Investigating the effects of anxiety sensitivity and coping on the perception of cold pressor pain in healthy women
Investigating the effects of anxiety sensitivity and coping on the perception of cold pressor pain in healthy women
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DOI：
10.1053/eujp.2000.0210
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发表时间：
2001-01-01
影响因子：
3.6
通讯作者：
Mansoor, L
中科院分区：
文献类型：
--
作者：
Keogh, E;Mansoor, L
研究表明，焦虑敏感性可能与疼痛的负面体验有关。尤其是在女性中。慢性疼痛患者的进一步证据表明，焦虑敏感性可能导致避免疼痛应对策略。然而，这种效应尚未在健康人群中进行实验研究。因此，目前的研究试图调查焦虑敏感性和应对对女性疼痛反应的影响。30名被归类为焦虑敏感性高的妇女和30名被归类为焦虑敏感性低的妇女参加了研究。在每个焦虑敏感组中，一半的参与者（n=15）被随机指示关注或避免冷加压疼痛感觉。正如预期的那样，焦虑敏感度高的女性被发现报告更高水平的感觉和情感疼痛。此外，与先前对焦虑敏感性的研究一致，焦虑敏感性组之间在疼痛阈值或疼痛耐受性方面没有发现差异。疼痛应对指令操纵被发现中度疼痛的经验，在回避策略导致更高的疼痛评级相比，指示集中。最后，高焦虑敏感的妇女报告更大的疼痛时，指示避免，而不是专注于冷加压疼痛。这些结果进行了讨论，根据以往的研究和未来的方向疼痛管理。(C)2001年国际疼痛研究协会欧洲分会联合会。
Research indicates that anxiety sensitivity may be related to the negative experience of pain. especially amongst women. Further evidence with chronic pain patients indicates that anxiety sensitivity may result in avoidance pain-coping strategies. However, this effect has not yet been experimentally investigated in healthy groups. Therefore, the Current study sought to investigate the effect of anxiety sensitivity and coping on women's responses to pain. Thirty women who were classified as high in anxiety sensitivity and 30 women classified as low in anxiety sensitivity participated. Within each anxiety sensitivity group, half the participants (n=15) were randomly instructed to either focus on or avoid cold pressor pain sensations. As expected, women high in anxiety sensitivity were found to report higher levels of sensory and affective pain. Also, and consistent with previous research into anxiety sensitivity, no differences were found between anxiety sensitivity groups for measures of pain threshold or pain tolerance. The pain coping instruction manipulation was found to moderate pain experience, in that the avoidance strategy resulted in higher pain ratings compared to when instructed to focus. Finally, high anxiety sensitive women reported greater pain when instructed to avoid rather than focus on cold pressor pain. These results are discussed in light of previous research and future directions for pain management. (C) 2001 European Federation of Chapters of the International Association for the Study of Pain.