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KMID : 0389420190270010125
Korean Journal of Stress Research
2019 Volume.27 No. 1 p.125 ~ p.131
Social Support Moderates the Impact of Pain-Related Threat on Avoidance Behavior
Lee U-Bin

Cho Sung-Kun
Abstract
Background: According to the fear-avoidance model, pains become chronic when they are related to fear and avoidance behavior. When a pain-related threat occurs, humans instinctively use avoidance behavior strategies. However, given the support of significant others, it is likely that inhibition of avoidance behavior may occur even with the same pain-related threat stimulus. Thus, in this study, we examined the effect of pain-related threat and social support of romantic partner on avoidance behavior inhibition.

Methods: Participants consisted of 80 pairs of healthy undergraduate couples, and were randomly assigned to one of four groups conditions in a 2 ¡¿ 2 factorial design, with threat level (high/low) and social support (presence/absence) as factors.

Results: As a result of the experiment, there was a significant interaction between threat level and social support. Specifically, in the high-threat condition, when social supports were provided, task delay time was significantly shorter than when no social support was provided. On the other hand, in the low-threat condition, the time delay difference between high- and low- social support group was not significant. Moreover, social support did not affect fear reduction.
Conclusions: These results indicate that avoidance behaviors, which are instinctive responses to pains, can be inhibited by social support. This result would enhance understanding of the factors that have not been described in the fear-avoidance model in the pain-chronicization process, will help expand, and improve the model. We also discuss possible limitations and further studies.
KEYWORD
Fear-Avoidance model, Pain related threat, Social support, Avoidance behavior
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