Children's Mercy Hospitals and Clinics, Kansas City, MO 64108, USA.
J Pediatr Psychol. 2012 Jan-Feb;37(1):43-52. doi: 10.1093/jpepsy/jsr088. Epub 2011 Oct 27.
This study utilized e-diaries to evaluate whether components of emotion regulation predict daily pain and function in children with juvenile idiopathic arthritis (JIA).
43 children ages 8-17 years and their caregivers provided baseline reports of child emotion regulation. Children then completed thrice daily e-diary assessments of emotion, pain, and activity involvement for 28 days. E-diary ratings of negative and positive emotions were used to calculate emotion variability and to infer adaptive emotion modulation following periods of high or low emotion intensity. Hierarchical linear models were used to evaluate how emotion regulation related to pain and function.
The attenuation of negative emotion following a period of high negative emotion predicted reduced pain; greater variability of negative emotion predicted higher pain and increased activity limitation. Indices of positive emotion regulation also significantly predicted pain.
Components of emotion regulation as captured by e-diaries predict important health outcomes in children with JIA.
本研究利用电子日记评估儿童青少年特发性关节炎（JIA）患者的情绪调节成分是否能预测其日常疼痛和功能。
43 名 8-17 岁的儿童及其照顾者提供了儿童情绪调节的基线报告。然后，儿童完成了 28 天的每日三次电子日记评估，内容包括情绪、疼痛和活动参与度。电子日记对消极和积极情绪的评分用于计算情绪变异性，并推断在高或低情绪强度之后的适应性情绪调节。分层线性模型用于评估情绪调节与疼痛和功能的关系。
高负性情绪后负性情绪的衰减预示着疼痛减轻；负性情绪变异性越大，疼痛越高，活动受限越严重。积极情绪调节指标也显著预测疼痛。
电子日记中记录的情绪调节成分可预测 JIA 患儿的重要健康结果。
