Kwok Silvia Sze Wai, Chan Esther Chin Chi, Chen Phoon Ping, Lo Barbara Chuen Yee
Department of Psychology, The University of Hong Kong, Hong Kong SAR, China.
Pain Management Clinic, Alice Ho Miu Ling Nethersole Hospital, Hong Kong SAR, China.
J Behav Med. 2016 Oct;39(5):908-15. doi: 10.1007/s10865-016-9750-x. Epub 2016 Jun 8.
Self-discrepancy occurs when a person feels the failure to fulfill one's hopes or responsibilities. Although self-discrepancy has been widely examined to elucidate patients' chronic pain adjustment, the underlying mechanism is unclear. The present study proposes that the effect of self-discrepancy on pain outcomes is accounted for by psychological inflexibility, which involves the psychological processes that guide behaviors in the pursuit of goals and values. One-hundred patients with chronic pain were recruited from a public hospital. They were invited to participate in a semi-structured interview regarding their self-discrepancy and complete self-reported questionnaires regarding their psychological inflexibility and pain outcomes. The results confirmed that psychological inflexibility partly accounts for the variance observed between self-discrepancy and pain outcomes. The current study provides additional insight into the mechanism underpinning the impact of self-discrepancy on patients' pain adjustment and offers clinical implications regarding the use of acceptance commitment therapy for chronic pain management.
当一个人感到自己未能实现自己的期望或责任时，就会出现自我差异。尽管自我差异已被广泛研究以阐明患者的慢性疼痛调适情况，但其潜在机制尚不清楚。本研究提出，自我差异对疼痛结果的影响是由心理僵化所导致的，心理僵化涉及在追求目标和价值观过程中指导行为的心理过程。从一家公立医院招募了100名慢性疼痛患者。邀请他们参加关于自我差异的半结构化访谈，并完成关于心理僵化和疼痛结果的自我报告问卷。结果证实，心理僵化部分解释了自我差异与疼痛结果之间观察到的差异。本研究为自我差异对患者疼痛调适影响的潜在机制提供了更多见解，并为使用接纳承诺疗法进行慢性疼痛管理提供了临床启示。
