Daily social enjoyment interrupts the cycle of same-day and next-day fatigue in women with fibromyalgia.

Daily social enjoyment interrupts the cycle of same-day and next-day fatigue in women with fibromyalgia.
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DOI:
10.1007/s12160-014-9666-z
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发表时间:
2015-06
期刊:
Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
影响因子:
--
通讯作者:
Tennen HA
Tennen HA
中科院分区:
其他
文献类型:
--
作者:
Yeung EW;Davis MC;Aiken LS;Tennen HA

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疲劳是纤维肌痛(FM)的一种衰弱症状,治疗选择有限。然而,一些证据表明,积极的社会参与与减少一天内的疲劳有关。本研究阐述了FM疲劳和社交享受之间的日内和跨日纵向关系。176名FM女性完成了21天的自动日记,评估早晨和一天结束时的疲劳,以及下午的社交享受和两个社交领域内的压力:非配偶和配偶。在非配偶领域,分析支持从较低的早晨疲劳到较高的下午社交享受的中介路径,这预测了较低的一天结束时的疲劳,随后,较低的第二天早晨疲劳。享受比压力对一天之内的疲劳产生更大的影响。在配偶领域的模式是相似的,但中介路径是不显着的。积极的社会参与可以缓解FM疲劳,这种疲劳可以持续几天,并可以提供一个额外的目标,以提高当前干预措施的有效性。
Fatigue is a debilitating symptom of fibromyalgia (FM) that has limited treatment options. Some evidence, however, has linked positive social engagement with reduced within-day fatigue. This study elaborated longitudinal within-day and across-day relations between FM fatigue and social enjoyment. 176 women with FM completed 21-day automated diaries assessing morning and end-of-day fatigue, and both afternoon social enjoyment and stress within two social domains: non-spousal and spousal. In the non-spousal domain, analysis supported a mediational path from lower morning fatigue to higher afternoon social enjoyment, which predicted lower end-of-day fatigue, and subsequently, lower next-morning fatigue. Enjoyment exerted a greater impact on within-day fatigue than did stress. Patterns in the spousal domain were similar, but the mediated path was nonsignificant. Positive social engagement offers relief from FM fatigue that carries over across days and may provide an additional target to enhance the effectiveness of current interventions.
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