Masedo Ana I, Rosa Esteve M
Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Facultad de Psicología, Campus de Teatinos, Universidad de Málaga, Málaga 29071, Spain.
Behav Res Ther. 2007 Feb;45(2):199-209. doi: 10.1016/j.brat.2006.02.006. Epub 2006 Mar 29.
Wegner's Theory of Ironic Processes has been applied to study the effects of cognitive strategies to control pain. Research suggests that suppression contributes to a more distressing pain experience. Recently, the acceptance-based approach has been proposed as an alternative to cognitive control. This study assessed the tolerance time, the distress and the perceived pain intensity in three groups (suppression, acceptance and spontaneous coping groups) when the participants were exposed to a cold pressor procedure. Two hundred and nineteen undergraduates volunteered to participate. The suppression group showed the shortest tolerance time and the acceptance group showed the longest tolerance time. The acceptance group showed pain and distress immersion ratings that were significantly lower than in the other two groups, between which the differences were not significant. In the first recovery period, the suppression group showed pain and distress ratings that were higher than in the other two groups. In the second recovery period, although the acceptance group showed pain and distress ratings that were significantly lower than in the other two groups, the suppression and the spontaneous coping groups did not differ. The presence of a 'rebound' of physical discomfort and the effects of suppression on behavioural avoidance are discussed. These results support the acceptance approach in the management of pain.
韦格纳的反讽过程理论已被应用于研究控制疼痛的认知策略的效果。研究表明，压抑会导致更痛苦的疼痛体验。最近，基于接纳的方法被提议作为认知控制的替代方法。本研究评估了三组（压抑组、接纳组和自发应对组）参与者在接受冷加压程序时的耐受时间、痛苦程度和感知疼痛强度。219名本科生自愿参与。压抑组的耐受时间最短，接纳组的耐受时间最长。接纳组的疼痛和痛苦沉浸评分显著低于其他两组，而其他两组之间的差异不显著。在第一个恢复期，压抑组的疼痛和痛苦评分高于其他两组。在第二个恢复期，虽然接纳组的疼痛和痛苦评分显著低于其他两组，但压抑组和自发应对组没有差异。讨论了身体不适“反弹”的存在以及压抑对行为回避的影响。这些结果支持在疼痛管理中采用接纳方法。
