Influence of adult attachment on pain adjustment in lumbar disc herniation patients and the impact path
Objective To explore the mediating effect of emotional state between adult attachment and pain adjustment in patients with lumbar disc herniation(LDH).Methods LDH patients admitted from May 2021 to May 2022 were surveyed using the general information questionnaire,Positive and Negative Affect Scale(PANAS),Global Pain Scale(GPS),and Experiences in Close Relationships Scale-Short Form(ECR-S).Multivariate linear regression and structural equation model were implemented to assess the mediating effect of emotional state on adult attachment and pain adjustment in LDH patients.Results Totally 95 patients were enrolled in the present study.The ECR-S scores of attachment avoidance and attachment anxiety were(47.56±10.15)points and(63.68±10.37)points,respectively.The scores of PANAS and GPS were(54.75±3.80)points and(76.17±21.4)points,respectively.Attachment anxiety and attachment avoidance were positively correlated with negative emotion and pain adjustment scores(P＜0.05),and negatively correlated with positive emotion and total emotional state scores(P＜0.05).Attachment anxiety and attachment avoidance had a significantly indirect effect on the pain adjustment of LDH patients through emotional state,showing a 18.9％and 13.6％mediating effect of emotional state on the total effect,respectively.Conclusion Emotional state play a mediating role in the correlation between adult attachment and pain adjustment in LDH patients.Nursing care providers can focus on emotional state to reduce the adverse effects of adult attachment on pain adjustment.
lumbar disc herniationadult attachmentpain adjustmentemotional state
NETL
NSTL
万方数据
维普
