The role of positive and negative interpersonal events on daily fatigue in women with fibromyalgia, rheumatoid arthritis, and osteoarthritis.
The role of positive and negative interpersonal events on daily fatigue in women with fibromyalgia, rheumatoid arthritis, and osteoarthritis.
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DOI：
10.1037/0278-6133.27.6.694
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发表时间：
2008-11
影响因子：
4.2
通讯作者：
Davis, Mary C.
中科院分区：
文献类型：
--
作者：
Parrish, Brendt P.;Zautra, Alex J.;Davis, Mary C.
目前的研究测试了日常人际关系事件是否能预测女性慢性疼痛患者一天到第二天的疲劳程度。在30天内，对患有类风湿关节炎（RA: n = 89）、骨关节炎（OA: n = 76）和纤维肌痛综合征（FM: n = 90）的女性进行了自我报告的疲劳、日常活动、疼痛、睡眠质量、抑郁症状和功能健康状况的评估。自我报告疲劳在0到100的尺度测量和疲劳影响从PANAS-X。多层次分析表明，消极事件的较高平均水平和每日增加预示着更多的疲劳，而积极事件的每日增加预示着更少的疲劳。在所有疼痛情况下，负面事件的增加继续预示着第二天的疲劳程度更高。此外，对于患有FM或RA的参与者，积极事件的增加也预示着第二天的疲劳程度增加。每天增加的疲劳程度，反过来预示着当天和第二天的功能健康状况会更差。这些结果表明，在平均和日常基础上，人际事件影响疲劳水平超出了慢性疼痛的常见生理和心理相关因素，并突出了慢性疼痛组之间的差异。
The current study tested whether daily interpersonal events predicted fatigue from one day to the next among female chronic pain patients. Self-reported fatigue, daily events, pain, sleep quality, depressive symptoms, and functional health across 30 days were assessed in women with rheumatoid arthritis (RA: n = 89), Osteoarthritis (OA: n = 76), and Fibromyalgia syndrome (FM: n = 90). Self-report fatigue measured on a zero to one hundred scale and fatigue affect from PANAS-X. Multi-level analyses showed that both higher average levels of and daily increases in negative events predicted more fatigue, whereas daily increases in positive events predicted less fatigue. Across all pain conditions, increases in negative events continued to predict higher fatigue on the following day. Moreover, for participants with FM or RA, increases in positive events also predicted increased fatigue the following day. Daily increases in fatigue, in turn, predicted poorer functional health on both the same day and the next day. These results indicate that both on average and on a daily basis, interpersonal events influence levels of fatigue beyond common physical and psychological correlates of chronic pain and highlight differences between chronic pain groups.
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