My Catastrophizing and Your Catastrophizing: Dyadic Associations of Pain Catastrophizing and the Physical, Psychological, and Relational Well-being of Persons With Endometriosis and Their Partners.

IF 3.1 3区 医学 Q2 ANESTHESIOLOGY
Elisa Stragapede, Jonathan D Huber, Serena Corsini-Munt
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Abstract

Objectives: Endometriosis, a painful chronic gynecologic condition, contributes to disruptions in multiple areas of life for both those affected and their partner. Pain catastrophizing has been associated with worse pain outcomes and quality of life for women with endometriosis and with more cognitive load for partners. Examining both partners' pain catastrophizing dyadically with our variables of interest will enhance understanding of its associations with the distressing nature of experiencing and responding to pain during sex for couples with endometriosis.

Methods: Persons with endometriosis experiencing pain during sex and their partners (n=52 couples; 104 individuals) completed online self-report measures of pain catastrophizing, depressive symptoms, sexual satisfaction, and partner responses to pain. Persons with endometriosis reported on pain during sexual activity. Analyses were guided by the Actor-Partner Interdependence Model.

Results: Persons with endometriosis' pain catastrophizing was associated with their higher pain intensity and unpleasantness during sex. When persons with endometriosis reported more pain catastrophizing, they were less sexually satisfied and reported their partners responded more negatively to their pain. When partners reported higher catastrophizing, they were more depressed and responded more negatively to the pain.

Discussion: Consistent with the Communal Coping Model of pain catastrophizing, although meant to elicit support from the environment, the often-deleterious cognitive process of magnifying, ruminating, and feeling helpless about one's pain (or one's partner's pain) is associated with poorer outcomes for the individual with pain and their romantic partner. Implications for pain management include the relevance of involving the partner and attending to the pain cognitions of both members of the couple.

我的灾难化和你的灾难化:我的灾难化和你的灾难化:子宫内膜异位症患者及其伴侣对疼痛的灾难化与生理、心理和关系福祉的相互关系》(Dyadic Associations of Pain Catastrophizing and the Physical, Psychological and Relational Well-Being of Persons with Endometriosis and their Partners)。
目的:子宫内膜异位症是一种慢性妇科疼痛,会对患者及其伴侣的多个生活领域造成干扰。对于患有子宫内膜异位症的妇女来说,疼痛灾难化与更差的疼痛结果和生活质量有关,对于伴侣来说,疼痛灾难化与更大的认知负荷有关。将伴侣双方的疼痛灾难化与我们感兴趣的变量一起进行研究,将有助于我们更好地理解疼痛灾难化与子宫内膜异位症患者在性生活中经历和应对疼痛的痛苦性质之间的关联:方法:在性生活中感到疼痛的子宫内膜异位症患者及其伴侣(52 对夫妇,104 人)在线完成了对疼痛灾难化、抑郁症状、性满意度和伴侣对疼痛的反应的自我报告测量。子宫内膜异位症患者报告了性活动中的疼痛情况。结果显示,子宫内膜异位症患者在性活动中的疼痛程度与性伴侣的反应有关:结果:子宫内膜异位症患者的疼痛灾难化与他们在性生活中较高的疼痛强度和不愉快程度有关。当子宫内膜异位症患者对疼痛的灾难化程度较高时,他们的性满意度较低,并称其伴侣对其疼痛的反应较为消极。当伴侣对疼痛的灾难化程度较高时,他们会更加抑郁,对疼痛的反应也更加消极:与疼痛灾难化的共性应对模式一致,尽管灾难化的目的是为了从环境中获得支持,但放大、反刍和对自己的疼痛(或伴侣的疼痛)感到无助这种往往具有破坏性的认知过程与疼痛患者及其恋爱伴侣的较差结果有关。这对疼痛管理的影响包括让伴侣参与进来并关注夫妻双方对疼痛的认知。
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来源期刊
Clinical Journal of Pain
Clinical Journal of Pain 医学-临床神经学
CiteScore
5.40
自引率
3.40%
发文量
118
审稿时长
4-8 weeks
期刊介绍: ​​​The Clinical Journal of Pain explores all aspects of pain and its effective treatment, bringing readers the insights of leading anesthesiologists, surgeons, internists, neurologists, orthopedists, psychiatrists and psychologists, clinical pharmacologists, and rehabilitation medicine specialists. This peer-reviewed journal presents timely and thought-provoking articles on clinical dilemmas in pain management; valuable diagnostic procedures; promising new pharmacological, surgical, and other therapeutic modalities; psychosocial dimensions of pain; and ethical issues of concern to all medical professionals. The journal also publishes Special Topic issues on subjects of particular relevance to the practice of pain medicine.
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