رابطه بین ابعاد روان شناختی خلق منفی و ترس از درد با ناتوانی حرکتی در بیماران مبتلا به درد مزمن در ناحیه ستون فقرات

نویسندگان
محبوبه خواجه رسولی 1
محسن دهقانی 2
علی رضا جمشیدی فرد 3
1 کلینیک روانشناسی کیهان
2 دانشگاه شهید بهشتی
3 دانشگاه علوم پزشکی اراک
10.29252/rph.11.2.34
چکیده
هدف از این مطالعه، بررسی نقش عواطف استرس، اضطراب و افسردگی و ترس از درد در پیش‌بینی ناتوانی حرکتی، در بیماران با درد مزمن در ناحیۀ ستون فقرات بود. نمونۀ پژوهش شامل ۵۳ نفر (۴۱ زن و ۱۲ مرد) مبتلا به درد مزمن ناحیۀ ستون فقرات بودند که به‌صورت دردسترس از میان بیمارانی که در فاصلۀ ۳ ماه به کلینیک مراجعه کردند، انتخاب شدند و به‌صورت داوطلبانه در مطالعه شرکت کردند. پرسشنامۀ مقیاس افسردگی اضطراب و استرس، پرسشنامۀ ناتوانی درد، مقیاس نشانگان اضطراب و درد، و پرسشنامۀ ترس از درد توسط شرکت‌کنندگان تکمیل شد. داده‌های به‌دست‌آمده در پژوهش، با استفاده از روش‌های آماری ضریب همبستگی و رگرسیون، مورد آزمون قرار گرفتند. بر اساس نتایج یافته‌های حاصل از ضرایب همبستگی، از بین زیرمقیاس‌های افسردگی، اضطراب و استرس، افسردگی بیشترین میزان همبستگی را با ناتوانی حرکتی داشت. همچنین از بین زیرمقیاس‌های آزمون نشانگان اضطراب و درد، به‌ویژه بعد فرار- اجتناب، همبستگی مثبت و معناداری با متغیر ناتوانی حرکتی داشت. یافته ها نشان داد که مؤلفۀ افسردگی ۲۸درصد و مؤلفۀ فرار- اجتناب ۳۶درصد از واریانس ناتوانی حرکتی را تبیین می‌کند.نتایج نشان داد به نظر می رسداگرچه درد ممکن است در ابتدابه عنوان یک مشکل مربوط به سلامت جسمانی در نظر گرفته شود، با این حال مؤلفه های روانشناختی مثل افسردگی، اضطراب و استرس می توانند نقش مهمی را حداقل در حفظ شرایط درد مزمن ایفاکنند که این مساله باید در مداخلات توانبخشی مورد توجه قرار بگیرد
کلیدواژه‌ها
کلیدواژه ها: ترس از درد
ناتوانی حرکتی
خلق منفی
درد ستون فقرات

عنوان مقاله English

The Relationship between Psychological Dimensions of Negative Mood, Fear of Pain and Movement Disability in patients with Spinal Chronic Pain

نویسندگان English

Mahboobeh Khajehrasooli 1
Mohsen Dehghani 2
Alireza Jamshidifard 3
1 Kayhan clinic
2 Shahid beheshti university
3 Arak medical University
چکیده English

The goal of this study was to examine the role of stress, anxiety and depression and fear of pain on anticipating the movement disability in patients with spinal cord chronic pain. The sample in the research included of 53 persons (41 women, 12 men) with spinal cord chronic pain (back pain) who were approached and referred over the 3 months to a physiotherapy clinic and briefed about the research and voluntarily agreed to participate in the study. Depression Anxiety Stress Scale (DASS), Pain Disability Questionnaire (PDQ), Pain Anxiety Symptom Scale (PASS) and Tampa Scale for Kinesiophobia (TSK) were completed by participants. The obtained data in the research was examined by statistical method of correlation coefficients and multiple regressions. The findings of this study shown that from the subscales of DASS, depression had the highest correlation with movement disability. Also the subscales of PASS, particularly dimension of escape/avoidance had the highest positive and significant correlation with movement disability. The findings showed that depression explained %28 and escape/avoidance explained %36 of the variance of movement disability. Although pain might be considered as a physical health problem primarily, however, psychological components including depression, anxiety, stress and fear of movement could play a crucial role at least in maintenance of pain that needs to be considered in rehabilitation interventions.

کلیدواژه‌ها English

Key words: fear of pain
movement disability
Negative Mood
spine pain
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