Yu Lin, McCracken Lance M
Psychology Department, Middlesex University, London, UK.
Psychology Department, Uppsala University, Uppsala, Sweden.
Curr Opin Psychol. 2025 Apr;62:101972. doi: 10.1016/j.copsyc.2024.101972. Epub 2024 Dec 9.
Chronic pain can be highly distressing, disabling and complex. The experience of living with chronic pain often leads to a fundamental struggle with one's sense of self and identity. In this article, we briefly review the wide range of conceptualisations of self in pain research. We then introduce a contextual behavioural conceptualisation of self, a more recent approach to self, and discuss its application and relevant evidence in chronic pain. We recommend that it is time to organize and integrate perspectives on self in relation to chronic pain so that research can proceed with less potential confusion or contradiction, and the contextual behaviour science approach can potentially provide a basis for this.
慢性疼痛可能会带来极大的痛苦、导致功能障碍且情况复杂。与慢性疼痛相伴的经历常常会引发个体在自我认知和身份认同方面的根本性挣扎。在本文中，我们简要回顾了疼痛研究中对自我的广泛概念化。然后我们引入一种关于自我的情境行为概念化，这是一种关于自我的较新方法，并讨论其在慢性疼痛中的应用及相关证据。我们建议，现在是时候整理和整合与慢性疼痛相关的自我观点了，以便研究能够在更少潜在混淆或矛盾的情况下进行，而情境行为科学方法可能为此提供基础。
