慢性疼痛患者疼痛灾难化、抑郁、焦虑和疼痛干扰的隐喻标记。

IF 4 2区医学 Q1 CLINICAL NEUROLOGY

Journal of Pain Pub Date : 2024-11-12 DOI:10.1016/j.jpain.2024.104733

Jasmine Heath Hearn Dr , Imogene Munday Dr , Stella Bullo Dr , Kris Rogers Dr , Toby Newton-John Dr , Ian Kneebone Dr

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引用次数: 0

摘要

用隐喻来表达慢性疼痛可以反映出对疼痛及其影响的心理评价，并可能有益于加深对疼痛、其病因的理解和共同决策。这项横断面研究考察了隐喻的使用及其与疼痛强度、疼痛干扰、情绪和疼痛灾难化之间的关系。70 名慢性疼痛患者完成了抑郁、焦虑和压力测量、简明疼痛量表和疼痛灾难化量表。他们通过隐喻和与疼痛相关的主要情况来描述自己的疼痛。疼痛灾难化可明显预测隐喻的使用频率（R2=.07，F（1，62）=4.55，p=.041）。隐喻的频繁使用与疼痛灾难化（r=.29，p=.03）、反刍（r=.26，p=.05）、放大（r=.28，p=.03）、无助（r=.28，p=.04）、抑郁（r=.30，p=.02）和疼痛干扰（r=.30，p=.02）相关。将疼痛与身体损伤联系起来的隐喻与焦虑（OR 1.17，95% CI 1.03-1.35，p=.02）和放大（OR 1.27，95% CI 1.05-1.57，p=.02）显著相关。将疼痛比喻为由外部因素引起与抑郁（OR 1.11，95% CI 1.01-1.23，p=.04）和疼痛持续时间（OR 1.05，95% CI 1.00-1.11，p=.04）显著相关。研究结果表明，在慢性疼痛患者使用的语言中，可能存在心理和疼痛相关结果的特定隐喻标记。对隐喻的理解可能有助于加强患者与医护人员之间的沟通，并为慢性疼痛患者提供支持。观点：慢性疼痛患者可以使用隐喻表达方式来交流他们的经历。本研究发现，疼痛干扰、抑郁、焦虑和疼痛灾难化在慢性疼痛患者使用隐喻时有所反映。尤其是疼痛灾难化对隐喻的频繁使用有显著的预测作用，这表明疼痛灾难化在语言中的反映。

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Metaphorical markers of pain catastrophizing, depression, anxiety, and pain interference in people with chronic pain

Metaphor to communicate chronic pain can reflect psychological appraisals of pain, and its impact, and may be beneficial in enhancing understanding of pain, its aetiology, and facilitating communication and shared decision-making. This cross-sectional study examined metaphor use and relationships with pain intensity, pain interference, mood, and pain catastrophizing. Seventy participants with chronic pain completed measures of depression, anxiety and stress, the Brief Pain Inventory, and the Pain Catastrophizing Scale. They provided descriptions of their pain through metaphor and a primary condition related to their pain. Pain catastrophizing significantly predicted frequency of metaphor use (R² =.07, F(1, 62)= 4.55, p = .041). More frequent use of metaphor was correlated with pain catastrophizing (r = .29, p = .03), rumination (r = .26, p = .05), magnification (r = .28, p = .03), helplessness (r = .28, p = .04), depression (r = .30, p = .02), and pain interference (r = .30, p = .02). Metaphors relating pain to physical damage were significantly associated with anxiety (OR 1.17, 95% CI 1.03–1.35, p = .02) and magnification (OR 1.27, 95% CI 1.05–1.57, p = .02). Metaphors referring to pain as caused by an external agent were significantly associated with depression (OR 1.11, 95% CI 1.01–1.23, p = .04) and pain duration (OR 1.05, 95% CI 1.00–1.11, p = .04). The findings indicate that there may be specific metaphorical markers of psychological and pain-related outcomes in the language used by people with chronic pain. Appreciation of metaphor may facilitate enhanced patient-provider communication and support for people with chronic pain.

Perspective

People with chronic pain can use metaphorical expressions to communicate their experiences. This study found that pain interference, depression, anxiety, and pain catastrophizing are reflected in metaphor use by people with chronic pain. In particular, pain catastrophizing was significantly predictive of more frequent metaphor use, demonstrating the reflection of pain catastrophizing in language.

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来源期刊

Journal of Pain 医学-临床神经学

CiteScore

6.30

自引率

7.50%

发文量

441

审稿时长

42 days

期刊介绍： The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.