Meaning-focused coping, pain, and affect: a diary study of hospitalized women with rheumatoid arthritis.
Meaning-focused coping, pain, and affect: a diary study of hospitalized women with rheumatoid arthritis.
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DOI：
10.1007/s11136-015-1031-6
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发表时间：
2015-12
期刊：
影响因子：
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通讯作者：
Knoll N
中科院分区：
文献类型：
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作者：
Gruszczyńska E;Knoll N
本研究的目的是调查类风湿关节炎住院妇女的情感状态、疼痛和应对之间的关系，包括人与人之间和人与人之间的观点。参与者为95名年龄在24至82岁之间的女性患者（M = 50.91; SD = 13.80）。连续三天，他们每晚评估他们的状态影响（积极和消极），疼痛程度和应对策略（情绪，问题和意义集中的）。变量之间的关系进行了测试与时间作为协变量的多水平方法。人内意义集中的应对方式抑制了情绪状态的负面疼痛效应，但仅限于积极影响（Sobel的z = 2.07，p = .04）。疼痛-情感关系的调节因子是疼痛水平（B =-0.23，SE = 0.08，t =-2.884，p = 0.004）和以意义为中心的应对（B =-0.63，SE = 0.20，t =-2.097，p = 0.04）的个体差异。具体来说，抑制是显着的，只有病人谁报告低于样本平均疼痛水平和病人谁报告低于样本平均使用的意义为中心的策略。研究结果表明，以意义为中心的应对可以是一个关键的策略，保持日常积极的影响，在面对慢性疼痛，以及这种影响是如何修改个体间的差异。即使局限于特定的背景下，它可能会通知干预住院妇女类风湿关节炎。
The aim of the study was to investigate the relationship between affective state, pain, and coping in hospitalized women with rheumatoid arthritis, including both between- and within-person perspectives. Participants were 95 female patients between 24 and 82 years of age (M = 50.91; SD = 13.80). For three consecutive days, they rated each night their state affect (positive and negative), pain level, and coping strategies (emotion-, problem- and meaning-focused ones). Relations among variables were tested with a multilevel approach with time included as a covariate. Within-person meaning-focused coping suppressed the negative pain effect on emotional state, but only for positive affect (Sobel’s z = 2.07, p = .04). Moderators of the pain–affect relationship were between-person differences in pain level (B = −.23, SE = .08, t = −2.884, p = .004) and in meaning-focused coping (B = −.63, SE = .20, t = −2.097, p = .04). Specifically, suppression was significant only for patients who reported lower than sample average pain levels and for patients who reported lower than sample average use of meaning-focused strategies. Findings indicated that meaning-focused coping can be a crucial strategy for keeping daily positive affect in the face of chronic pain and how this effect is modified by interindividual differences. Even if restricted to the specific context, it may inform an intervention for hospitalized women with rheumatoid arthritis.