慢性疼痛中的运动配额、预期性担忧和自我效能期望：初步报告

Exercise quotas, anticipatory concern and self-efficacy expectancies in chronic pain: a preliminary report.

作者信息

Dolce Jeffrey J, Crocker Maureen F, Moletteire Carol, Doleys Daniel M

机构信息

Department of General and Preventive Medicine, University of Alabama in Birmingham, 609 Medical Education Building, Birmingham, AL 35294 U.S.A. Pain Management Center, Brookwood Medical Center, 2022 Brookwood Medical Center Drive, Birmingham, AL 35209 U.S.A.

出版信息

Pain. 1986 Mar;24(3):365-372. doi: 10.1016/0304-3959(86)90122-3.

DOI:10.1016/0304-3959(86)90122-3

PMID:3960576

Abstract

Reduced activity levels are a frequently encountered problem among chronic pain patients which has been shown to be responsive to exercise quota systems. This study extends the knowledge of exercise quota systems by examining their effects on beliefs relevant to exercise avoidance. Results indicate that exercise quota systems produce systematic increases in both exercise levels and expectancies of capability while reducing worry and concern about exercising. These data highlight the importance of avoidance learning in chronic pain and suggest that the effectiveness of exercise quota systems is related to a deconditioning process based on exposure rather than the process of applying reinforcement to quota achievement.

摘要

活动水平降低是慢性疼痛患者中经常遇到的问题，研究表明运动配额系统对这一问题有改善作用。本研究通过考察运动配额系统对与避免运动相关信念的影响，扩展了对该系统的认识。结果表明，运动配额系统能使运动水平和能力期望系统性提高，同时减少对运动的担忧。这些数据凸显了回避学习在慢性疼痛中的重要性，并表明运动配额系统的有效性与基于暴露的去适应过程有关，而非与对配额达成给予强化的过程有关。