A multilevel structural equation modeling analysis of vulnerabilities and resilience resources influencing affective adaptation to chronic pain.

Abstract:

: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 30days 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.

journal_name

Pain

journal_title

Pain

authors

Sturgeon JA,Zautra AJ,Arewasikporn A

doi

10.1016/j.pain.2013.10.007

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

292-298

issue

2

eissn

0304-3959

issn

1872-6623

pii

00006396-201402000-00012

journal_volume

155

pub_type

杂志文章

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