Department of Psychology and Neuroscience, Dalhousie University, Halifax, Nova Scotia, Canada; Centre for Pediatric Pain Research, IWK Health Centre, Halifax, Nova Scotia, Canada.
J Pain. 2013 Dec;14(12):1709-18. doi: 10.1016/j.jpain.2013.08.015. Epub 2013 Sep 28.
Trait mindfulness appears to mitigate pain among adult clinical populations and has a unique relationship with pain catastrophizing. However, little is understood about this phenomenon among adolescents. The association between trait mindfulness and pain in both real-world and experimental contexts was examined in a community sample of adolescents. Participants were 198 adolescents who completed measures of trait mindfulness, pain catastrophizing, and pain interference, as well as an interview on day-to-day pain before undergoing an acute experimental pain task. Following the task, they provided ratings of pain intensity and state catastrophizing. Results showed that with regard to day-to-day pains, mindfulness was a significant and unique predictor of pain interference, and this relationship was partially mediated by pain catastrophizing. Mindfulness also had an indirect relationship with experimental pain intensity and tolerance. These associations were mediated by catastrophizing during the pain task. These findings highlight the association between trait mindfulness and both real-world and experimental pain and offer insight into how mindfulness may affect pain among youth. Findings are discussed in the context of current psychological models of pediatric pain and future avenues for research.
This article highlights the association between trait mindfulness and pain variables among adolescents in both real-world and experimental pain settings. These findings offer further evidence of the unique relationship between trait mindfulness and pain catastrophizing in affecting pain variables across pain contexts and populations.
特质正念似乎可以减轻成年临床人群的疼痛,并且与疼痛灾难化有独特的关系。然而,青少年中对此现象的了解甚少。在青少年的社区样本中,在真实世界和实验环境中,特质正念与疼痛之间的关联得到了检验。参与者为 198 名青少年,他们完成了特质正念、疼痛灾难化和疼痛干扰的测量,以及在进行急性实验性疼痛任务之前的日常疼痛访谈。任务完成后,他们对疼痛强度和状态灾难化进行了评分。结果表明,就日常疼痛而言,正念是疼痛干扰的一个重要且独特的预测因子,而这种关系部分是由疼痛灾难化介导的。正念与实验性疼痛强度和耐受性也存在间接关系。这些关联在疼痛任务中通过灾难化来介导。这些发现强调了特质正念与真实世界和实验性疼痛之间的关联,并为了解正念如何影响青少年的疼痛提供了新的思路。研究结果在儿童疼痛的当前心理模型背景下进行了讨论,并为未来的研究提供了途径。
本文强调了特质正念与青少年在真实世界和实验性疼痛环境中的疼痛变量之间的关联。这些发现进一步证明了特质正念与疼痛灾难化之间独特的关系,在影响跨疼痛环境和人群的疼痛变量方面。