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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Pain catastrophizing mediates the relationship between self-reported strenuous exercise involvement and pain ratings: moderating role of anxiety sensitivity.
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Pain catastrophizing mediates the relationship between self-reported strenuous exercise involvement and pain ratings: moderating role of anxiety sensitivity.

机译：痛苦的灾难性调节了自我报告的剧烈运动参与与疼痛等级之间的关系：焦虑敏感性的调节作用。

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OBJECTIVE: To investigate the cross-sectional associations among self-reported weekly strenuous exercise bouts, anxiety sensitivity, and their interaction with pain catastrophizing and pain responses to the cold pressor task (CPT) in healthy, ethnically diverse young adults (n = 79). Exercise involvement has been shown to have hypoalgesic effects and cognitive factors may partially explain this effect. Particularly, alterations in pain catastrophizing have been found to mediate the positive pain outcomes of multidisciplinary treatments incorporating exercise. Further, recent evidence suggests that exercise involvement and anxiety sensitivity may act together, as interacting factors, to exert an effect on catastrophizing and pain outcomes; however, further research is needed to clarify the nature of this interaction. METHODS: Before the CPT, participants were asked to complete the Godin Leisure-Time Exercise Questionnaire, the Beck Depression Inventory, and the Anxiety Sensitivity Index. After the CPT, participants completed a modified version of the Pain Catastrophizing Scale and the Short Form-McGill Pain Questionnaire. RESULTS: At a high level of anxiety sensitivity, controlling for depressive symptoms, CPT immersion time, and sex differences, a bias-corrected (BC), bootstrapped confidence interval revealed that pain catastrophizing significantly mediated the relationship between self-reported weekly strenuous exercise bouts and pain response (95% BC Confidence Interval = -9.558, -0.800 with 1000 resamples). At intermediate and low levels of anxiety sensitivity, no significant mediation effects were found. CONCLUSIONS: These findings support that, for pain catastrophizing to mediate the strenuous exercise-pain response relation, individuals must possess a high level of anxiety sensitivity.
机译：目的：调查健康，种族多样化的年轻人（n = 79）自我报告的每周剧烈运动，焦虑敏感性及其与疼痛灾难性反应和对冷压任务（CPT）的疼痛反应之间的相互关系。 。锻炼参与已被证明具有止痛作用，认知因素可能部分解释了这种作用。特别地，已经发现疼痛灾难性的改变介导了结合运动的多学科治疗的积极疼痛结果。此外，最近的证据表明，运动参与和焦虑敏感性可能作为相互作用因素共同作用，从而对灾难性和疼痛后果产生影响。但是，需要进一步研究来阐明这种相互作用的性质。方法：在参加CPT之前，要求参与者填写《戈丁休闲时间运动问卷》，《贝克抑郁量表》和《焦虑敏感性指数》。 CPT之后，参与者完成了疼痛灾难性量表和简短版McGill疼痛问卷的修订版。结果：在高水平的焦虑敏感性（控制抑郁症状，CPT浸入时间和性别差异）下，偏倚校正（BC），自举的置信区间显示，疼痛灾难性因素显着调节了自我报告的每周剧烈运动之间的关系。和疼痛反应（95％BC置信区间= -9.558，-0.800，重采样1000次）。在中等和低水平的焦虑敏感性下，未发现明显的中介作用。结论：这些发现支持，为了减轻灾难性痛苦以介导剧烈的运动疼痛反应关系，个人必须具有高度的焦虑敏感性。

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