Mediating effect of pain beliefs on pain intensity and fear of disease progression in patients with trigeminal neuralgia
10.3969/j.issn.1671-8283.2025.04.001
- VernacularTitle:疼痛信念在三叉神经痛患者疼痛与疾病进展恐惧的中介效应
- Author:
Dandan WAN
1
;
Zheng WANG
;
Huan DUAN
;
Yige MA
;
Ying GUO
Author Information
1. 哈尔滨医科大学护理学院,黑龙江 哈尔滨,150000
- Publication Type:Journal Article
- Keywords:
trigeminal neuralgia;
pain;
pain beliefs;
fear of progression;
mediating effect;
cross-section study
- From:
Modern Clinical Nursing
2025;24(4):1-7
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyse the mediating effect of the pain beliefs on pain and fear of disease progression in patients with trigeminal neuralgia.Methods A convenience sampling method was employed to select hospitalised 220 patients with trigeminal neuralgia as research objects from 3 Grade IIIA hospitals.The selected study subjects were surveyed with a general information questionnaire,the numeric pain rating scale,pain beliefs and perceptions scale,and fear of disease progression short form.Structural equation model was used to verify the pathways that affected the pain and pain beliefs on fear of disease progression in patients with trigeminal neuralgia.Results A total of 214 patients with trigeminal neuralgia completed the survey.The mean score of fear of disease progression was 33.38±8.47,the mean score of pain was 8.25±1.44,and the mean score of pain beliefs was-2(-9,8).Spearman correlation analysis showed that fear of disease progression was positively correlated with the pain beliefs(r=0.746,P<0.01)and pain(r=0.838,P<0.01),and the pain beliefs were positively correlated with pain intensity(r=0.704,P<0.01).Pain beliefs partially mediated between the pain and fear of disease progression in patients with trigeminal neuralgia,with a mediating effect of 0.442,a direct effect of 0.482,and a total effect of 0.924.The mediating effect accounted for 47.84%of the total effect.Conclusion Patients with trigeminal neuralgia generally have a critical state of psychologicol disfunction of fear of disease progression,with a moderate to severe pain,and moderate pain beliefs.Pain intensity in patients with trigeminal neuralgia not only directly affects fear of disease progression but also indirectly affects it through pain beliefs.
