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疼痛灾难化加剧了与疼痛相关的任务中断的影响。

Pain catastrophizing moderates the effects of pain-contingent task interruptions.

机构信息

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

出版信息

Eur J Pain. 2013 Aug;17(7):1082-92. doi: 10.1002/j.1532-2149.2012.00276.x. Epub 2013 Jan 16.

Abstract

BACKGROUND

A prominent behavioural consequence of pain is the temporary suspension of current activities with intent to resume them later. Little is known about the effects of such pain-contingent task interruptions. This experiment examines the influence of pain-contingent interruptions on the amount of time spent performing a cognitive achievement task: We expected that people would spend more time on task when task performance was interrupted in response to pain (vs. no interruption), and that negative mood and pain catastrophizing would enhance this negative impact.

METHODS

Healthy volunteers read behaviour descriptions until they felt they could form a good impression. Before task performance, participants underwent a negative or positive mood induction. During the task, all participants expected painful stimulation. Half of the participants in each mood induction group received an acute (electrocutaneous) pain stimulus, resulting in a 2-min break from the task. The other participants received no sensory stimulation during task performance and their performance was not interrupted.

RESULTS

Results revealed no effect of mood on task performance (i.e., total number of descriptions read). There was, however, a significant interaction between task interruption and pain catastrophizing, indicating that participants with low levels of catastrophizing tended to read more descriptions when performance was interrupted than when not, whereas participants reporting relatively high levels of catastrophizing showed the reverse behavioural pattern.

CONCLUSIONS

The impact of pain-contingent task interruptions was reversed in participants reporting relatively high levels of pain catastrophizing. Results are discussed with regard to interruption management in the context of chronic pain.

摘要

背景

疼痛的一个显著行为后果是暂时停止当前活动,意图稍后再继续。对于这种与疼痛相关的任务中断的影响知之甚少。本实验研究了疼痛相关中断对执行认知任务时间的影响:我们预计,当任务表现因疼痛而中断时(与无中断相比),人们会在任务上花费更多时间,而负面情绪和疼痛灾难化会增强这种负面影响。

方法

健康志愿者阅读行为描述,直到他们认为自己可以形成良好的印象。在任务执行之前,参与者经历了负面或积极的情绪诱导。在任务期间,所有参与者都预期会受到疼痛刺激。在每个情绪诱导组中,一半的参与者接受急性(电刺激)疼痛刺激,导致任务中断 2 分钟。其他参与者在任务执行期间没有接受感官刺激,并且他们的任务没有中断。

结果

结果显示情绪对任务表现(即阅读的描述总数)没有影响。然而,任务中断和疼痛灾难化之间存在显著的交互作用,表明低水平灾难化的参与者在任务中断时比不中断时更倾向于阅读更多的描述,而报告相对高水平灾难化的参与者则表现出相反的行为模式。

结论

在报告相对高水平疼痛灾难化的参与者中,与疼痛相关的任务中断的影响被逆转。结果在慢性疼痛背景下讨论了中断管理的问题。

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