疼痛心理弹性对疼痛应对方式与适应能力的影响

THE EFFECT OF PAIN RESILIENCE ON PAIN-RELATED SELF-EFFICACY ,COPING AND PAIN ADAPTATION

摘要:

目的：本文将疼痛心理弹性作为一种特质性心理弹性新概念。在实验室诱发冷痛情况下，研究疼痛心理弹性对自我效能感、应对方式和疼痛结果的影响。方法：从完成疼痛心理弹性量表的80名无疼痛症状成年人中选取高、低疼痛心理弹性两组被试，完成冷痛测试，并填写任务特异性自我效能感量表、应对策略量表以及疼痛强度量表。疼痛适应能力指标为疼痛忍耐时间和疼痛强度评估。结果：（1）高疼痛心理弹性被试对任务的自我效能感高于低疼痛心理弹性组，且其在忍受疼痛过程中，相较于低疼痛心理弹性组，更多地使用注意转移和忽视策略。（2）高疼痛心理弹性群体比低疼痛心理弹性被试忍耐更久的疼痛，但两组对疼痛强度的评估无差异。结论：疼痛心理弹性通过促进积极心理资源和抑制对疼痛相关信息的过度关注来促进个体对疼痛的适应。

Abstract:

Objective: To study the effect of pain resilience on self-efficacy, coping strategies and pain outcomes in the laboratory context .Methods: A high pain resilience group and a low pain resilience group were selected from the original 80 pain-less college students who completed the Pain Resilience Scale (PRS).Then these tow groups completed the cold pressor test (CPT), and filled out the task-specific self-efficacy scale (SES), Coping Strategy Questionnaire(CSQ) and Pain Intensity Rating. Pain tolerance time were assessed too. Results: (1) Subjects with high pain resilience had a higher sense of self-efficacy on tasks than the low pain resilience group, and they utlized more attention diverting and ignoring coping strategies than the low pain resilience group when they suffering from cold pain . (2) The high pain resilience group endured longer-term in cold water than the low pain resilience group, but there was no difference in the assessment of pain intensity between the two groups.Conclusion :Pain resilience can promote pain adaptation by improve positive psychology resources and hinder over-attention to pain-related information.