期刊
PAIN
卷 155, 期 2, 页码 292-298出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1016/j.pain.2013.10.007
关键词
Chronic pain; Emotion; Interpersonal relationships; Pain catastrophizing
资金
- National Institute of Musculoskeletal, Immune, and Skin Disease [R01 AR046034]
The processes of individual adaptation to chronic pain are complex and occur across multiple domains. We examined the social, cognitive, and affective context of daily pain adaptation in individuals with fibromyalgia and osteoarthritis. By using a sample of 260 women with fibromyalgia or osteoarthritis, we examined the contributions of pain catastrophizing, negative interpersonal events, and positive interpersonal events to daily negative and positive affect across 30 days of daily diary data. Individual differences and daily fluctuations in predictor variables were estimated simultaneously by utilizing multilevel structural equation modeling techniques. The relationships between pain and negative and positive affect were mediated by stable and day-to-day levels of pain catastrophizing as well as day-to-day positive interpersonal events, but not negative interpersonal events. There were significant and independent contributions of pain catastrophizing and positive interpersonal events to adaptation to pain and pain-related affective dysregulation. These effects occur both between persons and within a person's everyday life (C) 2013 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.
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