliefs (p=0.01), but those who believed that walking would make their leg pain worse expected greater benefit from surgery (p=0.02). As symptom severity increased, fear-avoidance beliefs also increased (p=0.001). The association between symptom severity and fear-avoidance beliefs indicates that as pain or impairment increases, the likelihood of avoiding behaviors that are thought to cause pain might also increase. Accounting for pain-related beliefs when recommending physical activity for claudication should be considered.