Nehemkis A M, Charter R A, Stampp M S, Gerber K E
Int J Psychiatry Med. 1982;12(3):213-28. doi: 10.2190/hb8p-n8pe-httb-t14d.
The psychological aspects of cancer pain have been largely neglected except in the treatment related research literature. The present study examines the role of attribution theory in illuminating the experience of cancer pain. Twenty-five cancer patients were administered pain and discomfort vertical visual analogue scales and a measure of locus of control. Data pertaining to intensity and perceived source (cancer, cancer therapy or unrelated benign conditions) of pain and discomfort, per cent attribution to each and physician ratings as to source were also obtained. While results indicate that a variety of reattributional phenomena do occur in cancer patients, such cognitive reappraisal does not diminish pain intensity. The findings further suggest that locus of control expectancies are important mediating variables in the reattribution of cancer pain and discomfort. The study raises research and clinical issues pertinent to understanding the experience of pain associated with cancer.
癌症疼痛的心理层面在很大程度上被忽视了，只有与治疗相关的研究文献有所涉及。本研究探讨归因理论在阐明癌症疼痛体验方面的作用。对25名癌症患者进行了疼痛和不适垂直视觉模拟量表测试以及控制点测量。还获取了有关疼痛和不适的强度、感知来源（癌症、癌症治疗或无关的良性疾病）、每种来源的归因百分比以及医生对来源的评级的数据。虽然结果表明癌症患者中确实会出现各种重新归因现象，但这种认知重新评估并未减轻疼痛强度。研究结果进一步表明，控制点预期是癌症疼痛和不适重新归因中的重要中介变量。该研究提出了与理解癌症相关疼痛体验有关的研究和临床问题。
