Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.
J Behav Med. 2010 Jun;33(3):191-9. doi: 10.1007/s10865-009-9245-0. Epub 2010 Jan 26.
We examined whether people who tend to catastrophize about pain and who also attempt to regulate negative thoughts and feelings through suppression may represent a distinct subgroup of individuals highly susceptible to pain and distress. Ninety-seven healthy normal participants underwent a 4-min ischemic pain task followed by a 2-min recovery period. Self-reported pain and distress was recorded during the task and every 20 s during recovery. Participants completed the Pain Catastrophizing Scale and the White Bear Suppression Inventory. Repeated measures multiple regression analysis (using General Linear Model procedures) revealed significant 3-way interactions such that participants scoring high on the rumination and/or helplessness subscales of the Pain Catastrophizing Scale and who scored high on the predisposition to suppress unwanted thoughts and feelings reported the greatest pain and distress during recovery. Results suggest that pain catastrophizers who attempt to regulate their substantial pain intensity and distress with maladaptive emotion regulation strategies, such as suppression, may be especially prone to experience prolonged recovery from episodes of acute pain. Thus, emotion regulation factors may represent critical variables needed to understand the full impact of catastrophic appraisals on long-term adjustment to pain.
我们考察了那些倾向于对疼痛进行灾难化想象，并且试图通过压抑来调节负面想法和情绪的人，他们是否代表了一个对疼痛和痛苦高度敏感的独特亚组人群。97 名健康正常的参与者接受了 4 分钟的缺血性疼痛任务，随后是 2 分钟的恢复期。在任务期间和恢复期间的每 20 秒记录自我报告的疼痛和痛苦。参与者完成了疼痛灾难化量表和白熊抑制量表。重复测量多变量回归分析（使用一般线性模型程序）显示出显著的 3 向交互作用，即那些在疼痛灾难化量表的沉思和/或无助子量表上得分较高，并且在抑制不想要的想法和感觉的倾向方面得分较高的参与者，在恢复期间报告了最大的疼痛和痛苦。结果表明，那些试图通过压抑等适应不良的情绪调节策略来调节强烈疼痛强度和痛苦的疼痛灾难化者，可能特别容易经历急性疼痛发作后的长时间恢复。因此，情绪调节因素可能是理解灾难性评估对疼痛长期适应的全面影响所需的关键变量。
