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更乐观,少疼痛!一般性和疼痛特异性期望对体验到的冷压疼痛的影响。

More optimism, less pain! The influence of generalized and pain-specific expectations on experienced cold-pressor pain.

机构信息

Department of Clinical Psychological Science, Maastricht University, Maastricht, The Netherlands,

出版信息

J Behav Med. 2014 Feb;37(1):47-58. doi: 10.1007/s10865-012-9463-8. Epub 2012 Oct 23.

Abstract

Accumulating evidence suggests that dispositional optimism might be a protective factor against experiencing pain. The current paper presents two studies investigating the association between dispositional optimism and experimental pain. Moreover, the influence of pain-specific expectations on this association is investigated. In Study 1, mediation of pain-specific expectations in the relation between dispositional optimism and pain was hypothesized. Expected and experienced pain ratings were obtained from 66 healthy participants undergoing a cold pressor tolerance task. In Study 2, the moderating effect of dispositional optimism on the association between induced pain expectations and pain reports was studied in 60 healthy participants undergoing a 1-min cold pressor task. Both studies controlled for individual differences in fear of pain. Significant associations between dispositional optimism and pain ratings were found in both studies, although the exact time point of these associations differed. Subscale analyses revealed that only the pessimism subscale contributed significantly to these findings. We found no evidence for hypothesized mediation and moderation effects. Alternative explanations for the optimism-pain association are discussed.

摘要

越来越多的证据表明,性格乐观可能是预防疼痛体验的保护因素。本文介绍了两项研究,旨在调查性格乐观与实验性疼痛之间的关联。此外,还研究了疼痛特异性预期对这种关联的影响。在研究 1 中,假设了性格乐观与疼痛之间的关系中介了疼痛特异性预期。该研究从 66 名接受冷加压耐量任务的健康参与者中获得了预期和实际的疼痛评分。在研究 2 中,在 60 名接受 1 分钟冷加压任务的健康参与者中,研究了性格乐观对诱导性疼痛预期与疼痛报告之间关联的调节作用。这两项研究都控制了对疼痛的恐惧的个体差异。尽管这些关联的确切时间点不同,但在两项研究中都发现了性格乐观与疼痛评分之间的显著关联。亚量表分析显示,只有悲观亚量表对这些发现有显著贡献。我们没有发现假设的中介和调节效应的证据。讨论了乐观与疼痛关联的其他解释。

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