The impact of social interactions and pain on daily positive and negative affect in adults with osteoarthritis of the knee.
The impact of social interactions and pain on daily positive and negative affect in adults with osteoarthritis of the knee.
复制标题
社交互动和疼痛对成人膝骨关节炎患者日常积极和消极影响的影响。
DOI：
10.1080/13607863.2018.1506744
复制
发表时间：
2020
影响因子：
3.4
通讯作者：
Smith,DylanM
中科院分区：
文献类型：
--
作者：
Rivera,NicoleV;Parmelee,PatriciaA;Smith,DylanM
本研究采用经验抽样方法（ESM），以检查社会交往与日常疼痛和情绪症状的膝关节骨关节炎（OA）的人的关系。268名医生诊断为膝关节OA的成年人接受了基线面对面访谈和随后为期一周的ESM方案，以评估他们的日常活动模式，疼痛和情绪，每天四次电话访谈。一个编码系统的开发，以评估存在和类型的社会互动的基础上，受试者自我报告的活动模式。使用多水平模型来检查受试者之间和受试者内的结果变化，这些变化基于对社会活动、疼痛和情绪的全局和瞬时测量，同时控制关键人口统计学和潜在混杂变量。积极与消极情感的比率与整体（β= 0.49，p <0.001）和瞬时（尤其是积极的（β= 0.24，p <0.05））社会活动模式之间存在正相关。此外，在那些有更多基线社会互动的人中，负面情绪和疼痛之间的关联（β=-0.07，p <0.01）减弱了。社交互动有可能影响膝关节骨性关节炎成人的情绪，无论是在全球范围内，还是通过日常互动的变化。这些相互作用似乎与情绪直接相关，并且明显减弱了疼痛和抑郁之间的关系。日常社会交往表现出强大的积极关联，同时积极的影响。
This study utilized experience sampling methodology (ESM) to examine the relationship of social interactions with daily pain and mood symptoms in people with osteoarthritis (OA) of the knee. Two hundred sixty-eight adults with physician-diagnosed OA of the knee underwent a baseline in-person interview and subsequent week-long ESM protocol to assess their daily activity patterns, pain, and mood via phone interview four times a day. A coding system was developed to assess presence and type of social interactions based on subject self-report of activity patterns. Multilevel modeling was used to examine between- and within-subject variation in outcomes based on both global and momentary measures of social activities, pain, and mood, while controlling for key demographic and potentially confounding variables. Positive associations were demonstrated between the ratio of positive to negative affect and both global (β= 0.49,p< .001) and momentary, especially positive (β= 0.24,p< .05), social activity patterns. Additionally, the association between negative affect and pain (β= −0.07,p< .01) was attenuated in those with more baseline social interactions. Social interaction has the potential to influence mood in adults with OA of the knee, both on a global scale, and through daily variations in interactions. These interactions seem to be directly related to mood, as well as the apparently attenuating the relationship between pain and depression. Daily social interactions showed a robust positive association with contemporaneous positive affect.