Smith Bruce W, Tooley Erin M, Montague Erica Q, Robinson Amanda E, Cosper Cynthia J, Mullins Paul G
Department of Psychology, University of New Mexico, Albuquerque, New Mexico 87131, USA.
J Pain. 2009 May;10(5):493-500. doi: 10.1016/j.jpain.2008.11.007. Epub 2009 Apr 2.
This study examined the role of resilience in habituation to heat and cold pain in healthy women (n = 47). Heat and cold pain thresholds were each assessed across 5 equally spaced trials. Resilience, purpose in life, optimism, social support, and neuroticism were assessed using self-report measures. The hypothesis was that the resilience and the associated resilience factors would be positively related to habituation to heat and cold pain while controlling for neuroticism. Multilevel modeling was used to test the hypothesis. When considering each characteristic separately, resilience and purpose in life predicted greater habituation to heat pain while resilience, purpose in life, optimism, and social support predicted greater habituation to cold pain. When controlling for the other characteristics, both resilience and purpose in life predicted greater habituation to heat and cold pain. Resilience and associated characteristics such as a sense of purpose in life may be related to enhanced habituation to painful stimuli. Future research should further examine the relationship between resilience, purpose in life, and habituation to pain and determine whether psychosocial interventions that target resilience and purpose in life improve habituation and reduce vulnerability to chronic pain.
This article showed that resilience and a sense of purpose in life were both related to the ability to habituate to heat and cold pain in healthy women. These personal characteristics may enhance habituation to pain by providing the confidence and motivation to persist in the face of painful stimuli.
本研究调查了复原力在健康女性(n = 47)对热痛和冷痛的适应过程中的作用。热痛和冷痛阈值在5个等距试验中分别进行评估。使用自我报告测量法评估复原力、生活目的、乐观主义、社会支持和神经质。假设是在控制神经质的情况下,复原力及相关的复原力因素与对热痛和冷痛的适应呈正相关。采用多层次建模来检验该假设。单独考虑每个特征时,复原力和生活目的预示着对热痛有更大的适应性,而复原力、生活目的、乐观主义和社会支持预示着对冷痛有更大的适应性。在控制其他特征时,复原力和生活目的都预示着对热痛和冷痛有更大的适应性。复原力及相关特征,如生活目的感,可能与对疼痛刺激的适应性增强有关。未来的研究应进一步探讨复原力、生活目的与疼痛适应之间的关系,并确定针对复原力和生活目的的心理社会干预是否能改善适应性并降低对慢性疼痛的易感性。
本文表明,复原力和生活目的感均与健康女性对热痛和冷痛的适应能力有关。这些个人特征可能通过在面对疼痛刺激时提供坚持下去的信心和动力来增强对疼痛的适应性。