Tanaka Yoichi, Nishi Yuki, Nishi Yuki, Osumi Michihiro, Morioka Shu
Department of Neurorehabilitation, Graduate School of Health Sciences, Kio University.
Department of Rehabilitation, Nara Prefecture General Rehabilitation Center.
J Pain Res. 2017 Sep 11;10:2223-2231. doi: 10.2147/JPR.S143342. eCollection 2017.
Pain is a subjective emotional experience that is influenced by psychosociological factors such as social skills, which are defined as problem-solving abilities in social interactions. This study aimed to reveal the relationships among pain, social skills, and other psychosociological factors by using structural equation modeling. A total of 101 healthy volunteers (41 men and 60 women; mean age: 36.6±12.7 years) participated in this study. To evoke participants' sense of inner pain, we showed them images of painful scenes on a PC screen and asked them to evaluate the pain intensity by using the visual analog scale (VAS). We examined the correlation between social skills and VAS, constructed a hypothetical model based on results from previous studies and the current correlational analysis results, and verified the model's fit using structural equation modeling. We found significant positive correlations between VAS and total social skills values, as well as between VAS and the "start of relationships" subscales. Structural equation modeling revealed that the values for "start of relationships" had a direct effect on VAS values (path coefficient =0.32, <0.01). In addition, the "start of relationships" had both a direct and an indirect effect on psychological factors via social support. The results indicated that extroverted people are more sensitive to inner pain and tend to get more social support and maintain a better psychological condition.
疼痛是一种主观的情感体验，它受到社会心理因素的影响，比如社交技能，社交技能被定义为社交互动中的问题解决能力。本研究旨在通过结构方程模型揭示疼痛、社交技能和其他社会心理因素之间的关系。共有101名健康志愿者（41名男性和60名女性；平均年龄：36.6±12.7岁）参与了本研究。为唤起参与者内心的疼痛感，我们在电脑屏幕上向他们展示痛苦场景的图片，并要求他们使用视觉模拟量表（VAS）评估疼痛强度。我们研究了社交技能与VAS之间的相关性，基于先前研究结果和当前的相关性分析结果构建了一个假设模型，并使用结构方程模型验证了该模型的拟合度。我们发现VAS与社交技能总得分之间存在显著正相关，VAS与“关系开始”子量表之间也存在显著正相关。结构方程模型显示，“关系开始”得分对VAS得分有直接影响（路径系数 =0.32，<0.01）。此外，“关系开始”通过社会支持对心理因素既有直接影响也有间接影响。结果表明，外向的人对内心疼痛更敏感，往往能获得更多社会支持并保持更好的心理状态。
