Mediating Effect of Psychological Inflexibility, Insomnia, and Resilience on the Association Between Pain and Depression Among Patients With Chronic Pain.

IF 1.8 4区医学 Q3 PSYCHIATRY

Psychiatry Investigation Pub Date : 2025-07-10 DOI:10.30773/pi.2025.0065

Hussein Makhour, Seockhoon Chung

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引用次数: 0

Abstract

Objective: Chronic pain, impacting roughly 20% of the population, significantly affects quality of life and productivity. This study explored the mediating effects of psychological inflexibility, insomnia, and resilience on the association between pain and depression in patients with chronic pain.

Methods: Data on demographics, pain characteristics, and psychological factors were obtained through an online survey involving 100 patients from the Asan Medical Center Pain Clinic. Measures included the Patient Health Questionnaire-9, Insomnia Severity Index (ISI), Acceptance and Action Questionnaire-II (AAQ-II), and Brief Resilience Scale (BRS). Statistical analyses involved correlation, linear regression, and mediation analyses.

Results: A linear regression analysis revealed that the severity of depression was predicted by pain severity (β=0.18, p=0.018), ISI (β=0.22, p=0.010), AAQ-II (β=0.32, p<0.001), and BRS (β=-0.28, p=0.002). The mediation analysis showed that pain severity directly influenced depression severity. This relationship was partially mediated by ISI, AAQ-II, and BRS.

Conclusion: This study underscores the necessity for holistic approaches in chronic pain management that address the mediating effect of psychological factors. Targeted interventions focusing on insomnia, psychological inflexibility, and resilience can significantly enhance mental health outcomes for patients with chronic pain.

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心理不弹性、失眠和心理弹性在慢性疼痛患者疼痛与抑郁关系中的中介作用。

目的：慢性疼痛影响着大约20%的人口，严重影响着生活质量和生产力。本研究探讨了心理不灵活性、失眠和心理弹性在慢性疼痛患者疼痛和抑郁之间的中介作用。方法：通过对峨山医疗中心疼痛门诊100名患者的在线调查，获得人口统计学、疼痛特征和心理因素的数据。测量方法包括患者健康问卷-9、失眠严重程度指数（ISI）、接受与行动问卷- ii （AAQ-II）和简短恢复力量表（BRS）。统计分析包括相关性、线性回归和中介分析。结果：通过线性回归分析发现，疼痛严重程度（β=0.18, p=0.018）、ISI （β=0.22, p=0.010）、AAQ-II （β=0.32, p）对慢性疼痛的严重程度有预测作用。结论：本研究强调了在慢性疼痛管理中采用整体方法解决心理因素的中介作用的必要性。针对失眠、心理不灵活和恢复力的针对性干预可以显著提高慢性疼痛患者的心理健康结果。

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

Psychiatry Investigation PSYCHIATRY-

CiteScore

4.10

自引率

3.70%

发文量

105

审稿时长

6-12 weeks

期刊介绍： The Psychiatry Investigation is published on the 25th day of every month in English by the Korean Neuropsychiatric Association (KNPA). The Journal covers the whole range of psychiatry and neuroscience. Both basic and clinical contributions are encouraged from all disciplines and research areas relevant to the pathophysiology and management of neuropsychiatric disorders and symptoms, as well as researches related to cross cultural psychiatry and ethnic issues in psychiatry. The Journal publishes editorials, review articles, original articles, brief reports, viewpoints and correspondences. All research articles are peer reviewed. Contributions are accepted for publication on the condition that their substance has not been published or submitted for publication elsewhere. Authors submitting papers to the Journal (serially or otherwise) with a common theme or using data derived from the same sample (or a subset thereof) must send details of all relevant previous publications and simultaneous submissions. The Journal is not responsible for statements made by contributors. Material in the Journal does not necessarily reflect the views of the Editor or of the KNPA. Manuscripts accepted for publication are copy-edited to improve readability and to ensure conformity with house style.