The mental health-related barriers and benefits to exercise in adults with and without chronic pain

IF 5.3 1区心理学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Clinical and Health Psychology Pub Date : 2024-04-01 DOI:10.1016/j.ijchp.2024.100471

Madeleine L. Connolly , Michaela C. Pascoe , Stephen C. Bowden , Anita B. Amorim , Kusal Goonewardena , Nicholas T. Van Dam

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引用次数: 0

Abstract

Background

Qualitative evidence points to the importance of both mental health-related barriers and benefits to exercise in chronic pain, yet this bidirectional relationship has not been established quantitatively.

Methods

89 adults with chronic pain (75 female, Age: M = 34.7, SD=13.2), and 89 demographically-matched individuals without chronic pain (73 female, Age: M = 32.0, SD=13.3) self-reported demographic and health information, mental health-related barriers and benefits to exercise, and leisure-time exercise activity.

Results

Adults with chronic pain had significantly higher scores on mental health-related barriers to exercise, and lower leisure-time exercise participation than adults without chronic pain. The groups did not differ on mental health-related benefits of exercise scores. Benefits scores positively predicted exercise, yet there was a significant negative interaction between pain and benefit scores, indicating a weaker positive relationship between benefits and exercise for adults with chronic pain than for those without chronic pain. Barrier scores significantly negatively predicted exercise engagement, but did not interact significantly with chronic pain.

Conclusion

Mental health-related barriers and benefits to exercise are important considerations when prescribing exercise for adults with chronic pain. Adults with chronic pain may require individualised support to address mental health-related barriers to leisure-time exercise.

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患有和不患有慢性疼痛的成年人在锻炼时遇到的与心理健康有关的障碍和获得的益处

背景定量证据表明，在慢性疼痛中，与心理健康有关的障碍和运动的益处都很重要，但这种双向关系尚未得到定量证实。结果与无慢性疼痛的成年人相比，患有慢性疼痛的成年人在与心理健康相关的运动障碍方面得分明显更高，而在闲暇时间参与运动的人数则更少。两组人在与心理健康相关的运动益处得分上没有差异。益处得分对运动有积极的预测作用，但疼痛与益处得分之间存在显著的负交互作用，这表明与无慢性疼痛的成年人相比，慢性疼痛成年人的益处与运动之间的积极关系较弱。与心理健康相关的运动障碍和运动益处是为患有慢性疼痛的成年人提供运动处方时的重要考虑因素。患有慢性疼痛的成年人可能需要个性化的支持，以解决与心理健康相关的业余锻炼障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Clinical and Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

10.70

自引率

5.70%

发文量

审稿时长

33 days

期刊介绍： The International Journal of Clinical and Health Psychology is dedicated to publishing manuscripts with a strong emphasis on both basic and applied research, encompassing experimental, clinical, and theoretical contributions that advance the fields of Clinical and Health Psychology. With a focus on four core domains—clinical psychology and psychotherapy, psychopathology, health psychology, and clinical neurosciences—the IJCHP seeks to provide a comprehensive platform for scholarly discourse and innovation. The journal accepts Original Articles (empirical studies) and Review Articles. Manuscripts submitted to IJCHP should be original and not previously published or under consideration elsewhere. All signing authors must unanimously agree on the submitted version of the manuscript. By submitting their work, authors agree to transfer their copyrights to the Journal for the duration of the editorial process.