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首页> 外文期刊>Physiotherapy theory and practice >Is self-efficacy and catastrophizing in pain-related disability mediated by control over pain and ability to decrease pain in whiplash-associated disorders?
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Is self-efficacy and catastrophizing in pain-related disability mediated by control over pain and ability to decrease pain in whiplash-associated disorders?

机译:通过控制疼痛和减少鞭打相关疾病疼痛的疼痛和能力介导的痛苦相关残疾中的自我效能和灾难性?

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摘要

Pain perception is influenced by several cognitive and behavioral factors of which some identified as mediators are important in pain management. We studied the mediating role of control over pain and ability to decrease pain in relation to functional self-efficacy, catastrophizing, and pain-related disability in patients with Whiplash-Associated Disorders, (WAD). Further, if the possible mediating impact differs over time from acute to three and 12 months after an accident, cross-sectional and prospective design was used, and 123 patients with WAD were included. Regression analyses were conducted to examine the mediating effect. The results showed that control over pain and ability to decrease pain were not mediators between self-efficacy, catastrophizing, and disability. Self-efficacy had a larger direct effect on pain-related disability compared to catastrophizing. Thus, healthcare staff should give priority to increase patients' self-efficacy, decrease catastrophic thinking, and have least focus on control over pain or ability to decrease pain.
机译:疼痛感知受到几种认知和行为因素的影响,其中一些身份鉴定为介质在止痛药中都很重要。我们研究了对疼痛的介导的作用和能力减少与鞭打相关疾病患者的功能自我疗效,灾难性和与疼痛相关的残疾有关的痛苦,(WAD)。此外,如果可能的介导的撞击随着时间的推移而与事故发生后的三次和12个月,使用横截面和预期设计,并且包括123例WAD患者。进行回归分析以检查介质效果。结果表明,对疼痛的控制和减少疼痛的能力不是自我效能,灾难性和残疾之间的介质。与灾难性相比,自我效能对与疼痛相关的残疾具有更大的直接影响。因此,医疗保健人员应该优先提高患者的自我效能,减少灾难性思维,并至少关注控制疼痛或减少疼痛的能力。

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