社会比较对疼痛应对及耐力的影响  

INFLUENCE OF SOCIAL COMPARISON ON PAIN COPING AND TOLERANCE

作　　者：刘琨[1] 陈红[1] 李晓鹏[1] Todd Jackson 杨周[1] 

机构地区：[1]西南大学心理学院认知与人格教育部重点实验室,重庆400715 [2]School of Psychology,James Cook University

出　　处：《中国疼痛医学杂志》2010年第4期200-203,共4页Chinese Journal of Pain Medicine

基　　金：国家重点学科西南大学基础心理学基金(NSKD08020)

摘　　要：目的:探讨社会比较对疼痛耐力及疼痛应对策略使用频率的影响。方法:113名女性被试随机分为上行组(39名),对照组(37名)和下行组(37名),进行两次冷痛实验。实验结束后,所有被试者均填写疼痛强度量表和应对策略问卷。在第一次冷痛结束后,上行组和下行组予以社会比较。结果:社会比较后,上行组和下行组的疼痛耐力显著高于对照组;在疼痛应对策略中,上行组使用积极应对策略(分心、自我鼓励和忽视)的频率高于对照组(P<0.05);下行组灾难化得分显著低于对照组(P<0.05)。但痛觉强度上没有存在组间差异。结论:上行比较会通过提高积极应对策略,提高疼痛耐力;下行比较会通过降低消极应对策略,提高疼痛耐力。多种因素共同影响着疼痛。Objective： To explore the influence of social comparison on pain tolerance and the used frequency of pain coping strategies. Methods ： 113 female university students were randomly divided into the upward group （ n = 39） , the control group （ n = 37 ） and the downward group （ n = 37 ）. The eold-pressor test （CPT） was performed twice in all participants. After that, Visual Analogue Scale （VAS） of pain intensity and the Coping Strategies Questionnaire （CSQ） were completed. Before the second CPT, social comparison was carried out in upward and downward groups. Results： After social comparison, pain tolerance was significantly increased in upward and downward groups. The frequency of positive cognitive strategies （diverting , self encourages, ignoring） used in upward group was much higher compared with control group. While catastrophic scores in downward group were much lower than those control group. However, pain intensity difference among the groups did not exist. Conclusions： The findings demon- strate that the upward comparison can improve pain tolerance through more frequent use of positive cognitive strategies, and the downward comparison also can improve pain tolerance, but through reducing the frequency of the negative cognitive strategies. Thus, the pain tolerance is affected by multiple factors.

关 键 词：社会比较 应对策略 疼痛耐力 

分 类 号：R402[医药卫生—临床医学]