Positive Affect As a Factor of Resilience in the Pain-negative Affect Relationship in Patients with Rheumatoid Arthritis

Overview

Journal J Psychosom Res

Specialty Psychiatry

Date 2006 May 3

PMID 16650588

Citations 52

Authors

Elin B Strand

Alex J Zautra

Magne Thoresen

Sigrid Odegard

Till Uhlig

Arnstein Finset

Affiliations

Soon will be listed here.

Abstract

Objective: The purpose of this study is to examine positive affect (PA) as a factor of resilience in the relationships between pain and negative affect (NA) in a sample of patients with rheumatoid arthritis.

Methods: Forty-three patients (30 women; mean age, 57 years) were interviewed weekly by telephone for 8 weeks. Multilevel modeling was applied to study the within-week relationships among the variables.

Results: There was a Pain x PA interaction effect on NA (beta=-0.05, P<.01) indicating a weaker relationship between pain and NA in weeks with more PA. Pain (beta=0.37, P<.002), interpersonal stress (beta=2.42, P<.001), depression (beta=0.26, P<.01), average perceived stress (beta=10.80, P<.001), and also weekly PA (beta=-0.1, P<.01) had a main effect upon NA.

Conclusion: Positive affect is most influential in reducing NA during weeks of higher pain and may be a factor of resilience, helping patients experiencing pain fluctuations as less distressful than at lower levels of PA.

Citing Articles

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Resilience to Stress and Adversity: A Narrative Review of the Role of Positive Affect.

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Resilience in women with primary Sjögren's syndrome.

Priori R, Giardina F, Izzo R, Gattamelata A, Fusconi M, Colafrancesco S Rheumatol Int. 2021; 41(11):1987-1994.

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Resilience, pain, and the brain: Relationships differ by sociodemographics.

Tanner J, Johnson A, Terry E, Cardoso J, Garvan C, Staud R J Neurosci Res. 2021; 99(5):1207-1235.

PMID: 33606287 PMC: 8634062. DOI: 10.1002/jnr.24790.