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首页> 外文期刊>Psychosomatics >Health concerns and somatic symptoms explain perceived disability and idiopathic hand and arm pain in an orthopedics surgical practice: a path-analysis model.
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Health concerns and somatic symptoms explain perceived disability and idiopathic hand and arm pain in an orthopedics surgical practice: a path-analysis model.

机译：健康问题和躯体症状解释了整形外科手术中感知到的残疾和特发性手和手臂疼痛：路径分析模型。

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BACKGROUND: Upper-limb pain disorders are relatively common, and often result in disability, lost time from work, and significant use of healthcare services. OBJECTIVE: The authors adapted and tested a cognitive-behavioral model of health anxiety in 100 patients with hand and arm pain in an orthopedics surgical practice, hypothesizing that increased health concerns would relate to increased perceived disability, and investigating whether patients' pain is related to other increased somatic symptoms. METHOD: Patients with (non-traumatic) hand and arm pain received the Health Anxiety Inventory, the Whitley Index, and the Somatic Symptoms Inventory. Primary analyses were conducted via structural-equation modeling. RESULTS: There was a strong, positive, and direct relationship between health concerns and perceived disability. Health concerns were significantly and positively related to somatic symptoms, which, in turn, were significantly positively related to perceived disability and to having idiopathic versus discrete pain. CONCLUSION: The health-anxiety model is relevant to the development of nonspecific, vague, and diffuse (idiopathic) hand and arm pain.
机译：背景：上肢疼痛症较常见，通常会导致残疾，工作时间浪费和大量使用医疗服务。目的：在整形外科中，作者对100名手和手臂疼痛患者的健康焦虑认知行为模型进行了调整和测试，假设增加的健康担忧将与感觉残疾增加有关，并调查患者的疼痛是否与其他躯体症状增加。方法：患有（非创伤性）手和手臂疼痛的患者接受健康焦虑量表，Whitley指数和躯体症状量表。初步分析是通过结构方程模型进行的。结果：健康问题和感知到的残疾之间存在牢固，积极和直接的关系。健康问题与躯体症状呈显着正相关，而躯体症状与感觉到的残疾以及特发性疼痛和离散性疼痛显着正相关。结论：健康焦虑模型与非特异性，模糊和弥漫性（特发性）手和手臂疼痛的发展有关。

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