与低焦虑的人相比,高焦虑的人更容易将与痛苦相关的代价高昂的回避行为泛化为新的安全环境
Ann Meulders1, Juliane Traxler2, Kristof Vandael3
1Experimental Health Psychology, Department of Clinical Psychological Science, Maastricht University, Maastricht, the Netherlands; Research Group Health Psychology, Faculty of Psychology and Educational Sciences, Leuven, Belgium.
The journal of pain
|October 13, 2023
概括
高焦虑的个体在安全的环境中增加了与疼痛相关的避免,而不仅仅是威胁的环境. 这表明,由于过度回避行为,他们容易受到慢性疼痛残疾的影响.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 疼痛研究 疼痛研究
背景情况:
- 与疼痛相关的避免是适应威胁的,但当将其泛化为安全情况时会使其失效.
- 焦虑和慢性疼痛与过度恐惧的泛化有关.
- 在疼痛泛化中的避开行为仍然不太了解.
研究的目的:
- 为了调查高焦虑个体是否将与疼痛相关的回避行为概括为与低焦虑个体相比的新,安全的环境.
- 为了区分回避行为与恐惧和期望概括.
主要方法:
- 一个具有明显威胁 (黑色) 和安全 (白色) 背景的机器人手臂可达任务.
- 引入新的背景 (浅灰/深灰) 来测试概括.
- 评估疼痛预期,恐惧,惊眼反应和回避行为 (轨迹偏差).
主要成果:
- 不同的恐惧和期望概括到与两个群体的原始威胁背景相似的新情境.
- 高度焦虑的参与者在与原来的安全环境相似的新环境中表现出更多的回避行为.
- 在初始数据中没有观察到避免的泛化.
结论:
- 高焦虑的个体可能不会过度概括与疼痛相关的恐惧,但在新的,安全的环境中确实会表现出增加的回避.
- 与疼痛相关的过度避免会导致从日常活动中退出.
- 研究结果表明,高焦虑的个体容易患慢性疼痛残疾.
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