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首页> 外文期刊>Pain. >Dimensions of catastrophic thinking associated with pain experience and disability in patients with neuropathic pain conditions.
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Dimensions of catastrophic thinking associated with pain experience and disability in patients with neuropathic pain conditions.

机译:与神经性疼痛症状患者的疼痛经历和残疾相关的灾难性思考的维度。

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摘要

The objective of the present study was to examine the relative contributions of different dimensions of catastrophic thinking (i.e. rumination, magnification, helplessness) to the pain experience and disability associated with neuropathic pain. Eighty patients with diabetic neuropathy, post-herpetic neuralgia, post-surgical or post-traumatic neuropathic pain who had volunteered for participation in a clinical trial formed the basis of the present analyses. Spontaneous pain was assessed with the sensory and affective subscales of the McGill Pain Questionnaire. Pinprick hyperalgesia and dynamic tactile allodynia were used as measures of evoked pain. Consistent with previous research, individuals who scored higher on a measure of catastrophic thinking (Pain Catastrophizing Scale; PCS) also rated their pain as more intense, and rated themselves to be more disabled due to their pain. Follow up analyses revealed that the PCS was significantly correlated with the affective subscale of the MPQ but not with thesensory subscale. The helplessness subscale of the PCS was the only dimension of catastrophizing to contribute significant unique variance to the prediction of pain. The PCS was not significantly correlated with measures of evoked pain. Catastrophizing predicted pain-related disability over and above the variance accounted for by pain severity. The findings are discussed in terms of mechanisms linking catastrophic thinking to pain experience. Treatment implications are addressed.
机译:本研究的目的是检查灾难性思维的不同维度(即反省,放大,无助)对与神经性疼痛相关的疼痛经历和残疾的相对贡献。自愿参加临床试验的80名糖尿病性神经病,带状疱疹后神经痛,手术后或创伤后神经性疼痛患者构成了本研究的基础。用麦吉尔疼痛问卷的感觉和情感量表评估自发性疼痛。 Pinprick痛觉过敏和动态触觉异常性疼痛被用作诱发疼痛的量度。与先前的研究一致,在灾难性思维测验中得分较高的人(疼痛灾难性量表; PCS)也将他们的痛苦定为更剧烈,并因痛苦而定为自己更加残废。后续分析显示,PCS与MPQ的情感子量表显着相关,而与感觉子量表无关。 PCS的无助子量表是灾难性的唯一维度,可为疼痛的预测做出重要的独特变化。 PCS与诱发疼痛的度量没有显着相关。造成灾难性后果的预测是,与疼痛相关的残疾超过差异,由疼痛严重程度引起。根据将灾难性思维与疼痛经历联系起来的机制讨论了这些发现。解决了治疗的影响。

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