对有意义生活的信念和对慢性疼痛的适应。

IF 2.9 3区 医学 Q1 ANESTHESIOLOGY
Pain Medicine Pub Date : 2024-08-27 DOI:10.1093/pm/pnae091
David E Reed, Melissa A Day, Alexandra Ferreira-Valente, Mark P Jensen
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引用次数: 0

摘要

目的:慢性疼痛是一个全球性的健康问题,通常会干扰个人生活的多个方面(如身体活动),削弱个人参与促进生活意义的活动的能力。然而,人们并不十分清楚,相信自己在疼痛中仍能过上有意义的生活会如何有助于改善慢性疼痛患者的功能。本研究的目的是更好地了解 "尽管疼痛但生活得有意义 "这一信念在慢性疼痛适应过程中可能起到的作用:参与者(N = 164)均为慢性疼痛患者,他们完成了两项密切相关的随机临床试验的基线数据。我们使用层次回归分析来检验以下假设:尽管疼痛但生活得有意义的信念将与功能(疼痛干扰和创伤后应激障碍、抑郁和焦虑症状)相关,尽管疼痛但生活得有意义的信念将缓和疼痛强度与功能之间的关联:尽管疼痛但生活得有意义的信念与较轻的疼痛干扰和较轻的创伤后应激障碍、焦虑和抑郁症状明显相关,这支持了这一变量在适应慢性疼痛方面的潜在作用。然而,一个人在疼痛中仍能过上有意义生活的信念并不能缓和疼痛强度与功能之间的关联:研究结果提供了重要的理论和临床信息,说明相信自己可以在疼痛中过上有意义的生活可能是适应慢性疼痛的一个重要过程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Belief in Living a Meaningful Life and Adjustment to Chronic Pain.

Objective: Chronic pain is a global health concern and often interferes with multiple aspects of individuals' lives (e.g., physical activities), diminishing one's ability to engage in activities that promote meaning in life. However, it is not well understood how believing that one can live a meaningful life despite pain may contribute to improved function among individuals with chronic pain. The aim of the current study was to better understand the role that belief in living a meaningful life despite pain may have in adjustment to chronic pain.

Methods: Participants (N = 164) were individuals with chronic pain who completed baseline data from two closely related randomized clinical trials. Hierarchical regression analyses were used to examine the hypotheses that one's belief in living a meaningful life despite pain will be associated with function (pain interference and symptoms of posttraumatic stress disorder, depression, and anxiety) and that the belief in living a meaningful life despite pain would moderate the associations between pain intensity and function.

Results: Belief in living a meaningful life despite pain was significantly associated with less pain interference and less severe symptoms of PTSD, anxiety, and depression, supporting the potential role of this variable in adaptive adjustment to chronic pain. However, one's belief in living a meaningful life despite pain did not moderate the associations between pain intensity and function.

Conclusions: Results provide important theoretical and clinical information about how believing that one can live a meaningful life despite pain may serve as an important process for adjustment to chronic pain.

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来源期刊
Pain Medicine
Pain Medicine 医学-医学:内科
CiteScore
6.50
自引率
3.20%
发文量
187
审稿时长
3 months
期刊介绍: Pain Medicine is a multi-disciplinary journal dedicated to pain clinicians, educators and researchers with an interest in pain from various medical specialties such as pain medicine, anaesthesiology, family practice, internal medicine, neurology, neurological surgery, orthopaedic spine surgery, psychiatry, and rehabilitation medicine as well as related health disciplines such as psychology, neuroscience, nursing, nurse practitioner, physical therapy, and integrative health.
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