关键词: autonomic dysfunction body awareness chronic pain pain duration pain intensity stress level

来  源:   DOI:10.2340/jrmcc.v7.13374   PDF(Pubmed)

Abstract:
UNASSIGNED: To assess pain outcomes, stress levels and body awareness among patients with chronic pain and explore potential associations between these variables.
UNASSIGNED: An explorative study.
UNASSIGNED: Patients with chronic pain in primary and specialist care were assessed regarding pain intensity using the Numerical Rating Scale (NRS; 0-10 point scale) and stress levels using the Stress and Crisis Inventory (SCI-93; 0-140). To assess body awareness, multidimensional assessment of interoceptive awareness (MAIA; 0-5), a widely used self-report measure of interoceptive bodily awareness was used.
UNASSIGNED: Participants (n = 42) reported an average NRS of 4.4, elevated stress levels and low body awareness. Stress levels were moderately correlated with pain intensity (r = 0.53; p < 0.001; 95% confidence interval [CI] 0.25-0.72) and number of pain sites (r = 0.58; p < 0.001; 95% CI 0.32-0.76). The regression analysis showed that pain outcomes predicted stress level scores and explained almost 50% of variance (R 2 = 0.47, p < 0.001). Moreover, shorter pain duration predicted a higher body awareness (p = 0.04).
UNASSIGNED: In patients with chronic pain, high pain intensity and multiple painful sites seem to be associated with impaired stress regulation. The patients had low body awareness, which was negatively influenced by pain duration.
摘要:
为了评估疼痛结果,慢性疼痛患者的压力水平和身体意识,并探讨这些变量之间的潜在关联。
一项探索性研究。
使用数字评定量表(NRS;0-10分量表)评估初级和专科护理中的慢性疼痛患者的疼痛强度,并使用压力和危机量表(SCI-93;0-140)评估压力水平。为了评估身体意识,相互感受意识的多维评估(MAIA;0-5),使用了一种广泛使用的相互感受的身体意识的自我报告方法。
参与者(n=42)报告的平均NRS为4.4,压力水平升高和身体意识低下。压力水平与疼痛强度(r=0.53;p<0.001;95%置信区间[CI]0.25-0.72)和疼痛部位数量(r=0.58;p<0.001;95%CI0.32-0.76)中度相关。回归分析显示,疼痛结果预测了压力水平得分,并解释了几乎50%的方差(R2=0.47,p<0.001)。此外,较短的疼痛持续时间预测较高的身体意识(p=0.04)。
在慢性疼痛患者中,高疼痛强度和多个疼痛部位似乎与压力调节受损有关。病人的身体意识很低,这受到疼痛持续时间的负面影响。
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