Functional versus dysfunctional coping with physical pain: An experimental comparison of acceptance vs. avoidance coping

心理学 应对(心理学) 失调家庭 回避应对 冷压试验 重复措施设计 方差分析 临床心理学 接受和承诺疗法 医学 精神科 干预(咨询) 血压 统计 内科学 放射科 心率 数学
作者
Pinelopi Konstantinou,Andria Trigeorgi,Georgiou Chryssis,Michalis P. Michaelides,Andrew T. Gloster,Eleni Georgiou,Georgia Panayiotou,Maria Karekla
出处
期刊:Behaviour Research and Therapy [Elsevier BV]
卷期号:167: 104339-104339
标识
DOI:10.1016/j.brat.2023.104339
摘要

This study compared acceptance vs. avoidance coping with acute physical pain, in a pain-induction experiment and examined both between and within-group differences, multi-methodically and multi-dimensionally using behavioral, physiological and self-report measures. The sample consisted of 88 University students (76.1% females; Mage = 21.33 years). Participants were randomly assigned to four instructed groups and participated twice in the Cold Pressor Task: (a) Acceptance followed by avoidance; (b) Avoidance followed by acceptance; (c) No instructions (control) followed by acceptance, and (d) No instructions (control) followed by avoidance. All analyses were conducted using repeated-measures ANOVAs. Randomized techniques analyses showed that participants receiving no instructions followed by acceptance reported significantly greater changes in physiological and behavioral measures across time. Low adherence to acceptance instructions was found, especially during the first phase. Exploratory analyses on actual techniques used (as opposed to taught technique) showed that participants using avoidance followed by acceptance exhibited significantly greater changes in physiological and behavioral measures across time. No significant differences were found for the self-report of negative affect outcome. Overall, our findings provide support to ACT theory, as participants might have to use firstly ineffective coping to understand what works best to cope with pain. This is the first study examining acceptance vs. avoidance coping both between and within individuals in physical pain, multi-methodically and multi-dimensionally.
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