Salvatore Gabrielle M, Bercovitz Iris, Gular Sofia, Arigo Danielle
Department of Psychology, Rowan University, Glassboro, NJ, USA.
Department of Family Medicine, Rowan-Virtua School of Osteopathic Medicine, Stratford, NJ, USA.
Behav Med. 2025 Jul 3:1-10. doi: 10.1080/08964289.2025.2513319.
Women in midlife (ages 40-60) are at elevated risk of developing cardiovascular disease (CVD), and daily experiences such as stress, physical pain, and poor sleep quality exacerbate this risk. Understanding the severity and temporal sequencing of these experiences as they occur in daily life will inform health promotion efforts for this vulnerable group. To achieve these goals, we used ecological momentary assessment to clarify the occurrence, severity, and temporal associations between momentary stress and pain, and tested for moderating effects of subjective sleep quality on these associations. Participants were 75 women in midlife with >1 risk factors for CVD (mean age = 52 years, mean BMI = 34.0 kg/m) who completed 10 days of assessment. Multilevel models showed considerable within-person variability in sleep quality and stress. Pain was reported at 32% of moments and showed within-person variability. Within-person, stress and pain were worse on days with poorer sleep; pain intensity was worse after times when stress was worse (vs. better), . Findings show that women experience considerable variability in their daily experiences of sleep quality, stress, and pain. Greater-than-usual stress may be a real-time marker of later pain, on days when sleep is worse than usual. This clarification of temporal sequencing in women's daily lives may inform just-in-time interventions to mitigate pain.
中年女性（40至60岁）患心血管疾病（CVD）的风险较高，压力、身体疼痛和睡眠质量差等日常经历会加剧这种风险。了解这些经历在日常生活中发生时的严重程度和时间顺序，将为针对这一弱势群体的健康促进工作提供信息。为实现这些目标，我们采用了生态瞬时评估法来阐明瞬时压力与疼痛之间的发生情况、严重程度和时间关联，并测试主观睡眠质量对这些关联的调节作用。参与者为75名患有超过1种心血管疾病风险因素的中年女性（平均年龄 = 52岁，平均体重指数 = 34.0 kg/m），她们完成了为期10天的评估。多层次模型显示，睡眠质量和压力在个体内部存在相当大的变异性。在32%的时刻报告有疼痛，且个体内部存在变异性。在个体内部，睡眠较差的日子里压力和疼痛更严重；压力较大（相对于较小）之后的时间段疼痛强度更严重。研究结果表明，女性在睡眠质量、压力和疼痛的日常经历中存在相当大的变异性。在睡眠比平常更差的日子里，比平常更大的压力可能是后期疼痛的实时指标。这种对女性日常生活中时间顺序的阐明可能为减轻疼痛的即时干预提供信息。
