我期待,所以我避免了? 负面期望学习对疼痛的影响以及与疼痛相关的回避行为
Putu Gita Nadinda1, Antoinette I M van Laarhoven2, Johan W S Vlaeyen3
1Department of Health, Medical and Neuropsychology, Institute of Psychology, Faculty of Social and Behavioral Sciences, Leiden University, Wassenaarseweg 52, 2333 AK Leiden, the Netherlands; Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience, Maastricht University, Universiteitssingel 40, 6229 ER Maastricht, the Netherlands.
The journal of pain
|July 23, 2025
概括
负面的期望可以增加疼痛敏感性 (过敏症),但不一定会导致疼痛回避行为增加. 了解预期对于疼痛治疗策略至关重要.
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:
- 期望和避免行为显著影响疼痛感知和慢性.
- 关于负面期望与避免疼痛之间的直接关系的经验数据有限.
研究的目的:
- 调查负面期望是否会诱发过敏症.
- 为了确定负面期望是否会导致更昂贵的疼痛回避行为.
主要方法:
- 两项研究分别涉及116名和98名参与者.
- 随机分配到实验或对照组.
- 通过口头暗示和条件化诱导疼痛预期.
- 使用一种新的任务来测量避免,这项任务需要在艰难的游戏 (避免) 和容易的游戏 (耐力) 之间做出选择,以应对痛苦的刺激.
主要成果:
- 这两项研究都证实,负面期望导致过敏症.
- 负面期望与增加的避免疼痛行为没有相关性.
- 负预期范式显示了对疼痛敏感性的强大和可重现的效应.
结论:
- 负面期望是增加疼痛敏感性 (过敏症) 的重要因素.
- 负面期望与避免疼痛之间的联系是复杂的,可能涉及其他调解因素.
- 预期代表了疼痛管理干预措施的有希望的治疗目标.
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