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首页> 美国卫生研究院文献>Journal of Pain Research >Development of a profile scoring system for assessing the psychosocial situation of patients with chronic musculoskeletal pain
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Development of a profile scoring system for assessing the psychosocial situation of patients with chronic musculoskeletal pain

机译：开发一种轮廓评分系统用于评估慢性肌肉骨骼疼痛患者的心理状况

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Chronic pain is a manifestation of interactions among physical, psychological, and social conditions, but the latter two, that is, the nonphysical correlates of chronic pain, are only rarely measured. This study aimed to develop a profile scoring system for assessing the psychosocial situation of patients with chronic musculoskeletal pain. An expert panel chose social and psychological domains considered to be relevant to patients with chronic pain and wrote questions asking about each of those domains. The questionnaire was completed by 252 patients with chronic musculoskeletal pain. Factor analysis was used to select questionnaire items for each domain. Associations and interactions of pain severity and each domain score with pain-related quality of life (PRQOL) were examined using linear regression models. Five domains were chosen: work, family, sleep, mental health, and PRQOL. Then, a total of 17 questions were created for the work, family, and sleep domains. Using the likelihood-ratio test, we found significant interactions with PRQOL in four pairs: severity–family, severity–mental, family–sleep, and work–mental. The association between pain severity and PRQOL was related to each patient’s social and psychological situation. These results suggest that interventions for patients with chronic pain may be personalized to account for each individual’s psychosocial situation.
机译：慢性疼痛是身体，心理和社会状况之间相互作用的一种表现，但是后两种，即慢性疼痛的非身体相关性，很少被测量。这项研究旨在开发一种轮廓评分系统，用于评估慢性肌肉骨骼疼痛患者的社会心理状况。一个专家小组选择了与慢性疼痛患者相关的社会和心理领域，并就每个领域提出了问题。该问卷由252例慢性肌肉骨骼疼痛患者完成。因子分析用于选择每个领域的调查表项目。使用线性回归模型检查了疼痛严重程度和每个领域评分与疼痛相关生活质量（PRQOL）的关联和相互作用。选择了五个领域：工作，家庭，睡眠，心理健康和PRQOL。然后，针对工作，家庭和睡眠领域共创建了17个问题。使用似然比检验，我们发现PRQOL与PRQOL有四对显着的相互作用：严重程度-家庭，严重程度-精神，家庭-睡眠和工作-精神。疼痛严重程度与PRQOL之间的关联与每个患者的社会和心理状况有关。这些结果表明，针对慢性疼痛患者的干预措施可能是个性化的，以考虑每个人的社会心理状况。

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