积极情绪作为类风湿关节炎患者疼痛与消极情绪关系中复原力的一个因素。
Positive affect as a factor of resilience in the pain-negative affect relationship in patients with rheumatoid arthritis.
作者信息
Strand Elin B, Zautra Alex J, Thoresen Magne, Ødegård Sigrid, Uhlig Till, Finset Arnstein
机构信息
Department of Behavioural Sciences and Statistics, Institute of Basic Medical Science, University of Oslo, POB 1111 Blindern, N-0317 Oslo, Norway.
出版信息
J Psychosom Res. 2006 May;60(5):477-84. doi: 10.1016/j.jpsychores.2005.08.010.
OBJECTIVE
The purpose of this study is to examine positive affect (PA) as a factor of resilience in the relationships between pain and negative affect (NA) in a sample of patients with rheumatoid arthritis.
METHODS
Forty-three patients (30 women; mean age, 57 years) were interviewed weekly by telephone for 8 weeks. Multilevel modeling was applied to study the within-week relationships among the variables.
RESULTS
There was a Pain x PA interaction effect on NA (beta=-0.05, P<.01) indicating a weaker relationship between pain and NA in weeks with more PA. Pain (beta=0.37, P<.002), interpersonal stress (beta=2.42, P<.001), depression (beta=0.26, P<.01), average perceived stress (beta=10.80, P<.001), and also weekly PA (beta=-0.1, P<.01) had a main effect upon NA.
CONCLUSION
Positive affect is most influential in reducing NA during weeks of higher pain and may be a factor of resilience, helping patients experiencing pain fluctuations as less distressful than at lower levels of PA.
目的
本研究旨在探讨在类风湿关节炎患者样本中，积极情绪（PA）作为疼痛与消极情绪（NA）关系中复原力的一个因素。
方法
43名患者（30名女性；平均年龄57岁）接受为期8周的每周一次电话访谈。采用多水平模型研究变量之间的周内关系。
结果
疼痛与PA对NA存在交互作用（β=-0.05，P<.01），表明在PA较多的几周内，疼痛与NA之间的关系较弱。疼痛（β=0.37，P<.002）、人际压力（β=2.42，P<.001）、抑郁（β=0.26，P<.01）、平均感知压力（β=10.80，P<.001）以及每周的PA（β=-0.1，P<.01）对NA均有主效应。
结论
在疼痛程度较高的几周内，积极情绪对减轻消极情绪最具影响力，可能是复原力的一个因素，帮助经历疼痛波动的患者比在积极情绪水平较低时感受到的痛苦更少。
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