Associations between daily chronic pain intensity, daily anger expression, and trait anger expressiveness: An ecological momentary assessment study
Within-day associations between behavioral anger expression and momentary chronic pain intensity show significant lagged effects, with elevated behavioral anger expression linked to greater subsequent pain intensity. Links between elevated trait anger expressiveness (anger-out) and greater chronic p...
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| Veröffentlicht in: | Pain (Amsterdam) 2012-12, Vol.153 (12), p.2352-2358 |
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| creator | Bruehl, Stephen Liu, Xiaoxia Burns, John W. Chont, Melissa Jamison, Robert N. |
| description | Within-day associations between behavioral anger expression and momentary chronic pain intensity show significant lagged effects, with elevated behavioral anger expression linked to greater subsequent pain intensity.
Links between elevated trait anger expressiveness (anger-out) and greater chronic pain intensity are well documented, but pain-related effects of expressive behaviors actually used to regulate anger when it is experienced have been little explored. This study used ecological momentary assessment methods to explore prospective associations between daily behavioral anger expression and daily chronic pain intensity. Forty-eight chronic low back pain (LBP) patients and 36 healthy controls completed electronic diary ratings of momentary pain and behavioral anger expression in response to random prompts 4 times daily for 7days. Across groups, greater trait anger-out was associated with greater daily behavioral anger expression (P |
| doi_str_mv | 10.1016/j.pain.2012.08.001 |
| format | Article |
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Links between elevated trait anger expressiveness (anger-out) and greater chronic pain intensity are well documented, but pain-related effects of expressive behaviors actually used to regulate anger when it is experienced have been little explored. This study used ecological momentary assessment methods to explore prospective associations between daily behavioral anger expression and daily chronic pain intensity. Forty-eight chronic low back pain (LBP) patients and 36 healthy controls completed electronic diary ratings of momentary pain and behavioral anger expression in response to random prompts 4 times daily for 7days. Across groups, greater trait anger-out was associated with greater daily behavioral anger expression (P<0.001). LBP participants showed higher levels of daily anger expression than controls (P<0.001). Generalized estimating equation analyses in the LBP group revealed a lagged main effect of greater behavioral anger expression on increased chronic pain intensity in the subsequent assessment period (P<0.05). Examination of a trait×situation model for anger-out revealed prospective associations between elevated chronic pain intensity and later increases in behavioral anger expression that were restricted largely to individuals low in trait anger-out (P<0.001). Trait×situation interactions for trait anger suppression (anger-in) indicated similar influences of pain intensity on subsequent behavioral anger expression occurring among low anger-in persons (P<0.001). Overlap with trait and state negative affect did not account for study findings. This study for the first time documents lagged within-day influences of behavioral anger expression on subsequent chronic pain intensity. Trait anger regulation style may moderate associations between behavioral anger expression and chronic pain intensity.</description><identifier>ISSN: 0304-3959</identifier><identifier>EISSN: 1872-6623</identifier><identifier>DOI: 10.1016/j.pain.2012.08.001</identifier><identifier>PMID: 22940462</identifier><identifier>CODEN: PAINDB</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier B.V</publisher><subject>Adult ; Anger ; Anger expression ; Anger-in ; Anger-out ; Biological and medical sciences ; Causality ; Chronic pain ; Chronic Pain - diagnosis ; Chronic Pain - epidemiology ; Chronic Pain - psychology ; Comorbidity ; Ecological momentary assessment ; Electronic diary ; Expressed Emotion ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Illness and personality ; Illness, stress and coping ; Low Back Pain - diagnosis ; Low Back Pain - epidemiology ; Low Back Pain - psychology ; Male ; Pain intensity ; Pain Measurement - statistics & numerical data ; Prevalence ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Risk Factors ; Severity of Illness Index ; Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors ; Tennessee - epidemiology ; United States - epidemiology ; Vertebrates: nervous system and sense organs</subject><ispartof>Pain (Amsterdam), 2012-12, Vol.153 (12), p.2352-2358</ispartof><rights>2012 International Association for the Study of Pain</rights><rights>Lippincott Williams & Wilkins, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.</rights><rights>2012 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved. 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5961-27b6f23f7c22ef7f0d34be43b29af977046afb0d60fafc3a3232e68e0c672bc83</citedby><cites>FETCH-LOGICAL-c5961-27b6f23f7c22ef7f0d34be43b29af977046afb0d60fafc3a3232e68e0c672bc83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26589168$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22940462$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bruehl, Stephen</creatorcontrib><creatorcontrib>Liu, Xiaoxia</creatorcontrib><creatorcontrib>Burns, John W.</creatorcontrib><creatorcontrib>Chont, Melissa</creatorcontrib><creatorcontrib>Jamison, Robert N.</creatorcontrib><title>Associations between daily chronic pain intensity, daily anger expression, and trait anger expressiveness: An ecological momentary assessment study</title><title>Pain (Amsterdam)</title><addtitle>Pain</addtitle><description>Within-day associations between behavioral anger expression and momentary chronic pain intensity show significant lagged effects, with elevated behavioral anger expression linked to greater subsequent pain intensity.
