依恋心理对慢性疼痛患者整体疼痛感的影响：自我效能的中介作用

The effectiveness of attachment on global pain in chronic pain sufferers： the mediating effect of pain self-efficacy

目的探讨慢性疼痛患者的整体疼痛感、依恋心理及自我效能感在两者间的作用。方法采用方便抽样，选取2017年2-6月在四川大学华西医院疼痛科住院的慢性疼痛患者193例作为研究对象。使用整体疼痛评估量表、亲密关系体验问卷和慢性疼痛自我效能量表进行调查。结果研究对象整体疼痛感评分为（79．55±15．82）分，依恋回避得分为（2．98±0．81）分，依恋焦虑得分为（3．22±0．89）分。安全型依恋类型人数102例占52．8％（102／193）。自我效能感在依恋焦虑与整体疼痛感之间起部分中介作用，中介效应占总效应的百分比为33．3％。结论医护人员在慢性疼痛患者管理过程中，需提高患者的自我效能感，尤其是对亲密关系需求强烈的患者，促进其对疼痛的积极调适，提高患者的生命质量。

Objective To identify global pain and attachment in chronic pain sufferers, and explore the mediating effect of pain self-efficacy. Methods There were 193 patients recruited from Pain Department in West China Hospital of Sichuan University between February 2017 and June 2017. The Global Pain Scale, Experiences in Close Relationships Questionnaire-Revised and Chronic Pain Self- efficacy Scale were used to collect data. Results The score of global pain, attachment avoidance and attachment anxiety were （79.55＋15.82）, （2.98＋0.81） and （3.22＋0.89） points respectively. 52.8%（102/193） participants were secure attachment. Mediating effect analyses revealed that self-efficacy exerted a partial mediating effect between global pain and attachment, with the mediating effect of 33.3% in total effect. Conclusions Health professionals should improve the self-efficacy in the management of chronic pain, especially in those with strong relationship needs, promote the positive pain adjustment, and improve the quality of life.