Schmidt A J, Gierlings R E, Peters M L
Department of Medical Psychology, University of Limburg, Maastricht, The Netherlands.
Pain. 1989 Aug;38(2):137-43. doi: 10.1016/0304-3959(89)90231-5.
The operant conditioning theory states that environmental stimuli greatly influence chronic pain behavior. In contrast, the hypochondriasis theory states that pain behavior is the result of an intensified pain perception which is part of a more general augmentation and amplification of normal bodily sensations. The operant theory predicts that pain behavior (operationalized as poorer endurance on the part of chronic low back pain patients as compared to the endurance of control subjects in a series of 6 working-to-tolerance treadmill tests) will decrease when no verbal or non-verbal feedback for treadmilling behavior is given. This hypothesis could not be confirmed in the present study. The hypochondriasis theory predicts that chronic pain patients will report more bodily sensations, both at rest and after treadmill exercises. This hypothesis was strongly supported by the findings of the present study.
操作性条件反射理论认为，环境刺激对慢性疼痛行为有很大影响。相比之下，疑病症理论认为，疼痛行为是疼痛感知增强的结果，而疼痛感知增强是正常身体感觉更普遍的增强和放大的一部分。操作性理论预测，当不给跑步机行为提供言语或非言语反馈时，疼痛行为（在一系列6次达到耐受的跑步机测试中，以慢性腰痛患者的耐力比对照组差来衡量）将会减少。本研究未能证实这一假设。疑病症理论预测，慢性疼痛患者在休息时和跑步机运动后会报告更多的身体感觉。本研究结果有力地支持了这一假设。
