PDF(Pubmed)
Abstract：
This study aimed to examine the extent to which illness beliefs, coping styles, pain acceptance, pain catastrophizing, and psychological distress mediate the relationship between fibromyalgia symptoms and quality of life (QoL) in a female cohort diagnosed with Fibromyalgia (n = 151). Measures used included the Revised Fibromyalgia Impact Questionnaire, Carver Brief COPE scale, Chronic Pain Acceptance Questionnaire Revised, Pain Catastrophizing Scale, Brief Illness Perceptions Questionnaire, Depression and Anxiety Stress Scales, and European Health Interview Survey Quality of Life 8-item Index. Using structural equation modelling, the final model indicated that fibromyalgia symptom severity had a significant direct influence on illness perceptions and psychological distress. In turn, illness perceptions had a significant direct influence on maladaptive coping, pain catastrophizing, pain acceptance, and QoL. Pain catastrophizing and maladaptive coping influenced psychological distress, and in turn distress impacted QoL. Acceptance of pain was found to be influenced by maladaptive coping and in turn acceptance of pain influenced QoL.
摘要：
这项研究旨在检查疾病信念的程度，应对方式，痛苦的接受，痛苦的灾难，在诊断为纤维肌痛的女性队列中，心理困扰介导了纤维肌痛症状与生活质量（QoL）之间的关系（n=151）。使用的措施包括修订的纤维肌痛影响问卷，CarverBriefCOPEscale,慢性疼痛接受度问卷修订，疼痛突变量表，简短的疾病感知问卷，抑郁和焦虑压力量表，和欧洲健康访谈调查生活质量8项指数。使用结构方程建模，最终模型表明,纤维肌痛症状的严重程度对疾病认知和心理困扰有显著的直接影响.反过来,疾病认知对适应不良应对有显著的直接影响，痛苦的灾难，痛苦的接受，和QoL。疼痛灾难化和适应不良应对会影响心理困扰，进而困扰影响QoL。发现对疼痛的接受受到适应不良应对的影响，而对疼痛的接受又影响了QoL。
