A multilevel structural equation modeling analysis of vulnerabilities and resilience resources influencing affective adaptation to chronic pain

John A. Sturgeon, Alex J. Zautra, Anne Arewasikporn

Research output: Contribution to journalArticle

45 Scopus citations

Abstract

The processes of individual adaptation to chronic pain are complex and occur across multiple domains. We examined the social, cognitive, and affective context of daily pain adaptation in individuals with fibromyalgia and osteoarthritis. By using a sample of 260 women with fibromyalgia or osteoarthritis, we 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 were 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

Original languageEnglish (US)
Pages (from-to)292-298
Number of pages7
JournalPain
Volume155
Issue number2
DOIs
StatePublished - Feb 2014

Keywords

  • Chronic pain
  • Emotion
  • Interpersonal relationships
  • Pain catastrophizing

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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