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Gepubliceerd in: Journal of Behavioral Medicine 3/2017

16-11-2016

Relations between adaptive and maladaptive pain cognitions and within-day pain exacerbations in individuals with fibromyalgia

Auteurs: Shannon Stark Taylor, Mary C. Davis, Ellen W. Yeung, Alex J. Zautra, Howard A. Tennen

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2017

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Abstract

The objectives of this study were to assess within-person hypotheses regarding temporal cognition-pain associations: (1) do morning pain flares predict changes in two afternoon adaptive and maladaptive pain-related cognitions, and (2) do these changes in afternoon cognitions predict changes in end-of-day pain reports, which in turn, carry over to predict next morning pain in individuals with fibromyalgia. Two hundred twenty individuals with fibromyalgia completed electronic assessments of pain intensity, pain catastrophizing, and pain coping efficacy three times a day for three weeks. Multilevel structural equation modeling established that afternoon catastrophizing and coping efficacy were parallel mediators linking late morning with end-of-day pain reports (controlling for afternoon pain), in line with prediction. Catastrophizing was a stronger mediator than coping efficacy. Moreover, afternoon cognitions and end-of-day pain reports served as sequential mediators of the relation between same-day and next-day morning pain. These findings align with assertions of cognitive-behavioral theories of pain that pain flares predict changes in pain both adaptive and maladaptive cognitions, which in turn, predict further changes in pain.
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Metagegevens
Titel
Relations between adaptive and maladaptive pain cognitions and within-day pain exacerbations in individuals with fibromyalgia
Auteurs
Shannon Stark Taylor
Mary C. Davis
Ellen W. Yeung
Alex J. Zautra
Howard A. Tennen
Publicatiedatum
16-11-2016
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2017
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-016-9811-1

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