AssociationsBetweenPainAppraisalsandPainOutcomes课件.pptx

AssociationsBetweenPainAppraisalsandPainOutcomes课件.pptx

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AssociationsBetweenPainAppraisalsandPainOutcomes课件

Associations Between Pain Appraisals and Pain Outcomes: Meta-Analyses of Laboratory Pain and Chronic Pain Literatures --by lingying 18/11/2016 About this study In this research, meta-analyses were performed to evaluate associations between primary appraisals of pain as a source of threat and/or challenge on responses to 1) noxious laboratory stimuli and 2) chronic, noncancer pain. Twenty-two laboratory pain studies comprising 2,031 participants and 59 chronic pain studies based on 9,135 patients were identified for analyses. Past meta-analyses of general stressors and cancer pain provide general support for hypothesized links between primary appraisals and coping. Although numerous studies have examined links between primary appraisal and responses to laboratory pain or chronic noncancer pain, neither of these literatures has been subjected to meta-analysis. Conclusion For laboratory pain, elevated threat appraisals were linked to overall increases in reported pain, reduced pain tolerance and high levels of passive coping. Method of measuring appraisal as well as type and duration of noxious stimulation moderated some of these associations. Challenge appraisals were related to more pain tolerance and less passive coping but not pain intensity. For chronic pain studies, Threat appraisals had positive overall correlations with pain intensity, impairment, affective distress and passive coping but were negatively related to active coping. The pattern of associations between challenge appraisals and outcomes was largely complementary. Appraisal scale used and gender were consistent moderators of appraisal-outcome relations in chronic pain samples. In sum, appraisals of pain as a source of potential damage or opportunity have robust associations with responses to acute laboratory pain and ongoing chronic pain. Meta-Analyses Search Strategy文献有哪些信誉好的足球投注网站 Inclusion/Exclusion Criteria文献纳入的标准 Data Extraction文献编码 Classification of Coping Quality Assessments Meta-Analytic Procedure

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