Division of Occupational Therapy, School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Queensland, Australia, 4072.
Curr Pain Headache Rep. 2013 Apr;17(4):326. doi: 10.1007/s11916-013-0326-y.
Theoretical and empirical evidence suggests that adult attachment and pain-related variables are predictably and consistently linked, and that understanding these links may guide pain intervention and prevention efforts. In general, insecure attachment has been portrayed as a risk factor, and secure attachment as a protective factor, for people with chronic pain conditions. In an effort to better understand the relationships among attachment and pain variables, these links have been investigated in pain-free samples using induced-pain techniques. The present paper reviews the available research linking adult attachment and laboratory-induced pain. While the diverse nature of the studies precludes definitive conclusions, together these papers offer support for associations between insecure attachment and a more negative pain experience. The evidence presented in this review highlights areas for further empirical attention, as well as providing some guidance for clinicians who may wish to employ preventive approaches and other interventions informed by attachment theory.
理论和经验证据表明,成人依恋和与疼痛相关的变量是可预测的,并且始终存在关联,而了解这些关联可能有助于指导疼痛干预和预防工作。一般来说,不安全的依恋被描述为慢性疼痛人群的风险因素,而安全的依恋则是保护因素。为了更好地理解依恋和疼痛变量之间的关系,人们使用诱发疼痛技术在无痛样本中研究了这些联系。本文综述了将成人依恋与实验室诱发疼痛联系起来的现有研究。虽然这些研究的多样性使得无法得出明确的结论,但这些论文共同支持不安全依恋与更消极的疼痛体验之间的关联。本文综述中提出的证据强调了进一步进行实证研究的领域,并为可能希望采用依恋理论指导的预防性方法和其他干预措施的临床医生提供了一些指导。