a Department of Psychology , University of Houston , Houston , TX 77204 , USA.
b Department of Behavioral Science , University of Texas MD Anderson Cancer Center , Houston , TX , USA.
Cogn Behav Ther. 2018 Mar;47(2):126-138. doi: 10.1080/16506073.2017.1357749. Epub 2017 Aug 9.
Perceived burdensomeness (PB), the perception of being a burden to others, is associated with pain and physical symptoms. Anxiety sensitivity (AS), the fear of arousal-related sensations, arising from beliefs that the sensations may have adverse personal consequences (physical, cognitive, and social), may increase risk for pain responding, particularly in anxiety-provoking (e.g. socially threatening) contexts. Accordingly, individuals high in AS may have a stronger pain response when experiencing PB than those low in AS. Undergraduate participants (n = 262) completed the Anxiety Sensitivity Index (ASI-3), and then were randomly assigned to re-live an experience when they were either burdensome to others (burdensome condition) or contributed equally to a group (control condition). Both social and physical self-reported pain were assessed post-manipulation. Those high in AS reported significantly higher pain ratings in the burdensome condition than the control condition; for those low in AS, pain did not change across conditions. In particular, being fearful of the physical repercussions of anxiety (AS physical concerns) while also feeling burdensome to others was associated with greater physical pain. AS may exacerbate the already painful effects of feeling burdensome to others, and may have important implications for the development of future suicide- and pain-related interventions.
感知负担（PB），即被他人视为负担的感觉，与疼痛和身体症状有关。焦虑敏感（AS）是指对与唤醒相关的感觉的恐惧，这种恐惧源于一种信念，即这些感觉可能会产生不良的个人后果（身体、认知和社会），可能会增加对疼痛反应的风险，特别是在引起焦虑的（例如社会威胁）环境中。因此，在经历 PB 时，AS 较高的个体可能比 AS 较低的个体有更强的疼痛反应。本科参与者（n=262）完成了焦虑敏感指数（ASI-3），然后被随机分配到重新体验一种他们对他人有负担（负担条件）或对群体有同等贡献（对照条件）的经历。在操作后评估了社交和身体的自我报告疼痛。AS 较高的人在负担条件下报告的疼痛评分明显高于对照条件；对于 AS 较低的人，疼痛在不同条件下没有变化。特别是，当感到对他人有负担的同时又对焦虑的身体后果感到恐惧（AS 身体担忧）时，与更大的身体疼痛相关。AS 可能会加剧已经感到被他人负担的痛苦影响，并且可能对未来与自杀和疼痛相关的干预措施的发展具有重要意义。
