불안민감성과 대처 전략이 통증 지각 및 전기피부반응에 미치는 효과
The Effects of Anxiety Sensitivity and Coping on the Pain Perception and Galvanic Skin Response
이인혜 (강원대학교)
- 다운로드 수
- 조회수
초록
본 연구의 목적은 불안민감성과 대처가 통증 지각 및 전기피부반응에 미치는 효과들을 실험을 통해 검증하는 것이었다. 불안민감성지수-개정판 점수에 의해 각각 불안민감성 상․하 집단으로 분류된 총 76명의 대학생들(여자 35명, 남자 41명)이 개별적으로 실험에 참여하였다. 실험실에서 냉압통을 유발하고 각각의 불안민감성 집단 참여자들에게 통증 대처 조건(감각초점화 대 주의분산)을 무선할당 하였다. 실험 전반에 걸쳐 참여자들의 전기피부반응을 측정하였고, 마지막으로 참여자들은 단축형 McGill 통증 질문지를 작성하였다. 불안민감성 상․하 집단 간, 통증 감각에 초점화한 집단과 그로부터 주의를 분산시킨 집단 간 통증 지각의 차이와 전기피부반응의 차이를 알아보고 두 변인들의 상호작용 효과를 살펴보았다. 결과는 다음과 같다. 첫째, 불안민감성이 높은 집단이 낮은 집단보다 정서 통증을 더 강하게 경험하였으나 불안민감성 집단 간 감각 통증과 전기피부반응은 유의한 차이가 없었다. 둘째, 감각초점화 및 주의분산 대처 조건 간 감각 통증 및 정서 통증에 유의한 차이가 없었다. 그러나 감각초점화 대처 집단이 주의분산 대처 집단보다 냉압통에 대해 더 낮은 전기피부반응을 보였다. 마지막으로 불안민감성과 대처 조건 간 유의한 상호작용 효과는 나타나지 않았다. 본 연구의 시사점과 제한점을 논의하였다.
- keywords
- anxiety sensitivity, sensory-focusing, distraction, pain perception, galvanic skin response, anxiety sensitivity, sensory-focusing, distraction, pain perception, galvanic skin response, 불안민감성, 감각초점화, 주의분산, 통증 지각, 전기피부반응
Abstract
The aim of the current study was to investigate the effects of anxiety sensitivity and coping on the perception of pain and galvanic skin response. Initially, A total of 712 undergraduate students completed Anxiety Sensitivity Index-Revised(Taylor & Cox, 1998b). Of these, 90 people with non-chronic pain syndrome were selected and divided into higher and lower anxiety sensitivity group based on anxiety sensitivity scores. Then, participants were tested individually at laboratory with their own sessions for approximately twenty minutes. Half of the low and high anxiety sensitivity groups were randomly instructed to focus on cold pressor pain sensations. The remaining were instructed to distract pain sensations. The results of the study are as follows. First, individuals high in anxiety sensitivity reported greater affect pain ratings than those low in anxiety sensitivity. But higher anxiety sensitivity group did not show significantly greater sensory pain and galvanic skin response than lower anxiety sensitivity group. Second, individuals in the sensory-focused coping condition did not report greater sensory and affect pain, compared to those in the distraction coping condition. However, the sensory-focused coping group showed greater galvanic skin response to the cold pressor pain than the distraction coping group. Third, interaction between anxiety sensitivity and coping condition was not significant. The results of the current study clearly confirm that anxiety sensitivity plays an important role the experiences of pain, especially affect pain. Distraction increased galvanic skin response to pain, whereas sensory focusing decreased galvanic skin response to pain. the study suggests that the sensory focusing as an intervention might be especially useful in individuals with pain complaints.
