| The Relations among Pain, Emotional and Cognitive-behavioral Factors in Chronic Musculoskeletal Pain Patients. |
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Lim, Kil Byung , Kim, Ji Yeong , Lee, Hong Jae , Kim, Dug Young , Kim, Jung Min |
1Department of Rehabilitation Medicine, Ilsanpaik Hospital, Inje University College of Medicine, Korea. kjm0192@hanmail.net
2Rehabilitation Psychology, Ilsanpaik Hospital, Korea. |
| 만성 근골격계 통증 환자에서 통증과 정서 및 인지-행동 요인과의 관계 |
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임길병, 김지영1, 이홍재, 김덕영, 김정민 |
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인제대학교 의과대학 일산백병원 재활의학교실, 1일산백병원 재활심리실 |
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| Abstract |
Objective
To investigate the relations among pain, emotional factors and cognitive-behavioral factors in chronic musculoskeletal pain patients.
Method
This study was designed as a questionnaire survey. 73 patients who visited our outpatient clinics due to chronic musculoskeletal pain were evaluated. They checked visual analogue scale (VAS), pain site and frequency. Beck depression inventory (BDI) and state-trait anxiety index (STAI) were checked for evaluation of emotional factors. Somatization scale of symptom checklist-revised (SCL-R- 90) and pain catastrophizing scale (PCS) were checked for cognitive-behavioral factors. Correlations among each variable were evaluated by statistical analysis.
Results
VAS was correlated with pain frequency (r=0.538, p＜0.01), somatization and catastrophizing thought. Rumination thought was correlated with VAS (r=0.443, p＜0.01), pain frequency (r=0.446, p＜0.01) and static anxiety (r= 0.449, p＜0.01). Magnification thought was correlated with depression (r=0.403, p＜0.01) and static anxiety (r=0.447, p＜0.01). Helpless thought was correlated with VAS (r= 0.442, p＜0.01), pain frequency (r=0.429, p＜0.01), depression (r=0.510, p＜0.01), static anxiety (r=0.640, p＜0.01) and somatization (r=0.504, p＜0.01). Duration was not correlated with VAS, depression, anxiety, somatization and catastrophizing thought in chronic musculoskeletal pain patients (p＞0.05).
Conclusion
Cognitive-behavioral factors such as catastrophizing thought are strongly correlated with both pain aspects and emotional factors. Consideration of cognitive- behavioral factors as well as emotional factors may be important for management of chronic musculoskeletal pain. (J Korean Acad Rehab Med 2008; 32: 424-429) |
| Key Words:
Chronic musculoskeletal pain, Depression, Cognitive-behavioral factors |
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