慢性疼痛患者的自传体记忆特征及其相关因素

The characteristics of autobiographical memory and its correlators in chronicpain patients

目的探讨慢性疼痛患者自传体记忆的特征及其相关因素。方法应用自传体记忆测验（AMT）、疼痛障碍问卷、简式McGill疼痛问卷（SF—MPQ）、贝克抑郁量表（BDI）和儿克焦虑量表（BAI）对106名慢性疼痛患者和106名正常人的自传体记忆、疼痛和情绪进行了评估。结果（1）和正常组比较，慢性疼痛组的具体性记忆明显较少[（2．63±1．68）分，（3．63±1．53）分，F（1.416）=7．233，P〈0．01]，过度概括化记忆明显增多[（3．37±1．68）分，（2．37±1．53）分，F（1.416）=7．069，P〈0．01]，但反应时差异没有统计学意义；（2）疼痛病程、疼痛频率和疼痛自我效能感能够预测过度概括化记忆变异，回归系数显著（P〈0．05），多元回归方程有效（R=0．427，R^2=0．183，F=2．385，P〈0．05）。结论慢性疼痛患者的自传体记忆受疼痛病程、疼痛频率和疼痛自我效能感的影响具有过度概括化特征。

Objective To explore the autobiographical memory characteristics of chronic pain patients and its correlators. Methods Autobiographical memory,pain and emotion of 106 chronic pain patients and 106 healthy controls were assessed with the Autobiographical Memory Test （AMT） ,the Shorl-form McGill Pain Questionnaire （SF-MPQ）, the Pain Self-efficacy Questionaire （PSEQ）, Beck Depression Inventory （BDI） and Beck Anxiety Inventory （BAI）. Results Compared to the control group,the clinical group had less specific memory （3.63 ± 1.53, 2.63± 1.68, F （1 .416） = 7. 233, P 〈 0.01 ） and more overgeneral memory. （ 2.37 ±1.53,3.37 ±1. 68, F（1,416） ： 7. 069, P =〈0.01 ） ,but the latency to response was not statistically significantly different between the groups. Duration of pain,frequence of pain and pain self-efficacy were the significant predictors of overgeneral memory, and the regression coefficients were significant （P〈 0.05） , the multiple regression equation was statistical- ly significant（R =0.427,R2 =0. 183, F=2. 385, P〈0.05）. Conclusion The autobiographical memory of chronic pain patients was overgeneralized because of the influence of duration, frequeuce and self-efficacy of pain.