통증관련 단어에 대한 주의편향이 만성통증 환자의 일일 통증강도와 일상기능 관계에 미치는 영향: 일지연구
Effects of attentional biases on pain-related words on daily function in patients with chronic pain: a diary study
정윤희 (충남대학교)
왕경석 (헤아림한의원)
조성근 (충남대학교)
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초록
통증이 있는 경우, 위협이 되는 자극에 주의를 과도하게 지속하거나 회피하는 것은 통증을 만성화시키는 데 취약성 요인으로 작용할 수 있다. 이 연구는 주의편향 유형이 만성통증 환자의 일일 통증강도와 일상기능의 관계를 차별적으로 조절하는지에 대해 알아보고자 했다. 이에 대전 소재 한의원에서 만성통증 환자 41명을 모집했다. 연구 참여자는 설문지 작성 후, 아이트래커(eye-tracker)를 통해 주의개입-주의이탈 과제를 수행했고, 이후 14일 동안 매일 통증일지를 작성했다. 수집된 데이터를 HLM(Hierarchical Linear Modeling) 통계 프로그램으로 다층분석한 결과, 일일 통증강도와 일일 활동회피, 일일 집중곤란 간 주의편향의 조절효과가 유의했다. 구체적으로, 지속 주의과정에서 통증관련 단어를 느리게 응시하거나 빠르게 이탈할 때, 일일 통증강도가 높을수록 일상에서 활동을 더 많이 회피했다. 또한 통증관련 단어를 중립단어보다 오래 응시할 때, 일일 통증강도가 높을수록 일상에서 집중을 더 어려워했다. 반면, 초기 주의과정에서는 주의편향이 일일 통증강도와 일일 활동회피, 일일 집중곤란 간의 관계를 조절하지 않았다. 이러한 연구 결과는 만성통증 환자의 주의편향과 일일 통증강도, 그리고 일상기능 간의 관계를 보여주며, 만성통증의 예방 및 관리 개입에 대한 방향성을 시사한다.
- keywords
- 만성통증, 주의편향, 주의개입, 주의이탈, 일지연구, chronic pain, attentional biases, engagement, disengagement, diary study
Abstract
Attentional bias is a selective attention to specific information in the environment and can be classified into two types: engagement and disengagement. It has been reported that these two types of attentional bias impact the development and maintenance of chronic pain. The purpose of this study was to investigate if the type of attentional bias in patients with chronic pain has a differential impact on their daily function. We recruited 33 patients with chronic pain in the Oriental medical clinic. The subjects completed a questionnaire and then performed an engagement-disengagement task involving pain-related and neutral word pairs and eye tracker. They completed the online diary for 14 days from the day following the task. The data were analyzed by the HLM statistical program. The results of the analysis showed that when the subjects’ engagement with pain-related words was slow, the greater the intensity of pain, the greater the avoidance of daily activities. Also, when the subjects’ disengagement from pain-related words was rapid, the greater the intensity of pain, the greater the avoidance of daily activities. Additionally, when the subjects’ attentional maintenance in pain-related words was longer than in the neutral words, the greater the intensity of pain, the greater the distractibility of daily activities. This study revealed that the type of attentional bias in chronic pain patients has different impacts on their daily function. These findings suggest that patients with chronic pain who slowly engage with or quickly disengage from pain-related words may have difficulties in different areas of their daily function.
- keywords
- 만성통증, 주의편향, 주의개입, 주의이탈, 일지연구, chronic pain, attentional biases, engagement, disengagement, diary study
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