The effects of daily mood and couple interactions on the sleep quality of older adults with chronic pain.
The effects of daily mood and couple interactions on the sleep quality of older adults with chronic pain.
复制标题
日常情绪和夫妻互动对患有慢性疼痛的老年人睡眠质量的影响。
DOI：
10.1007/s10865-015-9651-4
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发表时间：
2015
影响因子：
3.1
通讯作者：
Martire,LynnM
中科院分区：
文献类型：
--
作者：
Song,Sunmi;Graham-Engeland,JenniferE;Mogle,Jacqueline;Martire,LynnM
我们研究了日常消极和积极情绪对膝关节骨关节炎（OA）患者（N= 152）睡眠质量的影响，以及伴侣对患者疼痛行为的日常反应是否会调节这些关联。患者及其伴侣完成了基线访谈和22次每日日记评估。在控制了人口统计学特征、OA严重程度、合并症、药物使用、关系满意度和抑郁情绪后，多水平模型分析显示了消极和积极情绪对睡眠质量指标的主要影响。情绪和合作伙伴的反应相互作用，使高关怀和惩罚的反应加强了负面情绪和更糟糕的睡眠之间的关联。此外，高关怀的反应增加了低积极情绪和睡眠质量差之间的关联程度，移情反应结合积极情绪与更好的睡眠有关。研究结果表明，每日消极和积极的情绪波动可以与伴侣的反应相互作用，影响慢性疼痛老年人的睡眠质量。
We examined the effect of daily negative and positive mood on the sleep quality of knee osteoarthritis (OA) patients (N= 152) and whether a partner’s daily responses to a patient’s pain behaviors moderated these associations. Patients and their partners completed a baseline interview and 22 daily diary assessments. After controlling for demographic characteristics, OA severity, comorbidities, medication use, relationship satisfaction, and depressed mood, multilevel modeling analyses demonstrated main effects of negative and positive mood on sleep quality indicators. Mood and partner responses interacted such that high solicitous and punishing responses strengthened the association between negative mood and worse sleep. Further, high solicitous responses increased the degree of association between low positive mood and poor sleep, and empathic responses combined with positive mood were associated with better sleep. Results demonstrate that daily negative and positive mood fluctuations can interact with partner responses to affect sleep quality among older adults with chronic pain.