Relationship status and quality moderate daily pain-related changes in physical disability, affect, and cognitions in women with chronic pain.
Relationship status and quality moderate daily pain-related changes in physical disability, affect, and cognitions in women with chronic pain.
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DOI：
10.1016/j.pain.2012.10.004
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发表时间：
2013-01
期刊：
影响因子：
7.4
通讯作者：
Zautra AJ
中科院分区：
文献类型：
--
作者：
Taylor SS;Davis MC;Zautra AJ
本研究的目的是检查：1）在伴侣愉快、伴侣不愉快和未伴侣的女性慢性疼痛患者之间，与疼痛相关的日常身体机能变化是否存在差异；2）情感和疼痛认知介导伴侣状态对与疼痛相关的身体机能变化的影响。 251 名因骨关节炎和/或纤维肌痛而患有慢性疼痛的女性完成了 30 份每日电子日记，评估疼痛、情感、疼痛相关认知和身体功能。与浪漫伴侣同居的患者还完成了洛克-华莱士婚姻调整量表的修改版，以评估关系满意度。多层次模型显示，与婚姻不满意和没有伴侣的患者相比，婚姻满意的患者在身体机能、疼痛应对困难和灾难性方面表现出更多的适应性日常疼痛相关变化。与非伴侣组相比，两个伴侣组在积极情感方面也表现出更多与疼痛相关的适应性变化。关系状态对与疼痛相关的身体功能变化的影响部分是由疼痛认知灾难化和应对困难介导的。这些结果表明，与伴侣不愉快和没有伴侣的患者相比，伴侣愉快的疼痛患者与疼痛相关的身体残疾较少，对日常疼痛变化的适应性情感和认知反应更强。生活在幸福的结合中可能会增强患者在疼痛发作期间维持疼痛应对功效的能力，从而最大限度地减少与疼痛相关的身体活动限制。
The objectives of this study were to examine whether 1) daily pain-related changes in physical functioning differed between happily partnered, unhappily partnered, and unpartnered female chronic pain patients, and 2) affect and pain cognitions mediated the partner status effect on pain-related changes in physical functioning. 251 women with chronic pain due to osteoarthritis and/or fibromyalgia completed 30 daily electronic diaries assessing pain, affect, pain-related cognitions, and physical functioning. Patients living with a romantic partner also completed a modified version of the Locke-Wallace Marital Adjustment Scale to assess relationship satisfaction. Multilevel modeling revealed that patients in satisfying unions showed more adaptive daily pain-related changes in physical functioning, pain coping difficulty, and catastrophizing compared to those in unsatisfying unions and those who were unpartnered. Both partnered groups also showed more adaptive pain-related changes in positive affect compared to the unpartnered group. The impact of relationship status on pain-related changes in physical functioning was partly mediated by the pain cognitions catastrophizing and coping difficulty. These results indicate that happily partnered pain patients show less pain-related physical disability and more adaptive affective and cognitive responses to daily pain changes than do unhappily partnered and unpartnered patients. Living in a happy union may bolster the capacity of patients to sustain a sense of pain coping efficacy during pain episodes, which in turn, minimizes pain-related physical activity limitations.
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影响因子：
7.4
作者：
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通讯作者：
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