Tang Judy, Gibson Stephen J
Department of Psychology, University of Melbourne, Melbourne.
J Pain. 2005 Sep;6(9):612-9. doi: 10.1016/j.jpain.2005.03.009.
The present study examined the interactive effects of state and trait anxiety on pain threshold and subjective pain intensity. State anxiety was manipulated in 15 low trait anxious (LTA) individuals and 17 high trait anxious (HTA) individuals, who rated their anxiety level and subjective pain intensity in response to noxious electrical experimental pain stimuli. A difference in pain threshold between HTA and LTA participants was not found; however, higher state anxiety led to an increase in reported pain intensity for all participants. Furthermore, HTA individuals reported significantly higher levels of anxiety and pain intensity than LTA individuals across all pain and anxiety conditions. There was no interaction between state and trait anxiety on pain perception and anxiety ratings. These findings show an additive rather than synergistic effect between state-trait anxiety and subjective pain intensity.
Use of anxiety-reducing techniques for individuals experiencing pain might reduce the perceived severity/intensity of pain. Furthermore, individuals with higher trait anxiety (a greater disposition to experience anxiety) might benefit from these techniques because higher trait anxious individuals tend to exacerbate perceived pain stimulations more than lower trait anxious individuals.
本研究考察了状态焦虑和特质焦虑对疼痛阈值及主观疼痛强度的交互作用。对15名低特质焦虑(LTA)个体和17名高特质焦虑(HTA)个体进行状态焦虑的操控,这些个体在应对有害电刺激实验性疼痛刺激时对自身焦虑水平和主观疼痛强度进行评分。未发现HTA和LTA参与者在疼痛阈值上存在差异;然而,更高的状态焦虑导致所有参与者报告的疼痛强度增加。此外,在所有疼痛和焦虑条件下,HTA个体报告的焦虑和疼痛强度水平显著高于LTA个体。状态焦虑和特质焦虑在疼痛感知和焦虑评分上不存在交互作用。这些发现表明状态 - 特质焦虑与主观疼痛强度之间存在相加而非协同效应。
对经历疼痛的个体使用减轻焦虑的技术可能会降低所感知到的疼痛严重程度/强度。此外,特质焦虑较高(更倾向于体验焦虑)的个体可能会从这些技术中受益,因为与低特质焦虑个体相比,高特质焦虑个体往往会更强烈地加剧所感知到的疼痛刺激。