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Linguistic indicators of chronic pain acceptance in individuals with spinal cord injury.
Rehabilitation Psychology ( IF 1.9 ) Pub Date : 2021-09-13 , DOI: 10.1037/rep0000399
Samsuk Kim 1 , Edward J Rohn 2 , Anna L Kratz 3
Affiliation  

OBJECTIVE Pain acceptance is a robust predictor of adjustment to chronic pain, including pain in those with spinal cord injury (SCI). This preliminary study aimed to identify linguistic patterns indicative of chronic pain acceptance to gain new insights into the underlying cognitive-emotional process of this construct. METHOD Individuals with SCI and chronic pain (N = 30) completed the Chronic Pain Acceptance Questionnaire (CPAQ) and a semistructured interview about their pain. Linguistic Inquiry and Word Count software was used to quantify linguistic categories of interest in transcribed interviews. RESULTS Results of hierarchical linear regressions (controlling for pain intensity, age, and education) showed that personal pronouns explained an additional 26.9% of the variance in CPAQ activity engagement, which was associated with a lower frequency of first-person plural pronouns and a higher frequency of third person pronouns. Conjunction words explained an additional 12.8% and 19.2% of the variance in CPAQ total and pain willingness scores, respectively; frequency of conjunction words was negatively associated with acceptance. Perceptual processes words accounted for an additional 39.9% of the variance in pain willingness, which was associated with a lower frequency of seeing words and a higher frequency of hearing and feeling words. CONCLUSIONS Findings suggest that pain acceptance is associated with unique linguistic patterns that can be identified in natural word use among individuals with SCI and chronic pain. Future research to further investigate linguistic indicators of pain acceptance and other clinically relevant pain constructs is warranted and could advance theoretical models of pain adaptation and clinical approaches to treating pain. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译:

脊髓损伤个体慢性疼痛接受的语言指标。

目标疼痛接受度是适应慢性疼痛的有力预测因素,包括脊髓损伤 (SCI) 患者的疼痛。这项初步研究旨在确定指示慢性疼痛接受的语言模式,以获得对该构造的潜在认知 - 情感过程的新见解。方法 患有 SCI 和慢性疼痛的个体 (N = 30) 完成了慢性疼痛接受问卷 (CPAQ) 和关于他们疼痛的半结构化访谈。语言查询和字数统计软件用于量化转录访谈中感兴趣的语言类别。结果 分层线性回归(控制疼痛强度、年龄和教育程度)的结果表明,人称代词解释了 CPAQ 活动参与中额外 26.9% 的方差,这与较低频率的第一人称复数代词和较高频率的第三人称代词有关。连词分别解释了 CPAQ 总分和疼痛意愿得分中 12.8% 和 19.2% 的额外差异;连词的频率与接受度呈负相关。感知过程单词占疼痛意愿方差的额外 39.9%,这与较低频率的看到单词和较高频率的听到和感觉单词有关。结论 研究结果表明,疼痛接受与独特的语言模式有关,这些模式可以在 SCI 和慢性疼痛患者的自然词汇使用中识别出来。进一步研究疼痛接受的语言指标和其他临床相关疼痛结构的未来研究是有必要的,并且可以推进疼痛适应的理论模型和治疗疼痛的临床方法。(PsycInfo 数据库记录 (c) 2021 APA,保留所有权利)。
更新日期:2021-09-13
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