Yes, there's definitely more to it than the pressure change or rate of change. Even flying (equivalent to 8000 ft) is only a reduction of 26 kPa, which is also less than the ascent from 15 ft.I also did some math looking at the comparative rate of ascent/pressure change of ascending from two context-relevant ascent scenarios
If you're familiar with gradient factors used by many dive computers, we regard a surfacing GF of 75% (a proxy for tolerated tissue loading above ambient pressure) to be very conservative. (By comparison, the Navy tables are somewhere above 90%.) However, Duke Univ. did a study where they waited for a bit after a 60 ft/55 min chamber dive, then took subjects to 8000 ft, resulting in a SGF of a mere 38% based on the reduced ambient pressure. You'd think that would be extremely safe, right? Nope -- one in 12 subjects suffered DCS.
I don't know the additional variables factored into the Navy ascent guidelines, but clearly there is something substantial.