- keywords
- anxiety sensitivity, sensory-focusing, distraction, pain perception, galvanic skin response, anxiety sensitivity, sensory-focusing, distraction, pain perception, galvanic skin response, 불안민감성, 감각초점화, 주의분산, 통증 지각, 전기피부반응
참고문헌
(1995) 주의분산전략이 동통감내력 및 그에 대한 주관적 불쾌감에 미치는 영향,
(2003) 불안민감성에 따른 대학생 동통반응에서의 차이,
(2000) 불안민감성이 동통 관련 도피 및 회피행동에 미치는 영향,
(2003) 낙관주의 성향과 유도된 기분 상태가 만성 통증 지각에 미치는 효과,
(1993) EMG 바이오피드백 훈련과 인지치료가 긴장성 두통환자의 두통감소 자기효율성 및 건강 내외 통제감에 미치는 영향,
(1994) 실험적 동통 유발과 동통의 측정,
(1999) Anxiety sensitivity and chronic pain: Empirical findings, clinical implications, and future directions, Erlbaum
(1995) Anxiety sensitivity in patients with physically unexplained chronic back pain: A preliminary report,
(1998) Posttraumatic stress disorder and work- related injury,
(1996) Role of Anxiety Sensitivity in Pain-Related Fear and Avoidance,
(1985) Management of Chronic Headache,
(1999) Coping with pain, Guilford Press
(1989) Fear of fear and the anxiety disorder,
(1982) Comparative analysis of paraspinal and frontalis EMG and skin conductance in chronic low back pain patients and normals to various postures and stress Scandinavian Journal of Rehabilitative Medicine,
(2001) Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research,
(1965) Performance and physiological indicants of activation level,
(1984) Suggestion and distraction in the control of pain test of two hypothesis Journal of Abnormal Psychology,
(2000) Health anxiety moderated the effects of distraction versus attention to pain,
(1998) Cost offset from cognitive-behavioral interventions for chronic pain,
(2000) First annual report,
(1990) Individual differences and the effectiveness of different coping strategies for pain, Heyneman
(1991) and adjustment to chronic pain Journal of consulting and Clinical Psychology,
(1999) The effect of anxiety sensitivity and gender on the experience of pain,
(2001) Investigating the effects of anxiety sensitivity and coping strategy on the perception of cold pressor pain in healthy women,
(19931881-1883) Anxiety sensitivity and response to cholesystokinin tetrapeptide in healthy volunteers American Journal of Psychiatry,
(1996) The effects of alcohol consumption on laboratory-induced panic and state anxiety,
(2006) Anxiety sensitivity as a predictor of labor pain European Journal of Pain,
(1959) Psychophysiological appraches to the evalution of psychotherapeutic process and outcome Research in psychotherapy,
(1982) The integration of emotion and cognition A view from the perceptual- motor theory of emotion, in Clark Lawrence Erlbaum Associates Inc
(1995) Sessory focus as therapeutic treatments for acute pain,
(1984) Distraction and coping with pain,
(1987) the short-form McGill Pain Questionnaire,
(1988) Styles of coping with threat Implications for health Journal of Personality & Social Psychology,
(1976) The cardiovascular-behavioral interaction as it appears today,
(1991) Psychophysiological responses to repeated acute pain stimulation in chronic low back pain patients,
(1985) The expectancy model of fear Theoretical issues in behavior therapy,
(1986) anxiety frequency and the prediction of fearfulness,
(2004) Does fear of pain moderate the effects of sensory focusing and distraction on cold pressor pain in pain-free individuals?,
(1984) Suffering for science The effects of implicit social demands on response to experimentally induced pain Journal of Personality and social Psychology,
(1985) The relative efficacy of avoidant and nonavoidant coping strategies:A meta-analysis,
(1998b) An Expanded Anxiety Sensitivity Index: Evidence for a hierarchic structure in a clinical sample,
(1991) Health Psychology, McGraw-Hill
(1992) Biopsychosocial analysis of low back pain,
(1984186-194) Methods of testing pain mechanism in normal man The textbook of pain, Churchill Livingstone
The Korean Journal of Health Psychology,
The Effects of Anxiety Sensitivity and Coping on the Pain Perception and Galvanic Skin Response,
- 다운로드 수
- 조회수
- 0KCI 피인용수
- 0WOS 피인용수