NEUROTICISM AND THE PAIN MOOD RELATION IN RHEUMATOID-ARTHRITIS - INSIGHTS FROM A PROSPECTIVE DAILY STUDY
NEUROTICISM AND THE PAIN MOOD RELATION IN RHEUMATOID-ARTHRITIS - INSIGHTS FROM A PROSPECTIVE DAILY STUDY
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DOI：
10.1037/0022-006x.60.1.119
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发表时间：
1992-02-01
影响因子：
5.9
通讯作者：
HIGGINS, P
中科院分区：
文献类型：
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作者：
AFFLECK, G;TENNEN, H;HIGGINS, P
连续75天，54名类风湿性关节炎患者每天报告他们的情绪和关节疼痛。在汇总每日报告后，在控制神经质、抑郁、疾病活动、残疾和对疼痛增加的特征性反应时，慢性情绪和慢性疼痛之间的关系仍然具有统计学意义。通径分析的结果表明：(a)高神经质的个体经历更多的慢性痛苦，而不管他们对疼痛的反应，然后是疼痛强度和抑郁症状；(b)神经质和慢性疼痛之间的关系是由高神经质个体将疼痛灾难化的倾向所介导的。控制了时间序列的自相关和线性趋势的受试者内部分析显示，40%的s在更痛苦的日子里情绪明显更差。尽管神经质程度较高的人报告的疼痛更剧烈，情绪更消极，但他们的日常情绪与日常疼痛的联系不那么紧密。
For 75 consecutive days, 54 Ss with rheumatoid arthritis supplied daily reports of their mood and joint pain. After aggregating daily reports, the relation between chronic mood and chronic pain remained statistically significant when controlling for neuroticism, depression, disease activity, disability, and characteristic responses to increasing pain. Findings of a path analysis suggest that (a) individuals higher in neuroticism experience more chronic distress regardless of their responses to pain, then pain intensity, and depressive symptomatology, and (b) the relation between neuroticism and chronic pain is mediated by the propensity of high-neuroticism individuals to catastrophize their pain. Within-subject analyses that controlled for autocorrelation and linear trends in the time series revealed that 40% of the Ss experienced significantly worse moods on more painful days. Although individuals higher in neuroticism reported more intense pain and more negative mood, their daily mood was less strongly linked to their daily pain.