Brewer B W, Cornelius A E, Sklar J H, Van Raalte J L, Tennen H, Armeli S, Corsetti J R, Brickner J C
Department of Psychology, Springfield College, Springfield, MA 01109, USA.
Scand J Med Sci Sports. 2007 Oct;17(5):520-9. doi: 10.1111/j.1600-0838.2006.00601.x.
Daily diary methods were used to examine changes in pain and negative mood over the first 6 weeks of rehabilitation after surgical reconstruction of the anterior cruciate ligament (ACL). Participants (58 men and 33 women) completed measures of personal factors (i.e., age, athletic identity, neuroticism, optimism) before surgery and indices of daily pain, negative mood, and stress for 42 days after surgery. Multilevel modeling revealed that, as would be expected, daily pain ratings decreased significantly over the course of the study and that the rate of decline in pain ratings decreased over time. Age and daily negative mood were positively associated with daily pain ratings. Daily negative mood also decreased significantly over the course of the study and was positively associated with neuroticism, daily pain, and daily stress. Athletic identity and optimism interacted with time since surgery in predicting daily negative mood such that participants with high levels of athletic identity and low levels of optimism reported greater decreases in daily negative mood over time. Overall, the findings reveal a pattern of improved psychological functioning over the early stages of post-operative ACL rehabilitation.
采用每日日记法，研究前交叉韧带（ACL）手术重建后康复的前6周内疼痛和负面情绪的变化。参与者（58名男性和33名女性）在手术前完成了个人因素（即年龄、运动身份、神经质、乐观主义）的测量，并在术后42天完成了每日疼痛、负面情绪和压力指标的测量。多层次模型显示，正如预期的那样，在研究过程中，每日疼痛评分显著下降，且疼痛评分的下降速率随时间降低。年龄和每日负面情绪与每日疼痛评分呈正相关。在研究过程中，每日负面情绪也显著下降，且与神经质、每日疼痛和每日压力呈正相关。运动身份和乐观主义在预测每日负面情绪时与术后时间存在交互作用，即运动身份水平高且乐观主义水平低的参与者，其每日负面情绪随时间的下降幅度更大。总体而言，研究结果揭示了术后ACL康复早期心理功能改善的模式。