Links between elevated trait anger expressiveness (anger-out) and greater chronic pain intensity are well documented, but pain-related effects of expressive behaviors actually used to regulate anger when it is experienced have been little explored. This study used ecological momentary assessment methods to explore prospective associations between daily behavioral anger expression and daily chronic pain intensity. Forty-eight chronic low back pain (LBP) patients and 36 healthy controls completed electronic diary ratings of momentary pain and behavioral anger expression in response to random prompts 4 times daily for 7days. Across groups, greater trait anger-out was associated with greater daily behavioral anger expression (P<0.001). LBP participants showed higher levels of daily anger expression than controls (P<0.001). Generalized estimating equation analyses in the LBP group revealed a lagged main effect of greater behavioral anger expression on increased chronic pain intensity in the subsequent assessment period (P<0.05). Examination of a trait×situation model for anger-out revealed prospective associations between elevated chronic pain intensity and later increases in behavioral anger expression that were restricted largely to individuals low in trait anger-out (P<0.001). Trait×situation interactions for trait anger suppression (anger-in) indicated similar influences of pain intensity on subsequent behavioral anger expression occurring among low anger-in persons (P<0.001). Overlap with trait and state negative affect did not account for study findings. This study for the first time documents lagged within-day influences of behavioral anger expression on subsequent chronic pain intensity. Trait anger regulation style may moderate associations between behavioral anger expression and chronic pain intensity.</description><subject>Adult</subject><subject>Anger</subject><subject>Anger expression</subject><subject>Anger-in</subject><subject>Anger-out</subject><subject>Biological and medical sciences</subject><subject>Causality</subject><subject>Chronic pain</subject><subject>Chronic Pain - diagnosis</subject><subject>Chronic Pain - epidemiology</subject><subject>Chronic Pain - psychology</subject><subject>Comorbidity</subject><subject>Ecological momentary assessment</subject><subject>Electronic diary</subject><subject>Expressed Emotion</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Low Back Pain - diagnosis</subject><subject>Low Back Pain - epidemiology</subject><subject>Low Back Pain - psychology</subject><subject>Male</subject><subject>Pain intensity</subject><subject>Pain Measurement - statistics & numerical data</subject><subject>Prevalence</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</subject><subject>Tennessee - epidemiology</subject><subject>United States - epidemiology</subject><subject>Vertebrates: nervous system and sense organs</subject><issn>0304-3959</issn><issn>1872-6623</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU2P0zAQjRCILQt_gAPyBYnDpoztxEkQQqpWy4e0Ehc4W44zbl1Su9huS38Hf3gdtSwfBw62NZ735s3MK4rnFOYUqHi9nm-VdXMGlM2hnQPQB8WMtg0rhWD8YTEDDlXJu7q7KJ7EuAYAxlj3uLjIdwWVYLPi5yJGr61K1rtIekwHREcGZccj0avgndVkUiHWJXTRpuPVOavcEgPBH9uAMWb2Vf4ZSArKpn9ye3T5eUMWjqD2o19arUay8Rt0SYVcKcacnyIS0244Pi0eGTVGfHZ-L4uv72--XH8sbz9_-HS9uC113QlasqYXhnHTaMbQNAYGXvVY8Z51ynRNkwdUpodBgFFGc8UZZyhaBC0a1uuWXxbvTnW3u36Dg84NBDXKbbCb3Jb0ysq_M86u5NLvJa9bQbs6F3h1LhD89x3GJDc2ahxH5dDvoqS0psBrWjcZyk5QHXyMAc29DAU5uSnXctqznNyU0MrsZia9-LPBe8ov-zLg5RmgYt6pCcppG3_jRN12VEyTVifcwY8JQ_w27g4Y5ArVmFZZCkDwTpSTNmU5KvOhk_7bEw2zC3ubGVFbdBoHG1AnOXj7v_bvANVa0r8</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Bruehl, Stephen</creator><creator>Liu, Xiaoxia</creator><creator>Burns, John W.</creator><creator>Chont, Melissa</creator><creator>Jamison, Robert N.