A multilevel structural equation modeling analysis of vulnerabilities and resilience resources influencing affective adaptation to chronic pain.
A multilevel structural equation modeling analysis of vulnerabilities and resilience resources influencing affective adaptation to chronic pain.
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DOI：
10.1016/j.pain.2013.10.007
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发表时间：
2014-02
期刊：
影响因子：
7.4
通讯作者：
Arewasikporn A
中科院分区：
文献类型：
--
作者：
Sturgeon JA;Zautra AJ;Arewasikporn A
个体对慢性疼痛的适应过程是复杂的，并且发生在多个领域。目前的研究检查了纤维肌痛和骨关节炎患者日常疼痛适应的社会，认知和情感背景。使用260名患有纤维肌痛或骨关节炎的女性样本，本研究检查了疼痛灾难化，消极人际事件和积极人际事件对30天日常日记数据中日常消极和积极影响的贡献。利用多水平结构方程模型技术同时估计预测变量的个体差异和每日波动。疼痛和消极和积极的影响之间的关系介导的稳定和日常水平的疼痛灾难化以及日常的积极的人际事件，但不是消极的人际事件。疼痛灾难化和积极的人际事件对疼痛适应和疼痛相关的情感失调有显著的独立作用。这些影响既发生在人与人之间，也发生在人的日常生活中。
The processes of individual adaptation to chronic pain are complex and occur across multiple domains. The current study examined the social, cognitive, and affective context of daily pain adaptation in individuals with fibromyalgia and osteoarthritis. Using a sample of 260 women with fibromyalgia or osteoarthritis, this study examined the contributions of pain catastrophizing, negative interpersonal events, and positive interpersonal events to daily negative and positive affect across 30 days of daily diary data. Individual differences and daily fluctuations in predictor variables were estimated simultaneously by utilizing multilevel structural equation modeling techniques. The relationships between pain and negative and positive affect were mediated by stable and day-to-day levels of pain catastrophizing as well as day-to-day positive interpersonal events, but not negative interpersonal events. There are significant and independent contributions of pain catastrophizing and positive interpersonal events to adaptation to pain and pain-related affective dysregulation. These effects occur both between persons and within a person’s everyday life.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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