신경증 성향과 통증불안이 통증강도에 미치는 영향: 퇴행성 척추, 관절 질환 환자를 대상으로
Influence of Neuroticism and Pain Anxiety on Pain intensity: A Study on Patients with Degenerative Spondylitis and Arthritis
김민희 (한국상담대학원대학교)
김지연 (국민대학교)
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Abstract
This study was to examine the influence of psychological factors, such as neuroticism and pain anxiety, on the pain intensity in patients with degenerative spondylitis and arthritis, and to further identify a pathway of the psychological influences on pain intensity. Correlation and multiple regression analysis revealed that patients who reported a higher level of neuroticism and pain anxiety were more likely to experience higher level of pain intensity. Based on the Fear-Avoidance Model, a path analysis was conducted to identify a possible pathway that illustrates the influences of neuroticism and sub-categories (e.g. fearful thoughts, physiological arousal, pain avoidance behavior) of pain anxiety, on pain intensity. Results demonstrate that the suggested pathway appropriatelyexplains the relationships. The pathway shows that neuroticism directly influences fearful thoughts about pain, which in turn increase the physiological arousal and pain avoidance behavior, and these influence the pain intensity. Neuroticism also indirectly influences the pain intensity through sub-categories of pain anxiety. Fearful thoughts about pain have an indirect influence on pain intensity through physiological arousal and avoidance behavior. Physiological arousal directly influences the pain intensity. Lastly, we discuss the implications and limitations of this study, and suggestions for future research.
- keywords
- neuroticism, pain anxiety, pain intensity, fear-avoidance model, 통증 강도, 신경증 성향, 통증 불안, 공포-회피 모형
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