正念训练对疼痛体验和疼痛反应的影响

发布时间：2018-04-05 17:44

本文选题：正念　切入点：疼痛体验　出处：《首都师范大学》2014年硕士论文

【摘要】：自1982年卡巴金创立正念减压疗法以来,已有大量研究在实践和理论方面证明正念可以有效降低慢性疼痛患者的疼痛。然而,对于“为什么有效”,这一潜在的机制问题目前仍缺少研究。此外,随着疼痛理论的发展,研究者已在理论上将疼痛体验和疼痛反应加以区分,但是,在以往的实证研究中甚少将两者区分,且缺少在一个研究中将疼痛反应三方面,即灾难化认知、疼痛相关的焦虑情绪、逃避行为,以及疼痛体验两方面,即感觉维度疼痛、情感维度痛苦进行全面的考察。本研究旨在探讨正念对疼痛体验和疼痛反应的影响,并初步探索正念干预疼痛的潜在作用机制。通过两学期的校园讲座招募被试,其中52人完成随机对照的实验设计。被试填写正念五因素量表(FFMQ)问卷和简式简明心境量表(POMS-SF),然后,完成固定时间的冰水冷压实验,报告疼痛消除愿望,以及疼痛程度和内心痛苦程度,最后,填写应对策略问卷(CSQ),完成实验后分组,正念组参与8周的正念训练。训练结束后,两组被试再次进行相同的实验。出于伦理考虑,在实验结束后对控制组被试再进行8周正念训练。研究结果显示：正念量表中不评判、不反应维度与灾难化认知、焦虑情绪呈显著负相关,而与疼痛体验有负相关趋势但不显著；八周的正念干预显著降低了参与者的灾难化认知以及疼痛相关的焦虑情绪,而疼痛体验降低不显著；灾难化认知、疼痛相关的焦虑情绪以及回避行为均对参与者的内心痛苦有显著的预测作用。据此,研究结论为：相较于疼痛体验,正念与疼痛反应的关系更加密切；相较于疼痛体验,正念对疼痛反应的干预效果更加明显；通过参与者一系列的疼痛反应,可以更好的判断其内心的痛苦程度。综上,正念对疼痛反应的直接影响更明显,这可能意味着正念干预疼痛的潜在机制是通过改变疼痛反应模式进而降低参与者的疼痛体验,特别是内心痛苦体验的。
[Abstract]:Since Kabakin founded mindfulness decompression therapy in 1982, a large number of studies have proved in practice and theory that mindfulness can effectively reduce pain in patients with chronic pain.However, there is still no research on why this potential mechanism is effective.In addition, with the development of pain theory, researchers have made a theoretical distinction between pain experience and pain response. However, in previous empirical studies, the two are rarely distinguished, and there is a lack of three aspects of pain response in one study.That is, disaster cognition, pain related anxiety, escape behavior, and pain experience, that is, sensory dimension pain, emotional dimension pain for a comprehensive study.The purpose of this study was to explore the effects of mindfulness on pain experience and pain response, and to explore the underlying mechanism of mindfulness intervention in pain.Two-term campus lectures were conducted to recruit participants, 52 of whom completed a randomized controlled experimental design.The subjects filled out the FFMQ questionnaire and the brief mood scale POMS-SFN. Then, they completed the ice water cold pressing experiment for a fixed time to report their desire for pain relief, the degree of pain and the degree of inner pain. Finally, they completed the cold pressing experiment of ice and water for a fixed period of time to report their desire for pain relief, the degree of pain and the degree of inner pain.Fill out the coping strategy questionnaire and divide into groups after the experiment. The mindfulness group participated in 8 weeks of mindfulness training.After the training, the two groups conducted the same experiment again.For ethical reasons, the participants in the control group were trained for 8 weeks after the experiment.The results showed that the dimensionality of non-response was negatively correlated with cognition of disaster, anxiety was negatively correlated with pain experience, but it was not significant in mindfulness scale.Eight weeks of mindfulness significantly reduced the participants' perception of disaster and pain related anxiety, while the pain experience was not significantly reduced;Pain-related anxiety and avoidance behavior were significant predictors of participants' inner pain.Accordingly, the study concluded that mindfulness is more closely related to pain response than pain experience; mindfulness intervention in pain response is more effective than pain experience; through a series of pain reactions,You can better judge the degree of pain in your heart.In conclusion, the direct effect of mindfulness on pain response is more obvious, which may mean that the underlying mechanism of mindfulness intervention in pain is to reduce the pain experience of participants by changing the pain response pattern, especially the pain experience in the heart.
【学位授予单位】：首都师范大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：B842

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