TY - JOUR
T1 - Coping with rheumatoid arthritis pain in daily life
T2 - Within-person analyses reveal hidden vulnerability for the formerly depressed
AU - Conner, Tamlin S.
AU - Tennen, Howard
AU - Zautra, Alex J.
AU - Affleck, Glenn
AU - Armeli, Stephen
AU - Fifield, Judith
N1 - Funding Information:
This research was supported by grant funding from the Arthritis Foundation, as well as the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS).
PY - 2006/12/15
Y1 - 2006/12/15
N2 - This study examined the association between history of depression and day-to-day coping with rheumatoid arthritis (RA) pain. The sample was 188 RA-diagnosed participants, 73 of whom were identified by a structured clinical interview as having a history of major depression. None had current major depression. All participated in a 30-day prospective study in which they made end-of-day ratings of their arthritis pain, the strategies for how they coped with their pain, their appraisals of daily pain, and daily mood. Hierarchical linear models evaluated whether individuals with and without depression history differed in their average pain and the other daily measures; and separately, whether they differed in their within-person associations between pain and the daily measures (e.g., the day-to-day contingency between pain and mood). All analyses controlled for current mild depressive symptoms, neuroticism, and age. Previously depressed individuals were indistinguishable from their never depressed peers in their average pain and the other daily measures; however, the previously depressed exhibited significantly stronger associations between pain and several aspects of their daily emotional experience, suggesting more pain-contingent well-being. For individuals with a history of depression, increases in daily pain corresponded with more frequent efforts to cope with their pain by venting their emotions, significantly stronger impairments in mood, and, if they were also presently distressed, reduced perceptions of control over their pain, compared to the never depressed. Patterns suggest that formerly depressed individuals exhibit a hidden vulnerability in how they manage chronic pain. This vulnerability is best revealed by a daily process approach.
AB - This study examined the association between history of depression and day-to-day coping with rheumatoid arthritis (RA) pain. The sample was 188 RA-diagnosed participants, 73 of whom were identified by a structured clinical interview as having a history of major depression. None had current major depression. All participated in a 30-day prospective study in which they made end-of-day ratings of their arthritis pain, the strategies for how they coped with their pain, their appraisals of daily pain, and daily mood. Hierarchical linear models evaluated whether individuals with and without depression history differed in their average pain and the other daily measures; and separately, whether they differed in their within-person associations between pain and the daily measures (e.g., the day-to-day contingency between pain and mood). All analyses controlled for current mild depressive symptoms, neuroticism, and age. Previously depressed individuals were indistinguishable from their never depressed peers in their average pain and the other daily measures; however, the previously depressed exhibited significantly stronger associations between pain and several aspects of their daily emotional experience, suggesting more pain-contingent well-being. For individuals with a history of depression, increases in daily pain corresponded with more frequent efforts to cope with their pain by venting their emotions, significantly stronger impairments in mood, and, if they were also presently distressed, reduced perceptions of control over their pain, compared to the never depressed. Patterns suggest that formerly depressed individuals exhibit a hidden vulnerability in how they manage chronic pain. This vulnerability is best revealed by a daily process approach.
KW - Arthritis
KW - Coping
KW - Daily diary
KW - Depression
KW - History of depression
UR - http://www.scopus.com/inward/record.url?scp=33750972024&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33750972024&partnerID=8YFLogxK
U2 - 10.1016/j.pain.2006.06.033
DO - 10.1016/j.pain.2006.06.033
M3 - Article
C2 - 16904829
AN - SCOPUS:33750972024
SN - 0304-3959
VL - 126
SP - 198
EP - 209
JO - Pain
JF - Pain
IS - 1-3
ER -