目的:本研究旨在探讨疼痛和功能水平与疼痛灾难的关系,沉思,决策,慢性颈部疼痛患者的批判性思维。
方法:该研究纳入了62例慢性颈部疼痛患者,这些患者曾在物理治疗中心出现疼痛主诉至少3个月。疼痛严重程度的视觉模拟量表,功能级别的颈部残疾指数,疼痛灾难量表,反思思维量表,墨尔本决策量表I-II,和马尔马拉批判性思维清单用于评估。
结果:活动疼痛,夜痛,和残疾与反思性呈正相关(rho:0.368,p=.003;rho:0.423,p=<.001;rho=0.334,p=.008)。夜间疼痛之间存在正相关,残疾,和痛苦灾难(rho=0.298,p=.019;rho=.434p<.001)。患者的疼痛严重程度和残疾与批判性思维得分呈负相关(rho=-0.393,p=.002;rho=-0.377p=.003,rho=-0.428p<.001,rho=-0.441p<.001)。
结论:研究表明,疼痛严重程度和残疾与沉思和疼痛灾难之间存在正相关。此外,慢性颈痛与批判性思维得分呈负相关,表明对认知过程的潜在影响。这些发现可能为慢性疼痛和心理因素之间复杂的相互作用提供了见解。这可以为加强慢性疼痛管理的干预措施的发展提供信息。
OBJECTIVE: This study aimed to investigate the relationship between pain and functional levels with pain
catastrophizing, rumination, decision-making, and critical thinking in people with chronic neck pain.
METHODS: The study included 62 patients with chronic neck pain who had presented to a physiotherapy center with pain complaints for at least 3 months. The visual analog scale for pain severity, the Neck Disability Index for functional level, the Pain
Catastrophizing Scale, the Ruminative Thinking Scale, the Melbourne Decision-Making Scale I-II, and the Marmara Critical Thinking Inventory were used for assessments.
RESULTS: Activity pain, night pain, and disability were positively correlated with rumination (rho: 0.368, p = .003; rho: 0.423, p = <.001; rho = 0.334, p = .008). There was a positive correlation between night pain, disability, and pain
catastrophizing (rho = 0.298, p = .019; rho = .434 p < .001). A negative correlation was observed between patients\' pain severity and disability with critical thinking scores (rho = -0.393, p = .002; rho = -0.377 p = .003, rho = -0.428 p < .001, rho = -0.441 p < .001).
CONCLUSIONS: The study suggested that there were positive correlations between pain severity and disability with rumination and pain
catastrophizing. Additionally, chronic neck pain was found to have negative correlations with critical thinking scores, indicating potential impacts on cognitive processes. These findings may provide insights into the complex interplay between chronic pain and psychological factors, which can inform the development of interventions to enhance chronic pain management.