Vancleef Linda M G, Peters Madelon L, Roelofs Jeffrey, Asmundson Gordon J G
Department of Medical, Clinical and Experimental Psychology, Maastricht University, The Netherlands.
Eur J Pain. 2006 Aug;10(6):527-36. doi: 10.1016/j.ejpain.2005.07.006. Epub 2005 Oct 3.
Three fundamental fears - anxiety sensitivity (AS), injury/illness sensitivity (IS) and fear of negative evaluation (FNE) - have been proposed to underlie common fears and psychopathological conditions. In pain research, the relation between AS and (chronic) pain processes was the subject of several studies, whereas the possible role of IS has been ignored. The current research examines the role of IS with respect to various pain-related variables in two studies. In the first study, 192 healthy college students completed the Sensitivity Index (SI; a composite measure assessing the three fundamental fears) and various pain-related questionnaires. In a second study, 60 students out of the original sample took part in a pain induction procedure and completed the SI as well. We first examined the properties of the SI. Factor analysis on the SI replicated the proposed factor structure [Taylor S. The structure of fundamental fears, J Behav Ther Exp Psychiat 1993;24:289-99]. However, some items of the ASI did show problematic loadings and were therefore excluded in subsequent analyses. The main hypothesis of the current study states that IS is a stronger predictor than AS of pain catastrophizing and fear of pain as assessed by self-report measures, and of pain tolerance and anticipatory fear of pain as assessed in a pain induction study. This hypothesis could be confirmed for all variables, except for pain tolerance, which was not predicted by any of the three fundamental fears. The current study can be considered as an impetus for devoting attention to IS in future pain research.
三种基本恐惧——焦虑敏感性（AS）、受伤/疾病敏感性（IS）和对负面评价的恐惧（FNE）——被认为是常见恐惧和心理病理状况的基础。在疼痛研究中，AS与（慢性）疼痛过程之间的关系是多项研究的主题，而IS的可能作用却被忽视了。本研究通过两项研究考察了IS在各种疼痛相关变量方面的作用。在第一项研究中，192名健康大学生完成了敏感性指数（SI；一种评估三种基本恐惧的综合测量方法）以及各种疼痛相关问卷。在第二项研究中，原始样本中的60名学生参加了疼痛诱发程序并也完成了SI。我们首先考察了SI的特性。对SI进行的因素分析重现了所提出的因素结构[泰勒·S. 基本恐惧的结构，《行为疗法与实验精神病学杂志》1993年；24:289 - 99]。然而，ASI的一些项目确实显示出有问题的载荷，因此在后续分析中被排除。本研究的主要假设表明，通过自我报告测量评估的疼痛灾难化和对疼痛的恐惧，以及在疼痛诱发研究中评估的疼痛耐受性和预期性疼痛恐惧方面，IS比AS是更强的预测指标。除了疼痛耐受性外，所有变量的这一假设都得到了证实，疼痛耐受性并未由这三种基本恐惧中的任何一种预测。本研究可被视为未来疼痛研究中关注IS的一个推动力。
