École de Psychologie, Faculté des Sciences Sociales, Université Laval, Québec, QC, Canada.
J Pain. 2012 Jul;13(7):695-703. doi: 10.1016/j.jpain.2012.04.009. Epub 2012 Jun 15.
While self-pain motivates protective behaviors and self-oriented feelings, the perception of others' pain often motivates concern and prosocial behaviors toward the person suffering. The conflicting consequences of these 2 states raise the question of how pain is perceived in others when one is actually in pain. Two conflicting hypotheses could predict the interaction between these 2 signals: the threat value of pain hypothesis and the shared-representation model of pain empathy. Here, we asked 33 healthy volunteers exposed to acute experimental pain to judge the intensity of the pain felt by models expressing different levels of pain in video clips. Results showed that compared to a control warm stimulus, a stimulus causing self-pain increased the perception of others' pain for clips depicting male pain expressions but decreased the perceived intensity of female high pain expressions in both male and female participants. These results show that one's own pain state influences the perception of pain in others and that the gender of the person observed influences this interaction.
By documenting the effects of self-pain on pain perception in others, this study provides a better understanding of the shared mechanisms between self-pain and others' pain processing. It could ultimately provide clues as to how the health status of health care professionals could affect their ability to assess their patients' pain.
虽然自我疼痛会激发保护行为和自我导向的感觉,但对他人疼痛的感知通常会激发对正在受苦的人的关注和亲社会行为。这两种状态的冲突后果引发了一个问题,即在自身处于疼痛状态时,如何感知他人的疼痛。有两个相互冲突的假设可以预测这两种信号之间的相互作用:疼痛的威胁价值假说和疼痛共情的共同表现模型。在这里,我们要求 33 名暴露于急性实验性疼痛的健康志愿者,在视频剪辑中判断模特表达不同程度疼痛时的疼痛强度。结果表明,与控制温暖刺激相比,引起自身疼痛的刺激会增加参与者对男性疼痛表情的视频剪辑中他人疼痛的感知,但会降低男性和女性参与者对女性高疼痛表情的感知强度。这些结果表明,自身的疼痛状态会影响对他人疼痛的感知,而被观察到的人的性别会影响这种相互作用。
通过记录自身疼痛对他人疼痛感知的影响,本研究更好地理解了自我疼痛和他人疼痛处理之间的共同机制。它最终可能为医疗保健专业人员的健康状况如何影响他们评估患者疼痛的能力提供线索。