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首页> 外文期刊>AIDS care. >Acceptance of chronic pain in depressed patients with HIV: correlations with activity, functioning, and emotional distress
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Acceptance of chronic pain in depressed patients with HIV: correlations with activity, functioning, and emotional distress

机译：HIV 抑郁症患者对慢性疼痛的接受程度：与活动、功能和情绪困扰的相关性

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Chronic pain is highly prevalent among persons with HIV (PWH), as is depression. Both comorbidities might contribute to, as well as be maintained by, avoidance-based coping. A promising alternative to avoidance-based coping is acceptance. Acceptance of pain is associated with improved functioning and quality of life in chronic pain patients, but this relationship has not been substantially explored among PWH. Cross-sectional data from 187 adult outpatients enrolled in a randomized trial for depressed PWH with chronic pain were analyzed. Controlling for pain severity and demographics, the relationships among pain acceptance and indicators of activity, functioning, and emotional distress (i.e., anxiety and anger) were assessed in seven regression models. No significant relationships were found between self-reported physical activity or objective measurement of mean steps/day with pain acceptance. Results revealed an inverse relationship between chronic pain acceptance and pain-related functional interference (b(y.x )= -.52, p < .01) and a positive relationship with self-reported functioning (b(y.x) = 7.80, p < .01). A significant inverse relationship with anxiety symptoms (b(y.x) = -1.79, p < .01) and pain acceptance was also found. Acceptance of chronic pain can facilitate decreased emotional distress, improved well-being, and better functioning and quality of life. Further investigation of chronic pain acceptance among PWH could inform the development of acceptance-based interventions.
机译：慢性疼痛在HIV感染者（PWH）中非常普遍，抑郁症也是如此。这两种合并症都可能有助于回避型应对，也可以通过回避型应对来维持。基于回避的应对措施的一个有前途的替代方案是接受。接受疼痛与慢性疼痛患者的功能和生活质量的改善有关，但这种关系尚未在 PWH 中得到实质性探索。分析了 187 名参加慢性疼痛抑郁 PWH 随机试验的成年门诊患者的横断面数据。控制疼痛严重程度和人口统计学，在七个回归模型中评估疼痛接受度与活动、功能和情绪困扰指标（即焦虑和愤怒）之间的关系。在自我报告的身体活动或平均步数/天的客观测量与疼痛接受度之间没有发现显着关系。结果显示，慢性疼痛接受度与疼痛相关功能干扰之间存在负相关关系（b（y.x ）= -.52，p < .01），与自我报告的功能呈正相关（b（y.x） = 7.80，p < .01）。还发现与焦虑症状（b（y.x）=-1.79，p < .01）和疼痛接受度呈显着反比关系。接受慢性疼痛可以促进减少情绪困扰、改善幸福感以及改善功能和生活质量。进一步研究PWH的慢性疼痛接受情况可以为基于接受的干预措施的发展提供信息。

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