SPONTANEOUS COGNITIVE STRATEGIES FOR THE CONTROL OF CLINICAL PAIN AND STRESS
SPONTANEOUS COGNITIVE STRATEGIES FOR THE CONTROL OF CLINICAL PAIN AND STRESS
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DOI：
10.1007/bf00846540
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发表时间：
1987-06-01
影响因子：
3.1
通讯作者：
BROWN, JM
中科院分区：
文献类型：
--
作者：
CHAVES, JF;BROWN, JM
采用结构化访谈的自发认知策略75例患者接受拔牙或下颌骨阻滞注射。兴趣集中在这些策略和几个人格变量之间的关系，包括状态和特质焦虑，控制点和吸收。此外，评估了策略使用对感知疼痛和压力的影响。44%的患者采用了旨在最大限度地减少疼痛和压力的认知策略，而37%的患者则进行了灾难化的认知活动，夸大了他们经历中的恐惧方面。只有19%的患者在临床过程中否认任何认知活动，其中许多人使用非认知应对策略。判别分析显示，情境焦虑与认知应对策略的使用有关。Castastrophizing与年龄增长，过去的牙科压力，和更高水平的压力脆弱性（高特质焦虑和外部控制点）。库珀报告说，他的压力比灾难制造者要小，但疼痛并没有减少。
The spontaneous cognitive strategies employed by 75 patients undergoing dental extractions or mandibular block injections were elicited using a structured interview. Interest focused on the relationship between these strategies and several personality variables, including state and trait anxiety, locus of control, and absorption. In addition, the effect of strategy utilization on perceived pain and stress was assessed. Fourty-four percent of the patients employed cognitive strategies designed to minimize pain and stress, while 37% catastrophized, engaging in cognitive activity which exaggerated the fearful aspects of their experience. Only 19% of the patients denied any cognitive activity during the clinical procedure, and many of these used noncognitive coping strategies. Discriminant analysis revealed that situational anxiety was associated with the use of cognitive coping strategies. Castastrophizing was associated with increasing age, past dental stress, and higher levels of stress vulnerability (high trait anxiety and external locus of control). Copers reported less stress than catastrophizers but not less pain.