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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 >Does classification of persons with fibromyalgia into Multidimensional Pain Inventory subgroups detect differences in outcome after a standard chronic pain management program?
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Does classification of persons with fibromyalgia into Multidimensional Pain Inventory subgroups detect differences in outcome after a standard chronic pain management program?

机译:在标准的慢性疼痛管理程序后,将肌痛患者分类为多维疼痛量表亚组是否可以检测出预后的差异?

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INTRODUCTION: The present study aimed to replicate;validate the empirically derived subgroup classification based on the Multidimensional Pain Inventory (MPI) in a sample of highly disabled fibromyalgia (FM) patients. Second;it examined how the identified subgroups differed in their response to an intensive;interdisciplinary inpatient pain management program.METHODS: Participants were persons with FM who experienced persistent pain;were disabled. Subgroup classification was conducted by cluster analysis using MPI subscale scores at entry to the program. At program entry;discharge;participants completed the MPI;Medical Outcomes Study Short Form-;Hospital Anxiety;Depression Scale;Coping Strategies Questionnaire.RESULTS: Cluster analysis identified three subgroups in the highly disabled sample that were similar to those described by other studies using less disabled samples of FM. The dysfunctional subgroup (DYS; % of the sample) showed the highest level of depression;the interpersonally distressed subgroup (ID; %) showed a modest level of depression;the adaptive copers subgroup (AC; %) showed the lowest depression scores in the MPI (negative mood), Medical Outcomes Study Short Form- (mental health), Hospital Anxiety;Depression Scale (depression);Coping Strategies Questionnaire (catastrophizing). Significant differences in treatment outcome were observed among the three subgroups in terms of reduction of pain severity (as assessed using the MPI). The effect sizes were . for DYS;. for AC;. for ID (P=. for pairwise comparison of ID-AC;P=. for ID-DYS).DISCUSSION: These findings underscore the importance of assessing individuals' differences in how they adjust to FM.
机译:引言:本研究旨在复制;验证高度残疾的纤维肌痛(FM)患者样本中基于多维疼痛清单(MPI)的经验得出的亚组分类。其次,它研究了确定的亚组对强化,跨学科住院病人疼痛管理程序的反应有何不同。方法:参与者是患有持续性疼痛的FM患者;被禁用。子组分类是通过聚类分析在程序进入时使用MPI子量表得分进行的。在项目进入时;出院;参加者完成了MPI;医学成果研究简表;医院焦虑症;抑郁量表;应对策略问卷。结果:聚类分析确定了高度残疾的样本中的三个亚组,与其他研究使用的亚组相似FM的禁用样本更少。功能障碍的亚组(DYS;占样本的%)表现出最高的抑郁水平;人际关系困扰的亚组(ID;%)表现出适度的抑郁水平;适应性copers亚组(AC;%)表现出最低的抑郁评分MPI(负性情绪),短期医疗结果研究(心理健康),医院焦虑症,抑郁量表(抑郁),应对策略问卷(灾难性)。在减少疼痛严重程度方面(使用MPI进行评估),在三个亚组之间观察到了治疗结局的显着差异。效果大小为。对于DYS;。对于AC;讨论:这些发现强调了评估个人适应FM的差异的重要性。

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