PDF(Pubmed)
Abstract：
BACKGROUND: Empirical data suggest that psychosocial factors, such as pain self-efficacy (PSE) and emotional support from a partner, may alleviate the suffering caused by rheumatoid arthritis (RA) pain. However, the data are ambiguous and warrant a more comprehensive investigation into the effect of these factors on the severity of RA pain. The objective of the present study was to assess the significance of PSE and emotional support from a partner in relation to pain severity among women with RA.
METHODS: The study included a sample of 196 women diagnosed with RA with the mean age of 41.54. The study employed the following measures: Rheumatoid Arthritis Pain Scale, Pain Self-efficacy Questionnaire, and Communication Based Emotional Support Scale.
RESULTS: The analysis revealed that higher PSE emerged as the strongest predictor for lower pain severity across all components of RA pain. However, the impact of the partner\'s emotional support on pain severity was not as evident and varied depending on the specific pain component. Furthermore, the use of pain medications significantly predicted three out of four pain components. Mediation analysis revealed that perceived emotional support from a partner directly affected women\'s RA pain intensity, as well as indirectly through the PSE as a mediator. Moderated mediation analysis demonstrated that the association between PSE and pain severity weakened as the duration of RA increased.
CONCLUSIONS: Enhancing women\'s PSE and providing appropriate training for their partners to offer effective emotional support may play a crucial role in the treatment of RA.
METHODS: The study included a sample of 196 women diagnosed with RA with the mean age of 41.54. The study employed the following measures: Rheumatoid Arthritis Pain Scale, Pain Self-efficacy Questionnaire, and Communication Based Emotional Support Scale.
RESULTS: The analysis revealed that higher PSE emerged as the strongest predictor for lower pain severity across all components of RA pain. However, the impact of the partner\'s emotional support on pain severity was not as evident and varied depending on the specific pain component. Furthermore, the use of pain medications significantly predicted three out of four pain components. Mediation analysis revealed that perceived emotional support from a partner directly affected women\'s RA pain intensity, as well as indirectly through the PSE as a mediator. Moderated mediation analysis demonstrated that the association between PSE and pain severity weakened as the duration of RA increased.
CONCLUSIONS: Enhancing women\'s PSE and providing appropriate training for their partners to offer effective emotional support may play a crucial role in the treatment of RA.
摘要：
背景：经验数据表明，社会心理因素，例如疼痛自我效能感（PSE）和伴侣的情感支持，可以减轻类风湿关节炎（RA）引起的疼痛。然而,数据含糊不清,需要对这些因素对RA疼痛严重程度的影响进行更全面的研究.本研究的目的是评估伴侣的PSE和情感支持对RA女性疼痛严重程度的重要性。
方法：该研究包括196名诊断为RA的女性样本，平均年龄为41.54岁。该研究采用了以下措施：类风湿关节炎疼痛量表，疼痛自我效能感问卷，基于沟通的情感支持量表。
结果：分析显示，在RA疼痛的所有组成部分中，较高的PSE是较低疼痛严重程度的最强预测因子。然而,伴侣的情感支持对疼痛严重程度的影响并不明显，并且因具体的疼痛成分而异。此外，止痛药的使用显着预测了四种疼痛成分中的三种。中介分析显示，来自伴侣的情感支持直接影响女性的RA疼痛强度，以及间接通过PSE作为调解人。适度介导分析表明，随着RA持续时间的增加，PSE与疼痛严重程度之间的关联减弱。
结论：增强女性的PSE并为其伴侣提供适当的培训以提供有效的情感支持可能在RA的治疗中起关键作用。
方法：该研究包括196名诊断为RA的女性样本，平均年龄为41.54岁。该研究采用了以下措施：类风湿关节炎疼痛量表，疼痛自我效能感问卷，基于沟通的情感支持量表。
结果：分析显示，在RA疼痛的所有组成部分中，较高的PSE是较低疼痛严重程度的最强预测因子。然而,伴侣的情感支持对疼痛严重程度的影响并不明显，并且因具体的疼痛成分而异。此外，止痛药的使用显着预测了四种疼痛成分中的三种。中介分析显示，来自伴侣的情感支持直接影响女性的RA疼痛强度，以及间接通过PSE作为调解人。适度介导分析表明，随着RA持续时间的增加，PSE与疼痛严重程度之间的关联减弱。
结论：增强女性的PSE并为其伴侣提供适当的培训以提供有效的情感支持可能在RA的治疗中起关键作用。
