Romeo Annunziata, Tesio Valentina, Castelnuovo Gianluca, Castelli Lorys
Department of Psychology, University of Turin Turin, Italy.
Psychology Research Laboratory, IRCCS Istituto Auxologico ItalianoVerbania, Italy; Department of Psychology, Catholic University of MilanMilan, Italy.
Front Psychol. 2017 Feb 24;8:284. doi: 10.3389/fpsyg.2017.00284. eCollection 2017.
Chronic pain (CP) is a burdensome symptom. Different psychological models have been proposed to explain the role of psychological and social factors in developing and maintaining CP. Attachment, for example, is a psychological construct of possible relevance in CP. The first studies on the role of attachment in CP did not investigate the partner's psychological factors, thus neglecting the influence of the latter. The main aim of this mini-review was to examine the more recent literature investigating the relationship between CP and attachment style. In particular, whether or not more recent studies assessed the psychological variables of a patient's partner. The articles were selected from the Medline/PubMed database using the search terms "attachment" AND "pain"; "CP" AND "attachment style," which led to nine papers being identified. The results showed that, even though the key point was still the hypothesis that an insecure attachment style is associated with CP, in recent years researchers have focused on the possible psychological aspects mediating between attachment style and CP. In particular, worrying, coping strategies, catastrophizing and perceived spouse responses to pain behavior were taken into account. Only one study considered the role of the reciprocal influence of attachment style of both patient and partner, underlining the role of real significant others' responses to pain behaviors. In conclusion, the results of the present mini-review highlight how in recent years researchers have moved toward investigating those psychological aspects that could mediate the relationship between attachment and CP, while only partially evaluating the interpersonal perspective.
慢性疼痛（CP）是一种负担沉重的症状。人们提出了不同的心理学模型来解释心理和社会因素在CP发生和维持过程中的作用。例如，依恋是一种在CP中可能具有相关性的心理学概念。关于依恋在CP中作用的首批研究并未调查伴侣的心理因素，从而忽略了后者的影响。本小型综述的主要目的是审视调查CP与依恋风格之间关系的最新文献。特别是，近期研究是否评估了患者伴侣的心理变量。使用检索词“依恋”和“疼痛”；“CP”和“依恋风格”从Medline/PubMed数据库中筛选文章，共识别出9篇论文。结果表明，尽管关键点仍然是不安全依恋风格与CP相关的假设，但近年来研究人员已将重点放在依恋风格与CP之间可能起中介作用的心理方面。特别是，考虑了担忧、应对策略、灾难化思维以及配偶对疼痛行为的感知反应。只有一项研究考虑了患者和伴侣依恋风格相互影响的作用，强调了重要他人对疼痛行为反应的作用。总之，本小型综述的结果凸显出近年来研究人员已朝着调查那些可能介导依恋与CP之间关系的心理方面发展，同时仅部分评估了人际视角。
