Purpose

The quality of life of individuals with chronic musculoskeletal pain partly depends on their capacity to adjust their personal goals. Vignettes have been rarely used to assess this ability. Therefore, this study aimed to test the relationships between vignettes assessing different goal strategies and chronic pain adaptation (i.e., daily functioning, pain-related impairment, and psychological well-being).

Methods

The sample comprised 258 individuals with chronic musculoskeletal pain who completed a series of questionnaires and vignettes. The vignettes presented a short description of a situation in which a person with chronic pain experienced a threat to a valued domain-specific goal and had to choose a possible goal management solution (i.e., goal persistence, flexibility reengagement, and disengagement). Hierarchical regression analyses were used to predict chronic pain adaptation using the selected vignette strategies as predictors.

Results

After controlling for age, sex, pain intensity, and the responses to the dispositional goal management scales, persistence, reengagement, and disengagement goal strategies presented in the case scenarios predicted daily functioning (p < .001). Persistence, flexibility, disengagement (p < .001), and reengagement (p < .05) predicted pain-related impairment. Persistence, disengagement (p < .001), and flexibility (p < .05) predicted psychological well-being scores.

Conclusion

The use of vignettes could be useful to assess goal adjustment because this methodology enables respondents to provide more context-specific responses. The results of this approach could be used to improve clinical practice aimed at helping people with chronic musculoskeletal pain to better cope with this health condition.

中文翻译：

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使用短片评估目标调整对适应慢性肌肉骨骼疼痛的作用。

目的

患有慢性肌肉骨骼疼痛的人的生活质量部分取决于他们调整个人目标的能力。小插图很少用于评估此功能。因此，本研究旨在测试评估不同目标策略的小人与慢性疼痛适应（即日常功能，疼痛相关的障碍和心理健康）之间的关系。

方法

该样本包括258位患有慢性肌肉骨骼疼痛的人，他们完成了一系列问卷调查和小插曲。短片简要描述了一种情况，即患有慢性疼痛的人面临着对有价值的特定领域目标的威胁，必须选择可能的目标管理解决方案（例如，目标持久性，灵活性重新投入和脱离接触）。分层回归分析用于预测慢性疼痛的适应性，使用选定的小插图策略作为预测因子。

结果

在控制了年龄，性别，疼痛强度以及对倾向性目标管理量表的反应后，在这种情况下提出的坚持性，再参与性和脱离性目标策略可以预测日常工作（p  <.001）。持续性，柔韧性，脱离接触（p  <.001）和重新接触（p  <.05）可以预测与疼痛相关的损伤。坚持，脱离（p  <.001）和灵活性（p  <.05）可预测心理健康分数。

结论

小插图的使用对于评估目标调整可能有用，因为这种方法使受访者能够提供更多针对具体情况的应对措施。这种方法的结果可用于改善临床实践，以帮助患有慢性肌肉骨骼疼痛的人更好地应对这种健康状况。