Hamilton Nancy A, Zautra Alex J, Reich John W
Department of Psychology, University of Kansas, Lawrence, KS 66045, USA.
Ann Behav Med. 2005 Jun;29(3):216-24. doi: 10.1207/s15324796abm2903_8.
Individual differences in adaptation to rheumatoid arthritis are not fully accounted for by illness severity or duration of symptoms.
In this study, we assessed differences in affect regulation and affect intensity as variables that might be important for identifying women with rheumatoid arthritis who are resilient versus those who have disrupted moods following pain exacerbations.
Specifically, affective regulation, affect intensity, active coping, neuroticism and weekly reports of pain, positive affect, and negative affect were assessed in a sample of 81 women diagnosed with rheumatoid arthritis.
Our results indicated that affective regulation, affect intensity, and active coping played important but distinct roles in the ebb and flow of negative and positive affect. In particular, active coping was related to positive affect, whereas affective regulation and affect intensity showed interactive effects, moderating the prospective relationship between pain and negative affect and pain and positive affect.
Overall, this study suggests that recovery from rheumatoid arthritis pain can be swift, except for those women who have difficulty regulating strong unpleasant affect.
类风湿性关节炎患者在适应能力上的个体差异不能完全由疾病严重程度或症状持续时间来解释。
在本研究中，我们评估了情感调节和情感强度的差异，这些变量对于识别类风湿性关节炎患者中具有恢复力的女性与疼痛加剧后情绪受到干扰的女性可能很重要。
具体而言，我们对81名被诊断为类风湿性关节炎的女性样本进行了情感调节、情感强度、积极应对、神经质以及疼痛、积极情感和消极情感的每周报告评估。
我们的结果表明，情感调节、情感强度和积极应对在消极和积极情感的起伏中发挥了重要但不同的作用。特别是，积极应对与积极情感相关，而情感调节和情感强度显示出交互作用，调节了疼痛与消极情感以及疼痛与积极情感之间的前瞻性关系。
总体而言，本研究表明，除了那些难以调节强烈不愉快情感的女性外，类风湿性关节炎疼痛的恢复可能很快。
