Associations of Pain Intensity and Frequency With Loneliness, Hostility, and Social Functioning: Cross-Sectional, Longitudinal, and Within-Person Relationships
Associations of Pain Intensity and Frequency With Loneliness, Hostility, and Social Functioning: Cross-Sectional, Longitudinal, and Within-Person Relationships
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DOI：
10.1007/s12529-019-09776-5
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发表时间：
2019-04-01
影响因子：
2.7
通讯作者：
Segerstrom, Suzanne C.
中科院分区：
文献类型：
--
作者：
Boggero, Ian A.;Sturgeon, John A.;Segerstrom, Suzanne C.
目前的研究使用来自不同疼痛程度的社区成年人的横断面、纵向和个人数据，调查疼痛强度和疼痛频率与孤独感、敌意和社会功能的关系。研究1调查了横断面(基线数据：n=741)和纵向(随访数据：n=549，基线和随访之间的观察范围：6-53个月)的相关性。结果从横向来看，疼痛强度和频率与较高的孤独感(强度=0.16，频率=0.17)和较差的社会功能((强度)=-0.40，(频率)=-0.34)有关。强度也与更高的敌意相关(=0.11)。在纵向上，基线的疼痛强度预测了随访时的敌意(=0.19)和社会功能(=-0.20)，而疼痛频率仅预测了社会功能(=-0.21)。在人群中，参与者报告说，在疼痛较高的日子里，他们的敌意(=0.002)和社会功能恶化(=-0.013)更高，而日常疼痛互动的显著平均疼痛被发现是孤独的。疼痛强度不能预测第二天的社会幸福感变量。结论疼痛强度和频率与社会幸福感有关，尽管这种影响取决于社会幸福感的结果和所考察的时间进程。
BackgroundThe current studies investigated associations between pain intensity and pain frequency with loneliness, hostility, and social functioning using cross-sectional, longitudinal, and within-person data from community-dwelling adults with varying levels of pain.MethodSecondary analysis of preexisting data was conducted. Study 1 investigated cross-sectional (baseline data: n=741) and longitudinal (follow-up data: n=549, observed range between baseline and follow-up: 6-53months) associations. Study 2 tested within-person associations using daily diaries across 30days from a subset of the participants in Study 1 (n=69).ResultsCross-sectionally, pain intensity and frequency were associated with higher loneliness ((intensity)=0.16, (frequency)=0.17) and worse social functioning ((intensity)=-0.40, (frequency)=-0.34). Intensity was also associated with higher hostility (=0.11). Longitudinally, pain intensity at baseline predicted hostility (=0.19) and social functioning (=-0.20) at follow-up, whereas pain frequency only predicted social functioning (=-0.21). Within people, participants reported higher hostility (=0.002) and worsesocial functioning (=-0.013) on days with higher pain, and a significant average pain by daily pain interaction was found for loneliness. Pain intensity did not predict social well-beingvariables on the following day.ConclusionPain intensity and frequency were associated with social well-being, although the effects were dependent on the social well-being outcome and the time course being examined.