Mindfulness buffers the association of pain with depression and anxiety among people with spinal cord injury: A cross-sectional study.

IF 1.9 4区医学 Q3 PSYCHOLOGY, CLINICAL

Rehabilitation Psychology Pub Date : 2024-11-11 DOI:10.1037/rep0000593

Chelsea G Ratcliff, Shrasti Lohiya, Susan Robinson-Whelen, Heather Taylor, Alice Ahn, Radha Korupolu

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引用次数: 0

Abstract

Purpose: Chronic pain is common among people with spinal cord injury (PwSCI) and impacts mental health (MH). Mindfulness may buffer the association of pain with MH, but few studies have examined this among PwSCI. This study examines the extent to which mindfulness moderates the association of pain intensity with MH among PwSCI.

Method: PwSCI (N = 64) and chronic pain provided demographic and disability information, ratings of pain intensity (0-10 Numeric Rating Scale), pain interference, depression (eight-item Patient Health Questionnaire [PHQ-8]), anxiety (Generalized Anxiety Disorder-7 [GAD-7]), positive affect/wellbeing (SCI-QOL Positive Affect and Well-Being Short Form [PAWB-SF]), stress (Perceived Stress Scale-4 [PSS-4]), and mindfulness (15-item Five Facet Mindfulness Questionnaire [FFMQ-15]) at the time of their enrollment in a randomized controlled trial of a mindfulness intervention. The present, cross-sectional study used baseline data. Pain intensity, pain interference, mindfulness (FFMQ-15), the Pain Intensity × FFMQ-15 interaction, and relevant covariates were regressed on the four outcome measures (PHQ-8, GAD-7, PAWB-SF, and PSS-4).

Results: There was a significant Pain Intensity × FFMQ-15 interaction effect on PHQ-8 (p = .008) and GAD-7 (p = .021), such that mindfulness buffered the positive relation of pain intensity with depression and anxiety. Additionally, there was a significant Pain Intensity × FFMQ-15 interaction effect on PAWB-SF (p = .032), but contrary to the hypothesis, mindfulness intensified a positive relation between pain intensity and positive affect/well-being.

Conclusion: Dispositional mindfulness may buffer the association of pain intensity with depression and anxiety. Examining interventions to enhance mindfulness among PwSCI is warranted. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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正念可缓冲脊髓损伤患者的疼痛与抑郁和焦虑之间的关联：一项横断面研究。

目的：慢性疼痛在脊髓损伤患者（PwSCI）中很常见，并影响心理健康（MH）。正念可以缓冲疼痛与心理健康之间的关联，但很少有研究对脊髓损伤患者进行这方面的研究。本研究探讨了正念在多大程度上调节了脊髓损伤患者疼痛强度与心理健康之间的关联：方法：慢性疼痛患者（64 人）提供了人口统计学和残疾信息、疼痛强度评分（0-10 分数字评分量表）、疼痛干扰、抑郁（八项患者健康问卷 [PHQ-8]）、焦虑（广泛性焦虑症-7 [GAD-7]）、积极情绪/幸福感（SCI-3）和心理健康（SCI-4）、在参加正念干预随机对照试验时，他们的正念指标包括积极情绪/幸福感（SCI-QOL 积极情绪和幸福感简表 [PAWB-SF]）、压力（感知压力量表-4 [PSS-4]）和正念（15 项五面正念问卷 [FFMQ-15]）。本横断面研究使用的是基线数据。疼痛强度、疼痛干扰、正念（FFMQ-15）、疼痛强度 × FFMQ-15 交互作用以及相关协变量对四项结果测量（PHQ-8、GAD-7、PAWB-SF 和 PSS-4）进行了回归分析：结果：疼痛强度 × FFMQ-15 在 PHQ-8 (p = .008) 和 GAD-7 (p = .021) 上有明显的交互效应，因此正念可以缓冲疼痛强度与抑郁和焦虑的正相关关系。此外，疼痛强度 × FFMQ-15 对 PAWB-SF 存在显著的交互效应（p = .032），但与假设相反，正念强化了疼痛强度与积极情绪/幸福感之间的正相关关系：结论：正念可缓冲疼痛强度与抑郁和焦虑之间的关系。我们有必要研究如何干预以增强亚健康患者的正念。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

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

Rehabilitation Psychology Multiple-

CiteScore

4.80

自引率

7.40%

发文量

期刊介绍： Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.