Department of Medical, Clinical Psychological Science, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
Eur J Pain. 2011 Mar;15(3):306-12. doi: 10.1016/j.ejpain.2010.07.007. Epub 2010 Aug 30.
This study examines the changes in self-perception during resolution of an acutely painful neck injury sustained in a motor vehicle accident. We tested predictions from self-discrepancy theory and a model of self-pain enmeshment. Measures of discrepancy between the current (actual) self and both the ideal and feared-for self were predicted to remain stable over a 21-day recovery period whereas a measure of enmeshment was predicted to decrease as pain resolved. We also examined the relationship between daily ratings of achievement in several domains and participants perceived ideal performance. Sixty patients with possible acute neck injury recruited within 1 month after a motor vehicle accident gave consent and data were obtained from 42 participants. Standard questionnaire measures of pain, disability, fear of movement, pain catastrophizing and self-discrepancies, self-pain enmeshment and data from diaries (measures of pain, mood, self-discrepancies, pain catastrophizing and fear of movement) were obtained. In general the relationships between the measures of self-discrepancy and enmeshment and mood were in accord with both theoretical predictions and previous observations. Resolution of pain was associated with a reduction in enmeshment but not to change in self-discrepancy. Multilevel analyses of the diary data showed that concordance between actual and ideal performance increased over the 21 days of data collection. These data provide preliminary support for aspects of self-discrepancy theory and the self-pain enmeshment model.
这项研究考察了在机动车事故中急性颈部受伤愈合过程中自我认知的变化。我们检验了自我差异理论和自我疼痛交织模型的预测。预计在 21 天的恢复期内，当前（实际）自我与理想自我和恐惧自我之间的差异测量值将保持稳定，而自我疼痛交织的测量值预计会随着疼痛的缓解而降低。我们还研究了在几个领域中每日成就评定与参与者感知的理想表现之间的关系。在机动车事故后 1 个月内招募的 60 名可能患有急性颈部损伤的患者同意并获得了 42 名参与者的数据。标准问卷测量疼痛、残疾、运动恐惧、疼痛灾难化和自我差异、自我疼痛交织以及日记中的数据（疼痛、情绪、自我差异、疼痛灾难化和运动恐惧的测量值）。总的来说，自我差异和自我疼痛交织与情绪之间的关系符合理论预测和先前的观察结果。疼痛的缓解与自我疼痛交织的减少有关，而与自我差异无关。日记数据的多层次分析表明，在 21 天的数据收集过程中，实际表现与理想表现之间的一致性增加了。这些数据初步支持了自我差异理论和自我疼痛交织模型的某些方面。
