Wickramasekera I, Pope A T, Kolm P
Saybrook Institute, California, USA.
J Nerv Ment Dis. 1996 Oct;184(10):628-35. doi: 10.1097/00005053-199610000-00008.
The high risk model of threat perception predicts that high hypnotizability is a risk factor for trauma-related somatization. It is hypothesized that high hypnotizability can increase experimentally induced threat or negative affect, as measured by skin conductance level, in a linear or dose-response manner. This hypothesized interaction of hypnotic ability and negative affect was found in a consecutive series of 118 adult patients with chronic pain symptoms. Larger increases in skin conductance levels during cognitive threat were significantly related to higher levels of hypnotizability. In addition, individuals with high hypnotizability retained higher skin conductance levels than individuals with low hypnotizability after stress. The clinical implications of the interaction of hypnotizability and negative affect during threat perception and delayed recovery from threat perception are discussed in terms of cognitive mechanisms in the etiology and therapy of trauma-related dissociative disorders.
威胁感知的高风险模型预测，高催眠易感性是创伤相关躯体化的一个风险因素。据推测，高催眠易感性会以线性或剂量反应方式增加通过皮肤电导率水平测量的实验诱导威胁或负面影响。在连续的118例有慢性疼痛症状的成年患者中发现了这种假设的催眠能力与负面影响的相互作用。认知威胁期间皮肤电导率水平的更大增加与更高水平的催眠易感性显著相关。此外，高催眠易感性个体在应激后比低催眠易感性个体保持更高的皮肤电导率水平。从创伤相关分离性障碍的病因学和治疗中的认知机制方面讨论了威胁感知期间催眠易感性与负面影响的相互作用以及从威胁感知中延迟恢复的临床意义。
