背景:类风湿性关节炎患者的疼痛灾难加剧了疼痛相关的负面结局,比如焦虑,抑郁症,和疼痛强度。因此,在这些患者中,必须调查疼痛灾难化的严重程度以及导致疼痛灾难的因素.本研究旨在评估伊朗类风湿性关节炎患者样本中疼痛灾难化的严重程度及其与认知灵活性和自我效能感的关系。
方法:对转诊至Birjand医科大学附属风湿病诊所的220名类风湿患者进行了描述性相关研究,Birjand,伊朗。用于收集数据的工具包括人口统计表格,疼痛灾难量表,认知灵活性清单,和关节炎自我效能量表。使用SPSS版本24分析数据。
结果:参与者的平均年龄为53.25±12.41岁,平均病程为6.63±3.39年。大多数参与者,具体为61.8%,报告了高水平的痛苦灾难。疼痛灾难化和认知灵活性之间存在负相关和显著相关(p<0.001)。同样,疼痛灾难化与自我效能感及其所有维度呈负相关(p<0.001)。多元线性回归分析结果表明,疼痛灾难化的最终显著预测因素是认知灵活性(β=-0.34,p<0.001)和自我效能(β=-0.53,p<0.001)。发现这些预测因子显着解释了灾难性变化的51%。
结论:通过旨在增强疼痛自我效能和认知灵活性的社会心理干预措施,医疗保健提供者可以希望减少类风湿关节炎患者的疼痛灾难及其不良影响。
BACKGROUND: Pain catastrophizing in patients with rheumatoid arthritis exacerbates negative pain-related outcomes, such as anxiety, depression, and pain intensity. Therefore, it is essential to investigate the severity of pain catastrophizing and the factors contributing to it among these patients. The present study aimed to assess the severity of pain catastrophizing and its association with cognitive flexibility and self-efficacy in a sample of Iranian patients with rheumatoid arthritis.
METHODS: A descriptive correlational study was conducted on 220 rheumatoid patients referred to a rheumatology clinic affiliated with Birjand University of Medical Sciences, Birjand, Iran. The instruments used to collect data included a demographic form, the Pain Catastrophizing Scale, the Cognitive Flexibility Inventory, and the Arthritis Self-Efficacy Scale. The data were analysed using SPSS version 24.
RESULTS: The mean age of the participants was 53.25 ± 12.41 years, and the mean duration of their disease was 6.63 ± 3.39 years. The majority of participants, specifically 61.8%, reported high levels of pain catastrophizing. An inverse and significant correlation was found between pain catastrophizing and cognitive flexibility (p < 0.001). Likewise, pain catastrophizing exhibited an inverse and significant correlation with self-efficacy and all its dimensions (p < 0.001). The results of the multiple linear regression analysis indicate that the final significant predictors of pain catastrophizing were cognitive flexibility (β = -0.34, p < 0.001) and self-efficacy (β = -0.53, p < 0.001). These predictors were found to significantly explain 51% of the variance in catastrophizing.
CONCLUSIONS: Through psychosocial interventions aimed at enhancing pain self-efficacy and cognitive flexibility, healthcare providers can hope to reduce pain catastrophizing and its adverse effects in patients with rheumatoid arthritis.