Department of Biobehavioral Health, 219 Biobehavioral Health Building, The Pennsylvania State University, University Park, PA, 16802, USA.
Department of Psychology, University of North Texas, Denton, USA.
J Behav Med. 2018 Aug;41(4):504-515. doi: 10.1007/s10865-018-9917-8. Epub 2018 Feb 21.
Early life adversity (ELA) has been associated with pain symptomatology in adulthood, but mechanisms and moderators of these associations are unclear. Using recall based and concurrently assessed self-report data, we examined associations between ELA, mood, sleep, and recent pain intensity and interference, and whether optimism and perceived control weakened these associations in a midlife community sample of diverse adults reporting some ELA. Controlling for demographic variables and BMI, higher levels of ELA were associated with more pain intensity and interference; greater sleep disturbance and negative mood accounted for these associations. When moderation was examined, only the path from sleep disturbance to pain interference was significantly attenuated for those with higher optimism and higher perceived control. These findings suggest that higher levels of ELA may link with pain in adulthood through poorer mood and sleep, and that resilience resources such as optimism and control may buffer some of these pathways.
早年生活逆境（ELA）与成年后的疼痛症状有关，但这些关联的机制和调节因素尚不清楚。本研究使用基于回忆的和同时评估的自我报告数据，在报告有一定 ELA 的中年社区多样性成年人的样本中，检验了 ELA 与情绪、睡眠和近期疼痛强度和干扰之间的关联，以及乐观和感知控制是否会削弱这些关联。在控制人口统计学变量和 BMI 后，更高水平的 ELA 与更高的疼痛强度和干扰相关；更大的睡眠障碍和负面情绪解释了这些关联。当检验调节作用时，只有那些具有较高乐观和较高感知控制的人，从睡眠障碍到疼痛干扰的路径才显著减弱。这些发现表明，较高水平的 ELA 可能通过较差的情绪和睡眠与成年后的疼痛相关，而乐观和控制等弹性资源可能会缓冲这些途径中的一些。
