PAIN, DISTRESS & PERSONAL CONTROL

痛苦、苦恼

• 批准号: 3223186
• 负责人: HENRIETTA L LOGAN
• 金额: $ 11万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 1991
• 资助国家: 美国
• 起止时间: 1991-07-01 至 1994-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3223186
• 关键词: autogenic training; cognitive behavior therapy; dental health education; human subject; informatics; informed consent; locus of control; oral facial pain; pain threshold; root canal therapy

The overall aim of this research is to test two theoretical explanations as to why preparatory sensory/procedural information lessens some patients report of distress following aversive medical/dental treatment. This project will compare the effectiveness of 4 cognitive (information) strategies in attenuating immediate and remembered pain/distress following root canal treatment when individual preferences for personal control are known. Other aims of the study are to compare: 1) The control enhancing effects of the manipulations by examining the discrepancy between the level of control expected and the level of control felt among the experimental groups. 2) The effect of the experimental manipulations on feelings patients report focusing on during an aversive dental event. 3) The level of predictability patients report following root canal treatment among patients given differing types of preparatory information. 4) The measurement of pain and distress using two different techniques (i.e., Verbal Descriptor Scales and Visual Analogue Scales). Researchers believe that procedural/sensory information can significantly reduce the amount of pain and distress some patients experience during aversive medical/dental procedures. Yet the reasons this strategy works for some patients and not for others are not well understood. One explanation involves individual differences in personal control preference; these differences are believed to influence the therapeutic impact of this cognitive control strategy. The conceptualization of personal control, however, that has emerged from past personal control research has emphasized only perceived control (felt) whereas recent work from this project team has studied the desire for control. The added predictive utility of assessing subjects desire for control as well as perceived control has been established through preliminary studies. This project proposes to study "in vivo" the influence of individual differences in the desire for and feelings of personal dental control on distress and pain as well as testing two possible explanations for the differential effectiveness of procedural/sensory information on distress and pain accompanying root canal therapy. Finally, this research has important implications for "informed consent". Data from this investigation will provide theoretical rationale for including certain combinations of sensory and procedural information.

本研究的总体目标是检验两种理论解释： 为什么准备性感觉/程序信息会减轻一些患者的负担 厌恶性医疗/牙科治疗后的痛苦报告。 这 项目将比较4种认知（信息）的有效性 减轻即时和记忆的疼痛/困扰的策略 当个人控制偏好不同时进行根管治疗 已知。 该研究的其他目的是比较：1）控制增强 通过检查水平之间的差异来观察操纵的影响 预期的控制程度和实验者感受到的控制水平 组。 2）实验操作对情感的影响 患者报告在厌恶的牙科事件期间注意力集中。 3）水平 的可预测性患者报告根管治疗后 向患者提供不同类型的准备信息。 4) 的 使用两种不同的技术（即， 言语描述量表和视觉模拟量表）。 研究人员认为 程序/感官信息可以显着减少 一些患者在厌恶性医疗/牙科治疗期间经历的疼痛和困扰 程序。 然而，这种策略对某些患者有效但无效的原因是 对于其他人来说还不太理解。 一种解释涉及个人 个人控制偏好的差异；这些差异被认为 影响这种认知控制策略的治疗效果。 然而，个人控制的概念化是从 过去的个人控制研究只强调感知控制（感觉） 而该项目团队最近的工作研究了 控制。 评估受试者渴望的附加预测效用 控制以及感知控制已经通过建立 初步研究。 该项目建议“体内”研究 个体差异对欲望和感受的影响 对痛苦和疼痛进行个人牙科控制以及测试两者 不同效果的可能解释 关于根管治疗伴随的痛苦和疼痛的程序/感觉信息 治疗。 最后，这项研究对于“知情”具有重要意义。 同意”。这项调查的数据将提供理论依据 用于包含感官和程序信息的某些组合。