Chronic pain is a health problem that significantly influences patients' lives, causing functional, social, socioeconomic, and emotional changes that impact quality of life (QoL). The aim of this study was to evaluate which variables (e.g., psychological morbidity, illness representations, pain, and coping) contribute to QoL and to analyse the moderating role of illness‐ and wellness‐focused coping in the relationship between pain interference and Qol, in chronic pain patients. A sociodemographic and clinical questionnaire, the Brief Illness Perception Questionnaire, the Pain Catastrophizing Scale, the Hospital Anxiety and Depression Scale, the Chronic Pain Coping Inventory, the Short Form Health Survey, and the Brief Pain Inventory were completed by 103 patients with chronic pain. Greater use of wellness‐focused coping and being professionally active were associated with better physical QoL. Cognitive representations and illness‐focused coping contributed to physical QoL, and psychological morbidity contributed to mental QoL. Illness‐focused coping and wellness‐focused coping moderated the relationship between pain interference and physical QoL, but not with mental QoL. Since pain interference was positively related to psychological morbidity, and the latter was negatively related to QoL, it is extremely important to evaluate and promote patients' coping strategies that are focused on well‐being to improve QoL. Results from this study underline the relevance of a multidisciplinary approach to chronic pain and the need to account for psychological morbidity and coping strategies in intervention programs to promote QoL in chronic pain patients.

中文翻译：

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慢性疼痛患者的生活质量：以疾病和健康为中心的应对措施

慢性疼痛是一种健康问题，会严重影响患者的生活，导致功能，社会，社会经济和情感方面的变化，从而影响生活质量（QoL）。这项研究的目的是评估哪些变量（例如，心理发病率，疾病代表，疼痛和应对方式）对QoL的影响，并分析以疾病和健康为重点的应对方式在疼痛干预与Qol之间的关系中的调节作用，在慢性疼痛患者中。对103名患有慢性疼痛的患者进行了社会人口统计学和临床​​调查表，简短疾病知觉问卷，疼痛灾难性量表，医院焦虑和抑郁量表，慢性疼痛应对量表，短期健康调查以及简要疼痛量表。更好地使用以健康为中心的应对方法和保持专业积极性与更好的身体素质有关。认知表征和以疾病为中心的应对方式有助于身体的QoL，而心理发病率则有助于心理QoL。以疾病为中心的应对和以健康为中心的应对减轻了疼痛干预与身体质量水平之间的关系，但与精神质量水平之间的关系却没有。由于疼痛干预与心理发病率呈正相关，而心理干预与QoL呈负相关，因此评估和促进以改善幸福感为重点的患者应对策略极为重要。