School of Psychology, Shaanxi Normal University, Xían, China.
Faculty of Psychology, Southwest University, Chongqing, China.
J Pain. 2019 Mar;20(3):358-365. doi: 10.1016/j.jpain.2018.10.001. Epub 2018 Oct 16.
Self-distancing has been shown to alleviate emotional pain and to have potential efficacy for treating chronic pain and imagined acute pain, relative to self-immersing. This study examined the efficacy of self-distancing in relieving acute physical pain caused by a cold pressor task (CPT) in healthy adults. A total of 65 undergraduates were assigned pseudorandomly to 1 of 3 groups: 1) a self-distancing group, in which participants were instructed to "take a step back" to simulate their current painful experience as an observer, 2) a self-immersed group, in which participants' current painful experience was stimulated from the egocentric perspective, and 3) a control group, in which participants coped with pains in their spontaneous ways. Three key sessions were included in the present experiment: the pretest CPT, the perspective training (instead of rest in the control group), and the posttest CPT. The participants were to adopt the designated perspective only during the posttest CPT. The results showed that 1) maintaining a self-distanced perspective while experiencing pain decreased the sensation of pain, relative to the self-immersed group and the control group; and (2) compared with the control group, maintaining a self-immersed perspective neither alleviated nor aggravated the pain. This result supports that self-distancing could relieve the acute pain induced by CPT. Perspective: This study presents a brief effective psychological intervention to manage acute pain. This result could potentially have clinical and everyday importance.
自我抽离被证明可以减轻情绪痛苦,并且相对于自我沉浸,对于治疗慢性疼痛和想象中的急性疼痛具有潜在的疗效。本研究旨在检验自我抽离在缓解健康成年人冷加压任务(CPT)引起的急性身体疼痛方面的疗效。共有 65 名本科生被随机分配到以下 3 个组之一:1)自我抽离组,参与者被指示“退后一步”,将当前的痛苦体验模拟为观察者;2)自我沉浸组,参与者的当前痛苦体验从自我中心视角被激发;3)对照组,参与者以自发的方式应对疼痛。本实验包括 3 个关键阶段:预 CPT、视角训练(对照组为休息)和后 CPT。参与者仅在后 CPT 中采用指定的视角。结果表明:1)在体验疼痛时保持自我抽离的视角,相对于自我沉浸组和对照组,会降低疼痛感知;2)与对照组相比,保持自我沉浸的视角既没有减轻也没有加重疼痛。该结果支持自我抽离可以缓解 CPT 引起的急性疼痛。视角:本研究提出了一种简短有效的心理干预措施来管理急性疼痛。该结果可能具有临床和日常生活的重要意义。