Emotion Regulation Predicts Pain and Functioning in Children With Juvenile Idiopathic Arthritis: An Electronic Diary Study
Emotion Regulation Predicts Pain and Functioning in Children With Juvenile Idiopathic Arthritis: An Electronic Diary Study
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DOI：
10.1093/jpepsy/jsr088
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发表时间：
2012-01-01
影响因子：
3.6
通讯作者：
Schanberg, Laura E.
中科院分区：
文献类型：
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作者：
Connelly, Mark;Bromberg, Maggie H.;Schanberg, Laura E.
目的：本研究利用电子日记来评估情绪调节成分是否能预测幼年特发性关节炎（JIA）儿童的日常疼痛和功能。方法43例8 ~ 17岁儿童及其照顾者提供儿童情绪调节基线报告。然后，孩子们在28天内每天完成三次关于情绪、疼痛和活动参与的电子日记评估。消极情绪和积极情绪的电子日记评分被用来计算情绪变异性，并推断在高或低情绪强度时期后的适应性情绪调节。使用层次线性模型评估情绪调节与疼痛和功能的关系。结果高负性情绪期后负性情绪的减弱预示着疼痛的减轻；更大的负面情绪可变性预示着更高的痛苦和更多的活动限制。积极情绪调节指标对疼痛也有显著的预测作用。结论：电子日记记录的情绪调节成分可预测JIA患儿的重要健康结局。
Objectives This study utilized e-diaries to evaluate whether components of emotion regulation predict daily pain and function in children with juvenile idiopathic arthritis (JIA). Methods 43 children ages 8-17 years and their caregivers provided baseline reports of child emotion regulation. Children then completed thrice daily e-diary assessments of emotion, pain, and activity involvement for 28 days. E-diary ratings of negative and positive emotions were used to calculate emotion variability and to infer adaptive emotion modulation following periods of high or low emotion intensity. Hierarchical linear models were used to evaluate how emotion regulation related to pain and function. Results The attenuation of negative emotion following a period of high negative emotion predicted reduced pain; greater variability of negative emotion predicted higher pain and increased activity limitation. Indices of positive emotion regulation also significantly predicted pain. Conclusions Components of emotion regulation as captured by e-diaries predict important health outcomes in children with JIA.