Individual differences in the day-to-day experience of chronic pain: a prospective daily study of rheumatoid arthritis patients.
Individual differences in the day-to-day experience of chronic pain: a prospective daily study of rheumatoid arthritis patients.
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DOI：
10.1037//0278-6133.10.6.419
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发表时间：
1991
期刊：
影响因子：
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通讯作者：
G. Affleck;Howard Tennen;S. Urrows;P. Higgins
中科院分区：
文献类型：
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作者：
G. Affleck;Howard Tennen;S. Urrows;P. Higgins
探讨了47例类风湿关节炎（RA）患者连续75天每日疼痛的分布和时间模式。大约有一半的疼痛系列显著正偏，在记录期间趋势显著，或两者兼而有之。四分之一的样本有相对痛苦的“离群”天聚集在一起。大多数系列显示了显着的自相关性疼痛强度在连续几天，即使当该系列被消除趋势。疾病活动性更强的患者疼痛更剧烈，但每天的疼痛更可预测，并且报告的疼痛天数更少，严重疼痛的发作时间更短。在流行病学压力抑郁量表上描述自己更抑郁的患者在记录期间也报告了更强烈的疼痛，与他们的疾病活动和残疾水平无关。RA疼痛的日常过程研究的影响进行了讨论。
Explored the distribution and temporal patterning of daily pain reported by 47 patients with rheumatoid arthritis (RA) for 75 consecutive days. Approximately half the pain series were significantly positively skewed, trended significantly across the recording period, or both. One fourth of the sample had relatively painful "outlier" days that clustered together. Most series displayed a significant autocorrelation in pain intensity across successive days even when the series were detrended. Patients with more active disease had pain that was more intense but more predictable from day to day and reported fewer painful outlying days and briefer episodes of atypically severe pain. Patients describing themselves as more depressed on the Center for Epidemiological Stress Depression Scale also reported more intense pain across the recording period, independent of their level of disease activity and disability. Implications for daily process studies of RA pain are discussed.