Patients With Chronic Pain: The Aspect Of Negative Body Image.

Pub Date : 2024-10-01 Epub Date: 2024-06-17 DOI:10.1055/a-2322-8484

Kristin Kieselbach, Ingrid Fauler, Birgit Abberger

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Abstract

Objective: Negative body image is an increasingly important factor in chronic pain disorders; particularly because the two conditions mutually influence each other. Our study examines body-image-related attitudes and comorbid psychic symptoms in patients with chronic pain disorders.

Methods and measures: 188 patients with chronic pain answered the Dresden body image questionnaire (DKB-35), the Hospital Anxiety and Depression Scale (HADS) and the Beck's Depression Inventory (BDI).

Results: The mean values of the DKB-35 subscales range between 2.24 und 3.29. The subscale "vitality" has the lowest mean value. BDI and HADS correlated significantly with the DKB-35 subscales. The subscale "body-acceptance" intercorrelated high with the two subscales "vitality" and "self-aggrandizement".

Conclusion: Our findings verify that chronic pain is strongly associated with negative body image. The issues of vitality and psychological symptoms seem particularly central in this complex interaction. The biopsycho-social model and the avoidance-endurance approach to chronic pain offer important ideas for explanation and treatment.

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慢性疼痛患者：负面身体形象的影响。

目的消极的身体形象是慢性疼痛障碍中一个日益重要的因素，尤其是因为这两种情况会相互影响。我们的研究探讨了慢性疼痛患者与身体形象相关的态度和合并心理症状：188名慢性疼痛患者回答了德累斯顿身体形象问卷（DKB-35）、医院焦虑抑郁量表（HADS）和贝克抑郁量表（BDI）：结果：DKB-35 分量表的平均值介于 2.24 和 3.29 之间。活力 "分量表的平均值最低。BDI 和 HADS 与 DKB-35 分量表有显著相关性。身体接受度 "分量表与 "活力 "和 "自我陶醉 "两个分量表之间的相关性很高：我们的研究结果证实，慢性疼痛与负面身体形象密切相关。在这一复杂的相互作用中，活力和心理症状似乎尤为重要。生物-心理-社会模型和回避-忍耐法为解释和治疗慢性疼痛提供了重要思路。

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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