Path analysis on influential factors in quality of life of patients with chronic pain / 中华行为医学与脑科学杂志

ABSTRACT

Objective To explore the factors that influence the quality of life of patients with chronic pain.Methods Using serf-designed questionnaire,simple MiGill pain questionnaire,Beck depression inventory,Beck anxiety inventory,pain self-efficiency questionnaire,athens insomnia scale and SF-12 scale to investigate 114 health people and 139 patients with chronic pain,and analyze the data with analysis of variance and linear regression analysis and path analysis.Results Scores of anxiety(33.56±9.96),depression(17.14±11.22),and insomnia(13.19±6.14)in patients with chronic pain was significant higher(P＜0.01)than the health people (24.55±4.49,24.55±4.49,3.68±3.12 independently),and scores of pain self-control and quality of life(including physical health and mental health)scored lower(P＜0.01)than the health group.Scores of quality of life in chronic pain patients with different pain intensity(F=3.92,P=0.005)and different ache numbers(F=2.39,P=0.041)were significant different,while scores of quality of life in chronic pain patients with different ache frequency was not significant different(F=1.54,P=0.169);quality of life score was significantly correlated(P＜0.05)to the total pain(r=-0.383),the feeling pain(r=-0.315),the emotion pain(r=-0.434),pain selfcontrol(r=0.570),anxiety(r=-0.640),depression(r=-0.523)and insomnia(r=-0.508).Pain self-control,depression,anxiety and insomnia insomnia and depression may indirectly influence the chronic pain patient's quality of life through pain self-control,and insomnia also can affect the quality of life through depression.Conclusion The quality of life in patients with chronic pain was influenced by a number of factors,so it is necessary to take muhi-faceted interventions to improve their quality of life.