Páez-Blarrina Marisa, Luciano Carmen, Gutiérrez-Martínez Olga, Valdivia Sonsoles, Ortega José, Rodríguez-Valverde Miguel
Instituto ACT, Spain.
Behav Res Ther. 2008 Jan;46(1):84-97. doi: 10.1016/j.brat.2007.10.008. Epub 2007 Oct 22.
The purpose of the present study was twofold. First, to compare the effect of establishing a motivational context of values on pain tolerance, believability, and reported pain, with three experimental conditions: pain acceptance (ACT condition), pain control (CONT condition), or no values (untrained condition). Second, the study aimed to isolate the impact of adding the corresponding coping strategies to both the ACT and the CONT conditions. Thirty adults were randomly assigned to one of the three experimental conditions. The participants went through the pain task in two occasions (Test I and Test II). In Test I, the effects of the ACT-values protocol (which established pain as part of valued action), the CONT-values protocol (which established high pain as opposed to valued action), and the no-values protocol, were compared. In Test II, the effect of adding the corresponding coping strategy to each condition (defusion for ACT vs. suppression for CONT) was examined. Test I showed a clear superiority of the ACT-values protocol in increasing tolerance and lowering pain believability. In Test II, the superiority of the ACT protocol was replicated, while the CONT protocol proved useful to reduce reported pain, in accordance with previous studies.
本研究的目的有两个。其一,通过三种实验条件比较建立价值动机情境对疼痛耐受性、可信度及报告疼痛的影响:疼痛接纳(接纳与承诺疗法条件)、疼痛控制(控制条件)或无价值情境(未训练条件)。其二,该研究旨在分离在接纳与承诺疗法条件和控制条件下添加相应应对策略的影响。30名成年人被随机分配到三种实验条件之一。参与者在两个场合(测试一和测试二)完成疼痛任务。在测试一中,比较了接纳与承诺疗法价值方案(将疼痛确立为有价值行动的一部分)、控制价值方案(将高疼痛确立为与有价值行动相对立)和无价值方案的效果。在测试二中,研究了在每种条件下添加相应应对策略(接纳与承诺疗法用解离,控制条件用压制)的效果。测试一表明接纳与承诺疗法价值方案在提高耐受性和降低疼痛可信度方面具有明显优势。在测试二中,接纳与承诺疗法方案的优势得以重现,而控制方案被证明有助于减轻报告的疼痛,这与先前的研究一致。