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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >The Long Term Role of Anxiety Sensitivity and Experiential Avoidance on Pain Intensity, Mood, and Disability among Individuals in a Specialist Pain Clinic
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The Long Term Role of Anxiety Sensitivity and Experiential Avoidance on Pain Intensity, Mood, and Disability among Individuals in a Specialist Pain Clinic

机译：焦虑敏感性和体验回避对专科疼痛诊所中个体的疼痛强度，情绪和残疾的长期作用

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Background. Anxiety sensitivity (AS) and experiential avoidance (EA) have been shown to have an interactive effect on the response an individual has to chronic pain (CP) potentially resulting in long term negative outcomes. Objective. The current study attempted to (1) identify distinct CP subgroups based on their level of EA and AS and (2) compare the subgroups in terms of mood and disability. Methods. Individuals with CP were recruited from an academic pain clinic. Individuals were assessed for demographic, psychosocial, and personality measures at baseline and 1-year follow-up. A cluster analysis was conducted to identify distinct subgroups of patients based on their level of EA and AS. Differences in clinical outcomes were compared using the Repeated Measures MANOVA. Results. From a total of 229 participants, five clusters were formed. Subgroups with lower levels of AS but similar high levels of EA did not differ in outcomes. Mood impairment was significantly greater among those with high levels of EA compared to lower levels (). Significant improvement in disability () was only seen among those with lower levels of EA and AS. Conclusions. This cluster analysis demonstrated that EA had a greater influence on mood impairment, while both EA and AS levels affected disability outcomes among individuals with CP.
机译：背景。焦虑敏感性（AS）和体验回避（EA）已显示对个体对慢性疼痛（CP）的反应具有交互作用，可能导致长期的负面结果。目的。当前的研究试图（1）根据其EA和AS的水平确定不同的CP亚组，以及（2）比较情绪和残疾方面的亚组。方法。从学术疼痛诊所招募患有CP的个体。在基线和1年随访中对个体进行人口统计学，社会心理和人格测量。进行了聚类分析，以根据患者的EA和AS水平确定不同的患者亚组。使用重复测量MANOVA比较临床结果的差异。结果。在总共229名参与者中，形成了五个集群。 AS水平较低但EA水平较高的亚组的结局无差异。与较低水平的EA相比，高水平EA的患者的情绪障碍明显更大。仅在EA和AS水平较低的人群中，残疾（）的显着改善。结论。这项聚类分析表明，EA对情绪障碍的影响更大，而EA和AS水平均会影响CP个体的残疾结果。

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