The Role of Positive Psychological Factors in the Association between Pain Intensity and Pain Interference in Individuals with Chronic Musculoskeletal Pain: A Cross-Sectional Study

被引：8

作者：

Martinez-Calderon, Javier ^{[1
,2
]}

Flores-Cortes, Mar ^{[1
]}

Clavero-Cano, Susana ^{[3
]}

Miguel Morales-Asencio, Jose ^{[2
,4
]}

Jensen, Mark P. ^{[5
]}

Rondon-Ramos, Antonio ^{[1
,6
]}

Luis Diaz-Cerrillo, Juan ^{[7
]}

Rocio Ariza-Hurtado, Gina ^{[8
]}

Luque-Suarez, Alejandro ^{[1
,2
]}

机构：

[1] Univ Malaga, Fac Ciencias Salud, Dept Fisioterapia, Malaga 29071, Spain

[2] Inst Invest Biomed Malaga IBIMA, Malaga 29071, Spain

[3] UGC Las Albarizas, Serv Andaluz Salud, Dist Atenc Primaria Costa Sol, Malaga 29600, Spain

[4] Univ Malaga, Fac Hlth Sci, Dept Nursing, Malaga 29071, Spain

[5] Univ Washington, Dept Rehabil Med, Seattle, WA 98104 USA

[6] UGC Las Lagunas, Serv Andaluz Salud, Dist Atenc Primaria Costa Sol, Malaga 29650, Spain

[7] UGC La Carihuela, Serv Andaluz Salud, Dist Atenc Primaria Costa Sol, Malaga 29620, Spain

[8] UGC San Pedro Alcantara, Serv Andaluz Salud, Dist Atenc Primaria Costa Sol, Malaga 29670, Spain

来源：

JOURNAL OF CLINICAL MEDICINE | 2020年 / 9卷 / 10期

关键词：

chronic pain; cognition; cross-sectional studies; musculoskeletal pain; optimism; pain; self-efficacy; SELF-EFFICACY; COMMITMENT THERAPY; MEDIATING ROLE; ACCEPTANCE; OPTIMISM; QUESTIONNAIRE; FLEXIBILITY; ADAPTATION; RESILIENCE; DISABILITY;

D O I：

10.3390/jcm9103252

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This study aimed to test the cross-sectional mediating and moderating role that positive psychological factors play in the association between pain intensity and pain interference in individuals with chronic musculoskeletal pain. A descriptive cross-sectional study using mediation analyses was conducted, including 186 individuals with chronic musculoskeletal pain. We conducted cross-sectional mediation and moderation analyses to determine whether the positive psychological factors mediated or moderated the association between pain intensity and pain interference. Pain acceptance, pain self-efficacy, and optimism were all significantly and weakly related to pain interference when controlling for pain intensity. Pain self-efficacy and pain acceptance partially mediated the association between pain intensity and pain interference. On the other hand, the multiple mediation model did not show significant effects. The three positive psychological factors were not found to significantly moderate the association between pain intensity and pain interference. The findings suggest that in chronic musculoskeletal pain patients, the treatments may focus on [i] what they are capable of doing to manage the pain (i.e., pain self-efficacy) and [ii] being better able to accept the pain as pain waxes and wanes might be also particularly helpful. However, these results must be tested in longitudinal studies before drawing any causal conclusion.

引用

页码：1 / 16

页数：16

共 70 条

[1] Self-efficacy and pain acceptance as mediators of the relationship between pain and performance of valued life activities in women and men with rheumatoid arthritis [J].