Adaptation to metastatic cancer pain, regional/local cancer pain and non-cancer pain: role of psychological and behavioral factors

作者: D. C. Turk , T. C. Sist , A. Okifuji , M. F. Miner , G. Florio

DOI: 10.1016/S0304-3959(97)00187-5

关键词:

摘要: The present study compared the adaptation of cancer pain patients and chronic non-cancer patients. Differences between samples with without metastatic disease were also examined. Cancer reported comparable levels severity to patients; however, due was associated higher perceived disability (t(250)=2.97, P<0.004) lower degree activity (t(286)=2.45, P<0.04). pain, particularly those disease, significantly support solicitous behaviors from significant others, majority patients, both (81%) (84%) as well (85%), could be classified into one three psychosocial subgroups that had been previously identified patients: `dysfunctional' (high interference, affective distress low control activity), `interpersonally distressed' distress, negative responses others support) `adaptive copers' (low interference high activity). distribution profiles different across groups (χ2(4)=12.79, P<0.02). However, within each profile, response patterns highly groups. Thus, contrary suggestions some authors, share many features in common. Furthermore, heterogeneity patient group suggests importance psychological assessment determining management plan.

参考文章(36)
R C Tait, P N Duckro, S J Krause, C A Pollard, R B Margolis, The Pain Disability Index: psychometric and validity data. Archives of Physical Medicine and Rehabilitation. ,vol. 68, pp. 438- 441 ,(1987)
Okifuji A, Starz Tw, Turk Dc, Sinclair Jd, Pain, disability, and physical functioning in subgroups of patients with fibromyalgia. The Journal of Rheumatology. ,vol. 23, pp. 1255- 1262 ,(1996)
Peter J. Lang, Fear reduction and fear behavior: Problems in treating a construct. Research in Psychotherapy Conference, 3rd, May-Jun, 1966, Chicago, IL, US. ,(1968) , 10.1037/10546-004
Daniel N. Levin, Charles S. Cleeland, Reuven Dar, Public attitudes toward cancer pain Cancer. ,vol. 56, pp. 2337- 2339 ,(1985) , 10.1002/1097-0142(19851101)56:9<2337::AID-CNCR2820560935>3.0.CO;2-W
Dov Front, Bone Metastases and Bone Pain in Breast Cancer JAMA. ,vol. 242, pp. 1747- 1748 ,(1979) , 10.1001/JAMA.1979.03300160027019
Tim A. Ahles, Cancer pain: Research from multidimensional and illness representation models Motivation and Emotion. ,vol. 17, pp. 225- 243 ,(1993) , 10.1007/BF00992221
Thomas E. Rudy, Dennis C. Turk, Hussein S. Zaki, Hugh D. Curtin, An empirical taxometric alternative to traditional classification of temporomandibular disorders. Pain. ,vol. 36, pp. 311- 320 ,(1989) , 10.1016/0304-3959(89)90090-0
Dennis C. Turk, Ephrem Fernandez, On the putative uniqueness of cancer pain: Do psychological principles apply? Behaviour Research and Therapy. ,vol. 28, pp. 1- 13 ,(1990) , 10.1016/0005-7967(90)90050-S