|
疼痛应对策略现状调查——以重庆地区人口为例
|
Abstract:
目的:为了了解重庆地区个体疼痛应对策略的现状,引导人们采用正确的方式应对疼痛,从而提高个人生活质量及幸福感。方法:本研究采用“疼痛应对方式量表(CSQ)”通过实地发放问卷对321名重庆地区的个体进行调查,采用IBM SPSS 21.0版进行数据分析。结果:1) 重庆地区不同性别群体仅在灾难化和认知应对疼痛应对策略上存在明显偏差。相比女性而言,男性会更多采用认知应对策略而更少采用灾难化策略。2) 随着年龄段的增长,灾难化策略会使用更加频繁而认知应对策略会不断减少。3) 相比于学历高的人群而言,学历越低的人群会采用更多的灾难化应对策略和更少的认知应对策略。结论:重庆地区的群体在疼痛应对策略上存在一定偏差,不同性别、年龄、受教育程度的个体都存在一定程度的疼痛应对策略差异。社会以及个体都应当重视该方面的问题,采用正确的方式加以应对疼痛,从而提高个人生活质量及幸福感。
Purpose: In order to guide people to use the correct way to cope with pain, thereby improving personal life quality and happiness, we investigate individuals’ pain coping strategies in Chongq-ing area. Methods: In this study, the “Cognitive Coping Scale (CSQ)” was used to survey 321 indi-viduals in Chongqing area, and IBM SPSS 21.0 version was used for data analysis. Results: 1) Dif-ferent genders in Chongqing would only have significant differences in catastrophizing and cognitive coping strategies. Compared with women, men would use more cognitive coping strategy and less catastrophizing strategy. 2) Compared with elder individuals, the younger tend to use less catastrophizing and more cognitive coping strategy. 3) Compared with people with higher education, people with lower education would use less catastrophizing and more cognitive coping strategy. Conclusion: There is a significant difference in pain coping strategies in individuals with different genders, ages, and education levels. Both society and individuals should pay more attention to this aspect of the issue, and adopt correct ways to deal with pain, so as to improve personal life quality and happiness.
[1] | Turner, J.A. and Clancy, S. (1986) Strategies for Coping with Chronic Low Back Pain: Relationship to Pain and Disability. Pain, 24, 355-364. https://doi.org/10.1016/0304-3959(86)90121-1 |
[2] | Jensen, I.B. and Linton, S.J. (1993) Coping Strategies Questionnaire (CSQ): Reliability of the Swedish Version of the CSQ. Scandinavian Journal of Behaviour Therapy, 22, 139-145. https://doi.org/10.1080/16506079309455940 |
[3] | Rosenstiel, A.K. and Keefe, F.J.J.P. (1983) The Use of Coping Strategies in Chronic Low Back Pain Patients: Relationship to Patient Characteristics and Current Adjustment. Pain, 17, 33-44.
https://doi.org/10.1016/0304-3959(83)90125-2 |
[4] | Bergman, S.J.B.P. and Rheumatology, R.C. (2007) Management of Musculoskeletal Pain. Best Practice & Research: Clinical Rheumatology, 21, 153-166. https://doi.org/10.1016/j.berh.2006.10.001 |
[5] | Pleis, J.R. and Coles, R. (2010) Summary Health Statistics for US Adults: National Health Interview Survey. Department of Health and Human Services, Centers for Disease Control and …. |
[6] | Gatchel, R.J. and Okifuji, A.J. (2006) Evidence-Based Scientific Data Documenting the Treatment and Cost-Effectiveness of Comprehensive Pain Programs for Chronic Nonmalignant Pain. The Journal of Pain, 7, 779-793.
https://doi.org/10.1016/j.jpain.2006.08.005 |
[7] | Sullivan, M.J., et al. (2000) Gender Differences in Pain and Pain Behavior: The Role of Catastrophizing. Cognitive Therapy and Research, 24, 121-134. |
[8] | Sanders, K.A., et al. (2010) Pain, Coping and Health Care Utilization in Younger and Older Adults with Sickle Cell Disease. Journal of Health Psychology, 15, 131-137. https://doi.org/10.1177/1359105309345554 |
[9] | Turk, D.C. and Burwinkle, T.M. (2005) Clinical Outcomes, Cost-Effectiveness, and the Role of Psychology in Treatments for Chronic Pain Sufferers. Professional Psychology: Research and Practice, 36, 602-610.
https://doi.org/10.1037/0735-7028.36.6.602 |
[10] | Beers, T.M. and Karoly, P. (1979) Cognitive Strategies, Expectancy, and Coping Style in the Control of Pain. Journal of Consulting and Clinical Psychology, 47, 179-180. https://doi.org/10.1037/0022-006X.47.1.179 |
[11] | Jackson, T., et al. (2005) Gender, Interpersonal Transactions, and the Perception of Pain: An Experimental Analysis. The Journal of Pain, 6, 228-236. https://doi.org/10.1016/j.jpain.2004.12.004 |
[12] | 李晓鹏. 威胁性信息对CPT疼痛的影响及其ERP研究[D]: [硕士学位论文]. 重庆: 西南大学, 2010. |
[13] | Peres, M.F. and Lucchetti, G. (2010) Coping Strategies in Chronic Pain. Current Pain and Headache Reports, 14, 331-338. https://doi.org/10.1007/s11916-010-0137-3 |
[14] | Brown, G.K. and Nicassio, P. (1987) Development of a Questionnaire for the Assessment of Active and Passive Coping Strategies in Chronic Pain Patients. Pain, 31, 53-64. https://doi.org/10.1016/0304-3959(87)90006-6 |
[15] | Lazarus, R.S. and Folkman, S. (1984) Stress, Appraisal, and Coping. Springer Publishing Company, Berlin. |
[16] | 杨周. 威胁性认知评价影响疼痛应对: 接受与转移注意效果的比较[D]: [硕士学位论文]. 重庆: 西南大学, 2011. |
[17] | Kenshalo, D.R. (1986) Somesthetic Sensitivity in Young and Elderly Humans. Journal of Gerontology, 41, 732-742.
https://doi.org/10.1093/geronj/41.6.732 |
[18] | Vallis, T.M. (1984) A Complete Component Analysis of Stress Inoculation for Pain Tolerance. Cognitive Therapy and Research, 8, 313-329. https://doi.org/10.1007/BF01173001 |