Sullivan M J L, Martel M O, Tripp D, Savard A, Crombez G
Department of Psychology, University of Montreal, Canada Department of Psychology, Queen's University, Canada Department of Experimental-Clinical and Health Psychology, Ghent University, Belgium.
Pain. 2006 Jun;122(3):282-288. doi: 10.1016/j.pain.2006.02.001. Epub 2006 Mar 20.
The Communal Coping Model of pain catastrophizing proposes that pain catastrophizers enact pain behaviors in order to solicit support or empathy from their social environment. By this account, pain catastrophizers might be expected to engage in behavior aimed at maximizing the probability that their pain will be perceived by others in their social environment. To test this prediction, 40 undergraduates were videotaped during a cold pressor procedure. A separate sample of 20 (10 men, 10 women) undergraduates were asked to view the video sequences and infer the pain ratings of the cold pressor participants. Correlational analyses revealed that higher levels of pain catastrophizing of the cold pressor participants were associated with observer inferences of more intense pain, r=.39, p<.01. The relation between cold pressor participants' level of pain catastrophizing and observer inferences of pain intensity was mediated by the cold pressor participants' pain behavior. Although pain catastrophizing was associated with observers' inferences of more intense pain, cold pressor participants' level of pain catastrophizing was not associated with observers' accuracy in inferring self-reported pain. Implications of the findings for theory and clinical practice are addressed.
疼痛灾难化的社会应对模型提出，疼痛灾难化者会表现出疼痛行为，以便从其社会环境中获得支持或同情。据此，疼痛灾难化者可能会采取旨在最大化其疼痛被社会环境中的他人感知的可能性的行为。为了检验这一预测，40名本科生在冷加压试验过程中被录像。另外抽取20名（10名男性，10名女性）本科生组成样本，要求他们观看视频片段并推断冷加压试验参与者的疼痛评分。相关分析显示，冷加压试验参与者的疼痛灾难化程度越高，观察者推断的疼痛强度越高，r = 0.39，p < 0.01。冷加压试验参与者的疼痛灾难化程度与观察者对疼痛强度的推断之间的关系由冷加压试验参与者的疼痛行为介导。虽然疼痛灾难化与观察者对更强烈疼痛的推断有关，但冷加压试验参与者的疼痛灾难化程度与观察者推断自我报告疼痛的准确性无关。本文探讨了这些发现对理论和临床实践的意义。
