Personality disparity in chronic regional and widespread pain
Personality disparity in chronic regional and widespread pain
复制标题
DOI：
10.1016/j.psychres.2017.04.059
复制
发表时间：
2017-08-01
影响因子：
11.3
通讯作者：
Lung, For-Wey
中科院分区：
文献类型：
--
作者：
Chang, Mei-Chung;Chen, Po-Fei;Lung, For-Wey
慢性疼痛与精神疾病有较高的共病率，因此，需要更好地了解慢性疼痛与精神疾病之间的关系。本研究旨在探讨慢性广泛性疼痛患者、慢性局部疼痛患者和对照组的父母依恋、人格特征、述情特质与心理健康之间的路径关系。招募了230名参与者。采用父母亲子关系量表、艾森克人格问卷、多伦多述情障碍量表、中国人健康问卷和简明36量表进行调查。路径关系显示，母亲更具保护性的患者更神经质，更难识别感受（DIF），心理健康状况更差，与慢性广泛性疼痛的关联更高。慢性局部疼痛患者与对照组之间无差异。与慢性局部疼痛相比，慢性广泛性疼痛的诱发因素可能与精神疾病更密切相关。慢性局部疼痛和慢性广泛性疼痛的途径不同，神经质和述情障碍性DIF特质是定义慢性广泛性疼痛的主要因素。因此，除了针对疼痛症状的治疗外，还建议对慢性广泛性疼痛患者进行精神科咨询，药物和心理治疗，以减轻他们的心理健康状况。
Chronic pain has high comorbidity with psychiatric disorders, therefore, better understanding of the relationship between chronic pain and mental illness is needed. This study aimed to investigate the pathway relationships among parental attachment, personality characteristics, alexithymic trait and mental health in patients with chronic widespread pain, those with chronic regional pain, and controls. Two hundred and thirty participants were recruited. The parental Bonding Inventory, Eysenck Personality Inventory (EPI), 20-item Toronto Alexithymia Scale (TAS-20), Chinese Health Questionnaire, and Short-Form 36 were filled out. The pathway relationships revealed that patients of mothers who were more protective were more neurotic, had more difficulty identifying feelings (DIF), worse mental health, and a higher association with chronic widespread pain. No differences were found between patients with chronic regional pain and the controls. The predisposing factors for chronic widespread pain, when compared with chronic regional pain, may be more closely related to psychiatric disorders. The pathways to chronic regional pain and chronic widespread pain differ, with neuroticism and the alexithymic DIF trait being the main factors defining chronic widespread pain. Therefore, besides therapies targeting pain symptoms, psychiatric consultation, medication and psychotherapy are also recommended for those with chronic widespread pain to alleviate their mental health conditions.