EFFECTS OF EXTRAVERSION AND NEUROTICISM ON EXPERIMENTAL PAIN, CLINICAL PAIN, AND ILLNESS BEHAVIOR
EFFECTS OF EXTRAVERSION AND NEUROTICISM ON EXPERIMENTAL PAIN, CLINICAL PAIN, AND ILLNESS BEHAVIOR
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DOI：
10.1016/0304-3959(89)90025-0
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发表时间：
1989-02-01
期刊：
影响因子：
7.4
通讯作者：
BRAITH, J
中科院分区：
文献类型：
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作者：
HARKINS, SW;PRICE, DD;BRAITH, J
在一组肌筋膜疼痛功能障碍 (MPD) 患者中，研究了外向性和神经质这两种人格特征对实验和临床疼痛的影响。外向者在 5 秒伤害性温度刺激（43-51°C）的视觉模拟量表 (VAS) 感觉或 VAS 情感评级以及与临床疼痛相关的 VAS 感觉-VAS 情感关系方面与内向者没有差异。然而，与低外向患者相比，高外向患者在情感抑制（Pilowsky 疾病行为问卷；IBQ）方面得分较低。这一结果与之前的建议一致，即外向者比内向者更少抑制公开表达痛苦。高神经症患者与低神经症患者在实验或临床疼痛的 VAS 感觉评分方面没有差异。与低度神经症患者相比，他们对两种类型疼痛的 VAS 情感评分均略高。正如假设的那样，与低神经质评分患者相比，高神经质评分患者对与痛苦相关的情绪给出了更高的 VAS 评分，并且在 IBQ 上与情感障碍相关的项目得分更高。总体而言，结果表明，外向性和神经质的人格特征都不影响伤害性处理的感觉机制，而是似乎通过与人们构成疼痛的意义和含义的方式相关的认知过程来发挥影响。
The effects of 2 personality traits, extraversion and neuroticism, on experimental and clinical pain were characterized in a group of myofascial pain dysfunction (MPD) patients. Extraverts did not differ from introverts in visual analogue scale (VAS) sensory or VAS affective ratings of graded 5-sec nociceptive temperature stimuli (43-51.degree. C) nor in VAS sensory-VAS affective relationships related to their clinical pain. However, high extravert patients scored lower on affective inhibition (Pilowsky Illness Behavior Questionnaire; IBQ) compared to low extravert patients. This result is consistent with previous suggestions that extraverts inhibit overt expressions of suffering less than do introverts. High neurotic patients did not differ from low neurotic patients in their VAS sensory ratings of either experimental or clinical pain. Their VAS affective ratings of both types of pain were marginally higher as compared to low neurotic patients. As hypothesized, high neurotic score patients gave higher VAS ratings of emotions related to suffering and scored higher on items related to affective disturbance on the IBQ as compared to low neurotic score patients. Overall, the results indicate that the personality traits of neither extraversion nor neuroticism affect sensory mechanisms of nociceptive processing but appear to exert their influence by means of cognitive processes related to the ways in which people constitute the meanings and implications of pain.