Keogh Edmund, Barlow Cate, Mounce Charlotte, Bond Frank W
Department of Psychology, University of Bath, Bath, BA2 7AY, UK.
Cogn Behav Ther. 2006;35(4):198-206. doi: 10.1080/16506070600898330.
Anxiety sensitivity (AS) has been shown previously to be an important factor in the perception and experience of experimentally induced pain within healthy adults. The aim of the current study was to extend this research by: (i) using the Anxiety Sensitivity Profile (ASP) as an alternative measure of AS; (ii) examining whether different coping instructions affect pain reports; and (iii) investigating potential differences between men and women. Participants were 50 healthy adults (23 males, 27 females) who were required to complete 2 versions of the cold pressor pain task; one version required the use of control instructions, whereas the other made use of acceptance-based instructions. Although the coping instructions were found to affect pain thresholds (acceptance resulted in lower thresholds), a similar pattern of correlations were found between the pain indexes and AS under both conditions. Of the ASP subscales, the gastrointestinal and cognitive concerns components were found to be the most strongly related to pain experiences. When the analysis was conducted separately for each sex, the ASP scales were related to the self-report measures of pain in women, whereas they were related to the behavioural measures of pain in men. These results not only confirm that AS is associated with experimental pain, but that there may be sex differences in this relationship.
焦虑敏感性（AS）先前已被证明是健康成年人对实验性诱发疼痛的感知和体验中的一个重要因素。本研究的目的是通过以下方式扩展这项研究：（i）使用焦虑敏感性量表（ASP）作为AS的替代测量方法；（ii）检查不同的应对指导是否会影响疼痛报告；以及（iii）调查男性和女性之间的潜在差异。参与者为50名健康成年人（23名男性，27名女性），他们被要求完成2个版本的冷加压疼痛任务；一个版本要求使用对照指导，而另一个版本使用基于接纳的指导。尽管发现应对指导会影响疼痛阈值（接纳导致较低的阈值），但在两种情况下，疼痛指数与AS之间都发现了相似的相关模式。在ASP分量表中，胃肠道和认知担忧成分被发现与疼痛体验的相关性最强。当按性别分别进行分析时，ASP量表与女性疼痛的自我报告测量相关，而与男性疼痛的行为测量相关。这些结果不仅证实AS与实验性疼痛有关，而且在这种关系中可能存在性别差异。
