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Biopsychosocial factors in chronic spine-related pain: Contributions to pain intensity and perceived disability.

机译：慢性脊柱相关性疼痛中的生物社会心理因素：对疼痛强度和感觉残疾的贡献。

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摘要

Psychological and contextual factors play an important role in the development and maintenance of chronic spine-related pain, and effective treatment of pain-related conditions requires an understanding of how these factors contribute to pain and disability. The present study examined the relative contributions of spine pathology, psychological complications, and demographic factors to perceived pain intensity and disability in patients with chronic spine-related pain. Because most patients were assessed in the context of a compensable injury, exaggeration of symptoms and disability was systematically controlled for using multiple validity indicators. A high prevalence of psychological complications was observed in the present sample. Analysis indicated that psychological factors were not significantly related to pain intensity, but were significantly related to reported pain-related disability. Further, psychological factors were found to predict pain-related disability beyond demographics, medical findings, and pain intensity. Clinical implications of these findings are discussed.;Keywords: chronic pain; disability; outcome; psychological factors; biopsychosocial model
机译：心理和情境因素在慢性脊柱相关性疼痛的发展和维持中起着重要作用，而对疼痛相关病症的有效治疗需要了解这些因素如何导致疼痛和残疾。本研究检查了脊柱病理，心理并发症和人口统计学因素对慢性脊柱相关性疼痛患者感知的疼痛强度和残疾的相对贡献。因为大多数患者都是在可补偿性伤害的情况下进行评估的，所以使用多个有效性指标可以系统地控制症状和残疾的夸张。在本样本中观察到很高的心理并发症发生率。分析表明，心理因素与疼痛强度没有显着相关，但与报告的与疼痛相关的残疾显着相关。此外，发现心理因素可以预测人口统计，医学发现和疼痛强度以外的与疼痛相关的残疾。讨论了这些发现的临床意义。失能;结果;心理因素生物心理社会模型

著录项

  • 作者

    Ord, Jonathan S.;

  • 作者单位

    University of New Orleans.;

  • 授予单位 University of New Orleans.;
  • 学科 Psychology Psychobiology.;Psychology Physiological.;Psychology Industrial.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 80 p.
  • 总页数 80
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

  • 入库时间 2022-08-17 11:36:50

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