Depression history and coping with chronic pain: A daily process analysis
Depression history and coping with chronic pain: A daily process analysis
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DOI：
10.1037/0278-6133.25.3.370
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发表时间：
2006-05-01
影响因子：
4.2
通讯作者：
Zautra, Alex
中科院分区：
文献类型：
--
作者：
Tennen, Howard;Affleck, Glenn;Zautra, Alex
u这项研究调查了纤维肌痛（一种慢性疼痛综合征）患者的先前抑郁症发作与日常疼痛以及对疼痛的反应之间的关系。 71 名患有纤维肌痛的女性（包括 30 名之前患有抑郁症的女性）在 30 天内每天评估她们的疼痛和情绪 3 次。每天晚上，参与者都会评估他们通过灾难性反应来应对疼痛的程度、他们对当天疼痛的控制程度、他们当天应对疼痛的方式以及他们应对努力的有效性。多元多层次回归模型显示，在控制了神经质和当前的抑郁症状后，以前抑郁过的人和从未抑郁过的人在如何应对增加的疼痛以及如何评估应对努力的效果方面存在差异。与当前抑郁症状较少的以前抑郁的参与者相比，目前还报告更多当前抑郁症状的以前抑郁的参与者在更痛苦的日子里表现出愉快情绪的下降幅度更大。这些发现说明了如何在日常生活的动态中捕捉抑郁症的历史。
uThis study examined how a previous episode of depression is related to daily pain and reactions to pain among individuals with fibromyalgia, a chronic pain syndrome. Seventy-one women with fibromyalgia (including 30 who were previously depressed) rated their pain and mood 3 times daily for 30 days. Each night, participants rated the extent to which they responded to pain by catastrophizing, how much control they had over that day's pain, their ways of coping with pain that day, and the effectiveness of their coping efforts. Multivariate multilevel regression models revealed that after controlling for neuroticism and current depressive symptoms, formerly depressed and never-depressed individuals differed in how they coped with increased pain and in how they appraised the efficacy of their coping efforts. Formerly depressed participants who also reported more current depressive symptoms showed a greater decline in pleasant mood on more painful days than did formerly depressed participants who were experiencing fewer current depressive symptoms. These findings illustrate how a history of depression can be captured in the dynamics of daily life.