Pain Belief And Related Psychosocial Factors In Patients With Fibroid Undergoing Trans-Abdominal Operation

Objective:To explore pain beliefs and the relationships with alexithymia, locus of control, and childhood trauma in patients with fibroid undergoing trans-abdominal operation.Methods:91Patients with fibroid undergoing trans-abdominal operation were included from gynecological wards of2three-level hospitals in Jinan from August2012to December2012.5instruments were used for the data collection according to research purpose:Pain and Opioid Analgesics Beliefs Scale (POABS), Toronto Alexithymia scale (TAS-20), Internality, Powerful Others, and Chance Scale (IPC), Childhood Trauma Questionnaire (CTQ-SF), and general information questionnaire.Results:1. The mean scores of Pain Endurance Belief, Negative Effect Belief, and POABS were2.49±0.67,2.60±0.57, and2.55±0.53, respectively. It showed Pain Belief and all dimensions went into negative direction and Negative Effect Belief was scored higher compared to Pain Endurance Belief and POABS. There were no significant difference between Negative Effect Belief scores and Pain Endurance Belief scores (Z=4.467,P<0.01), which showed Pain Endurance Belief went more negatively in patients undergoing gynecological abdomen surgery.2. Age was almost significantly correlated with Pain Endurance Belief scores ((?)0.196,P=0.062), but there were no correlations with Negative Effect Belief scores and POABS scores. There were no differences on Negative Effect Belief scores. Pain Endurance Belief scores, and POABS scores among patients in different places of residence, different education backgrounds, different marital status, different occupations, different family income, and different medical insurances.3. Difficulty Identifying Feelings scores and TAS-20scores were respectively significantly related with Pain Endurance Belief scores and POABS scores, but they were not significantly related with Negative Effect Belief scores. Difficulty Describing Feelings scores and External Oriented Thinking were not significantly related with POABS scores and all2dimensions scores (P>0.05). Except Chance scores, Internality scores and Powerful Others scores were respectively significantly correlated with Pain Endurance Belief scores, Negative Effect Belief scores and POABS scores. CTQ-SF scores and all5dimensions were not significantly related with POABS scores and all2dimensions scores (P>0.05).4. Regression analysis of Pain Belief and Alexithymia showed Difficulty Identifying Feelings scores significantly predicted Pain Endurance Belief scores and POABS scores (β=0.393,P=0.003;β=0.309, P=0.021). Regression analysis of Pain Belief and psychological control showed except Powerful Others, Chance and Internality were significant predictors of POABS scores and all2dimensions scores. Regression analysis of Pain Belief and childhood trauma showed except Emotional Abuse, other dimensions of CTQ-SF had no significant prediction effects on POABS scores and all2dimensions scores.5. Multivariable regression analysis with Pain Endurance Belief scores and POABS scores as dependent variables showed that Difficulty Identifying Feelings and Powerful Others had positive prediction effects whereas Physical Neglect had negative prediction effect, accounting for23.7%and21.6%of total variances of Pain Endurance Belief scores and POABS scores. With Negative Effect Belief scores as the dependent variable. Powerful Others and Physical Neglect entered the regression equation in the final phase. Powerful Others had positive prediction effect whereas Physical Neglect had negative prediction effect, accounting for13.1%of total variance.Conclusions: 1. The results suggest that Pain Belief in gynecology patients with abdominal operation went negatively, with Pain Endurance Belief go more negatively.2. Age mildly correlated with Pain Belief. The older, the more positively Pain Endurance Belief was. There were no differences on Pain Belief among patients in different places of residence, different education backgrounds, different marital status, different occupations, different family income, and different medical insurances.3. Psycholosocial factors had effects on pain belief. Difficulty Identifying Feelings and Powerful Others had positive prediction effects on Pain Endurance Belief whereas Physical Neglect had negative prediction effect. Powerful Others had positive prediction effect on Negative Effect Belief whereas Physical Neglect had negative prediction effect.