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Self-reported interoceptive awareness in primary care patients with past or current low back pain

机译:过去或当前腰背痛的基层医疗患者自我报告的感知觉

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Background: Mind–body interactions play a major role in the prognosis of chronic pain, and mind–body therapies such as meditation, yoga, Tai Chi, and Feldenkrais presumably provide benefits for pain patients. The Multidimensional Assessment of Interoceptive Awareness (MAIA) scales, designed to measure key aspects of mind–body interaction, were developed and validated with individuals practicing mind–body therapies, but have never been used in pain patients.Methods: We administered the MAIA to primary care patients with past or current low back pain and explored differences in the performance of the MAIA scales between this and the original validation sample. We compared scale means, exploratory item cluster and confirmatory factor analyses, scale–scale correlations, and internal-consistency reliability between the two samples and explored correlations with validity measures.Results: Responses were analyzed from 435 patients, of whom 40% reported current pain. Cross-sectional comparison between the two groups showed marked differences in eight aspects of interoceptive awareness. Factor and cluster analyses generally confirmed the conceptual model with its eight dimensions in a pain population. Correlations with validity measures were in the expected direction. Internal-consistency reliability was good for six of eight MAIA scales. We provided specific suggestions for their further development.Conclusion: Self-reported aspects of interoceptive awareness differ between primary care patients with past or current low back pain and mind–body trained individuals, suggesting further research is warranted on the question whether mind–body therapies can alter interoceptive attentional styles with pain. The MAIA may be useful in assessing changes in aspects of interoceptive awareness and in exploring the mechanism of action in trials of mind–body interventions in pain patients.
机译:背景:身心互动在慢性​​疼痛的预后中起着重要作用,而身心冥想,瑜伽,太极拳和Feldenkrais等心理疗法可能为疼痛患者带来好处。旨在评估心身互动关键方面的多维感知觉知觉量表(MAIA)量表是与从事心身疗法的个人一起开发和验证的,但从未在疼痛患者中使用过。具有过去或当前腰痛的初级保健患者,并探讨了该样本与原始验证样本之间MAIA量表的性能差异。我们比较了两个样本之间的量表平均值,探索性项目聚类和确认性因素分析,量表之间的相关性以及内部一致性的可靠性,并探讨了其与效度度量的相关性。结果:对435例患者的反应进行了分析,其中40%报告了当前的疼痛。两组之间的横断面比较显示,在感知觉知觉的八个方面存在显着差异。因子和聚类分析通常证实了疼痛人群中具有八个维度的概念模型。与效度度量的相关性处于预期的方向。八个MAIA量表中的六个的内部一致性可靠性良好。我们为他们的进一步发展提供了具体的建议。结论:过去或现在的下腰痛的初级保健患者和接受心理身体训练的个体在自我报告方面的知觉意识方面有所不同,这表明有必要对是否进行心理身体疗法的问题进行进一步的研究。会因疼痛而改变感知觉的注意力方式。 MAIA可能有助于评估互感觉知觉方面的变化,并在疼痛患者的身心干预试验中探索作用机制。

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