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The social context of gastrointestinal cancer pain: a preliminary study examining the relation of patient pain catastrophizing to patient perceptions of social support and caregiver stress and negative responses.

机译:胃肠道癌疼痛的社会背景:一项初步研究,检查了患者痛苦的灾难性变化与患者对社会支持,照顾者压力和负面反应的看法之间的关系。

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A number of studies have shown that catastrophizing is an important predictor of pain and disability in persons having persistent pain conditions. The newly developed communal model of catastrophizing maintains that catastrophizing is a part of broader, interpersonal style of coping in which coping efforts are directed at interpersonal goals, rather than solely at pain reduction. This study examined the potential interpersonal correlates of pain catastrophizing in a sample of 70 patients having gastrointestinal cancers and their caregivers. Measures of pain catastrophizing, perceptions of social support, pain level, and pain behavior were obtained from patients. Caregivers completed measures that included their judgments about the patient's pain level, caregiver stress, and their tendency to engage in negative responses (critical or avoidant behaviors). Overall, patients who engaged in catastrophizing reported receiving higher levels of instrumental support. Caregivers of patients who catastrophized, rated the patient as having more pain and engaging in more pain behavior. Caregivers of patients who catastrophized, also reported higher levels of caregiver stress and critical behaviors. Taken together, these preliminary findings suggest that pain catastrophizing has interpersonal correlates and support the need for additional research examining the social context of pain catastrophizing.
机译:大量研究表明,灾难性死亡是患有持续性疼痛的人的疼痛和残疾的重要预测指标。新开发的灾难性公共模型坚持认为,灾难性是更广泛的人际应对方式的一部分,这种应对方式针对的是人际目标,而不仅仅是减少痛苦。这项研究在70名患有胃肠道癌的患者及其护理人员的样本中检查了疼痛灾难性的潜在人际关系。从患者那里获得了灾难性疼痛,社会支持感,疼痛程度和疼痛行为等指标。护理人员完成的措施包括对患者的疼痛程度,护理人员压力以及他们做出负面反应(严重或回避行为)的倾向的判断。总体而言,参与灾难性治疗的患者报告接受了更高水平的仪器支持。灾难性患者的照料者认为该患者有更多的疼痛和更多的疼痛行为。灾难性患者的照料者也报告了更高的照料者压力和严重行为。总体而言,这些初步发现表明,灾难性灾难具有人际关系,并支持需要进行更多研究来研究疼痛性灾难的社会背景。

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