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探究自我同情对实验性疼痛的影响及其潜在机制:来自慈悲自我对话方案和心率变异性的证据。

Investigating the Influence and a Potential Mechanism of Self-Compassion on Experimental Pain: Evidence From a Compassionate Self-Talk Protocol and Heart Rate Variability.

机构信息

College of Preschool and Primary Education, China West Normal University, Nanchong, China.

Center for Cognition and Brain Disorders, The Affiliated Hospital of Hangzhou Normal University, Hangzhou, China; Zhejiang Key Laboratory for Research in Assessment of Cognitive Impairments, Hangzhou, China; Monash Alfred Psychiatry Research Centre (MAPrc), The Alfred and Central Clinical School, Monash University, Melbourne, Australia.

出版信息

J Pain. 2020 Jul-Aug;21(7-8):790-797. doi: 10.1016/j.jpain.2019.11.006. Epub 2019 Nov 22.

Abstract

Previous studies have indicated a positive relationship between self-compassion and psychological and emotional well-being in chronic pain populations. However, evidence on the role and mechanisms of self-compassion in pain perception is largely limited. The current study was designed to investigate the effects and a potential mechanism of self-compassion on experimental pain. Thirty healthy participants underwent a compassionate self-talk protocol, which was followed by cold pain exposure during which high-frequency heart rate variability (HF-HRV) was evaluated. The compassionate self-talk protocol successfully generated compassionate statements among the participants. Our behavioral data showed lower pain ratings in the self-compassion compared to the control condition. Moreover, self-compassion manipulation resulted in higher HF-HRV during pain, which was associated with lower pain ratings. We present interesting findings that a short period of compassionate self-talk may decrease experimental pain as well as mechanistic evidence surrounding bodily control over pain-related arousal indicated by HF-HRV. PERSPECTIVE: This study presents the first line of evidence that a short period of compassionate self-talk may be sufficient to reduce experimental pain. We also demonstrate increased bodily control as a potential mechanism underlying this effect.

摘要

先前的研究表明,自我同情与慢性疼痛人群的心理和情绪健康之间存在正相关关系。然而,自我同情在疼痛感知中的作用和机制的证据在很大程度上是有限的。本研究旨在探讨自我同情对实验性疼痛的影响及其潜在机制。三十名健康参与者接受了有同情心的自我对话方案,随后进行冷痛暴露,在此期间评估高频心率变异性 (HF-HRV)。有同情心的自我对话方案成功地在参与者中生成了有同情心的陈述。我们的行为数据显示,自我同情组的疼痛评分低于对照组。此外,自我同情操作在疼痛期间导致更高的 HF-HRV,这与更低的疼痛评分相关。我们提出了有趣的发现,即短暂的有同情心的自我对话可能会减轻实验性疼痛,以及围绕 HF-HRV 表明的与疼痛相关的唤醒的身体控制的机制证据。观点:本研究首次提供了证据表明,短暂的有同情心的自我对话可能足以减轻实验性疼痛。我们还证明了增加身体控制是这种效应的潜在机制。

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