The within-day relation between lonely episodes and subsequent clinical pain in individuals with fibromyalgia: Mediating role of pain cognitions.
The within-day relation between lonely episodes and subsequent clinical pain in individuals with fibromyalgia: Mediating role of pain cognitions.
复制标题
纤维肌痛患者孤独发作与随后临床疼痛之间的日内关系：疼痛认知的中介作用。
DOI：
10.1016/j.jpsychores.2014.12.018
复制
发表时间：
2015
影响因子：
4.7
通讯作者：
Tennen,HowardA
中科院分区：
文献类型：
--
作者：
Wolf,LaurieD;Davis,MaryC;Yeung,EllenW;Tennen,HowardA
目的这项针对纤维肌痛 (FM) 患者的每日日记研究探讨了早晨孤独感的增加是否与下午消极疼痛认知导致的夜间身体疼痛加剧有关。方法 220 名 FM 参与者每天完成 4 次电子日记，持续 21 天，以评估孤独感、消极疼痛认知、身体疼痛和社交享受。使用多级结构方程模型来检查早晨孤独感增加、下午消极疼痛认知和晚上疼痛（控制早晨疼痛）之间的人内关系。结果在早晨，当个体经历比平时更高水平的孤独感时，他们会经历更高水平的下午适应不良疼痛认知，这反过来又预测晚上疼痛的增加高于早晨疼痛的水平。下午适应不良的疼痛认知完全调节了早晨的孤独感和晚上的疼痛之间的关系。结论孤独发作与随后对疼痛的消极思维模式的增加有关，这反过来又预示着一天内身体疼痛的随后增加。由于疼痛认知调节孤独与疼痛的联系，因此 FM 干预可能会受益于解决个体在孤独事件后容易出现适应不良认知的问题。
ObjectiveThis daily diary study of individuals with fibromyalgia (FM) examined whether morning increases in loneliness relate to worsened evening bodily pain through afternoon negative pain cognitions.Methods220 participants with FM completed electronic diaries 4 times a day for 21 days to assess loneliness, negative pain cognitions, bodily pain, and social enjoyment. Multilevel structural equation modeling was used to examine within-person relations of morning increases in loneliness, afternoon negative pain cognitions, and evening pain, controlling for morning pain.ResultsOn mornings when individuals experienced higher than their usual levels of loneliness, they experienced higher levels of afternoon maladaptive pain cognitions, which in turn predicted increases in evening pain above the level of morning pain. Afternoon maladaptive pain cognitions fully mediated the relations between morning loneliness and evening pain.ConclusionsLonely episodes are associated with subsequent increases in negative patterns of thinking about pain, which in turn predict subsequent increases in bodily pain within a day. Because pain cognitions mediate the loneliness–pain link, FM interventions may benefit from addressing individuals' vulnerability to maladaptive cognitions following lonely episodes.