Daily mood and stress predict pain, health care use, and work activity in African American adults with sickle-cell disease
Daily mood and stress predict pain, health care use, and work activity in African American adults with sickle-cell disease
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DOI：
10.1037/0278-6133.23.3.267
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发表时间：
2004-05-01
影响因子：
4.2
通讯作者：
Orringer, E
中科院分区：
文献类型：
--
作者：
Gil, KM;Carson, JW;Orringer, E
本研究调查了41名镰状细胞病患者（平均年龄36岁）的日常情绪和压力与疼痛、医疗保健使用和工作活动的关联程度。对日常日记（M = 91天）的多层次模型分析表明，压力和负面情绪的增加与当天疼痛、医疗保健使用和缺勤的增加有关。滞后模型显示了双向关系，有证据表明疼痛可能是疼痛-情绪和疼痛-压力循环中更强大的启动变量。重要的是，积极的情绪与较低的当日疼痛和随后的疼痛以及较少的医疗联系有关，这表明积极的情绪可能有助于抵消疼痛和其他疾病症状的负面影响。
This study examined the extent to which daily mood and stress were associated with pain, health care use, and work activity in 41 adults (mean age = 36 years) with sickle-cell disease. Multilevel model analyses of daily diaries (M = 9 1 days) indicated that increases in stress and negative mood were associated with increases in same-day pain, health care use, and work absences. Lagged models suggested bidirectional relationships, with evidence that pain may be the more powerful initiating variable in pain-mood and pain-stress cycles. Of importance, positive mood was associated with lower same-day and subsequently pain, as well as fewer health care contacts, suggesting that positive mood may serve to offset negative consequences of pain and other illness symptoms.