</creator><general>Elsevier B.V</general><general>Lippincott Williams & Wilkins, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20121201</creationdate><title>Associations between daily chronic pain intensity, daily anger expression, and trait anger expressiveness: An ecological momentary assessment study</title><author>Bruehl, Stephen ; Liu, Xiaoxia ; Burns, John W. ; Chont, Melissa ; Jamison, Robert N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5961-27b6f23f7c22ef7f0d34be43b29af977046afb0d60fafc3a3232e68e0c672bc83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>Anger</topic><topic>Anger expression</topic><topic>Anger-in</topic><topic>Anger-out</topic><topic>Biological and medical sciences</topic><topic>Causality</topic><topic>Chronic pain</topic><topic>Chronic Pain - diagnosis</topic><topic>Chronic Pain - epidemiology</topic><topic>Chronic Pain - psychology</topic><topic>Comorbidity</topic><topic>Ecological momentary assessment</topic><topic>Electronic diary</topic><topic>Expressed Emotion</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Illness and personality</topic><topic>Illness, stress and coping</topic><topic>Low Back Pain - diagnosis</topic><topic>Low Back Pain - epidemiology</topic><topic>Low Back Pain - psychology</topic><topic>Male</topic><topic>Pain intensity</topic><topic>Pain Measurement - statistics & numerical data</topic><topic>Prevalence</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</topic><topic>Tennessee - epidemiology</topic><topic>United States - epidemiology</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bruehl, Stephen</creatorcontrib><creatorcontrib>Liu, Xiaoxia</creatorcontrib><creatorcontrib>Burns, John W.</creatorcontrib><creatorcontrib>Chont, Melissa</creatorcontrib><creatorcontrib>Jamison, Robert N.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pain (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bruehl, Stephen</au><au>Liu, Xiaoxia</au><au>Burns, John W.</au><au>Chont, Melissa</au><au>Jamison, Robert N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations between daily chronic pain intensity, daily anger expression, and trait anger expressiveness: An ecological momentary assessment study</atitle><jtitle>Pain (Amsterdam)</jtitle><addtitle>Pain</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>153</volume><issue>12</issue><spage>2352</spage><epage>2358</epage><pages>2352-2358</pages><issn>0304-3959</issn><eissn>1872-6623</eissn><coden>PAINDB</coden><abstract>Within-day associations between behavioral anger expression and momentary chronic pain intensity show significant lagged effects, with elevated behavioral anger expression linked to greater subsequent pain intensity.
Links between elevated trait anger expressiveness (anger-out) and greater chronic pain intensity are well documented, but pain-related effects of expressive behaviors actually used to regulate anger when it is experienced have been little explored. This study used ecological momentary assessment methods to explore prospective associations between daily behavioral anger expression and daily chronic pain intensity. Forty-eight chronic low back pain (LBP) patients and 36 healthy controls completed electronic diary ratings of momentary pain and behavioral anger expression in response to random prompts 4 times daily for 7days. Across groups, greater trait anger-out was associated with greater daily behavioral anger expression (P<0.001). LBP participants showed higher levels of daily anger expression than controls (P<0.001). Generalized estimating equation analyses in the LBP group revealed a lagged main effect of greater behavioral anger expression on increased chronic pain intensity in the subsequent assessment period (P<0.05). Examination of a trait×situation model for anger-out revealed prospective associations between elevated chronic pain intensity and later increases in behavioral anger expression that were restricted largely to individuals low in trait anger-out (P<0.001). Trait×situation interactions for trait anger suppression (anger-in) indicated similar influences of pain intensity on subsequent behavioral anger expression occurring among low anger-in persons (P<0.001). Overlap with trait and state negative affect did not account for study findings. This study for the first time documents lagged within-day influences of behavioral anger expression on subsequent chronic pain intensity. Trait anger regulation style may moderate associations between behavioral anger expression and chronic pain intensity.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier B.V</pub><pmid>22940462</pmid><doi>10.1016/j.pain.2012.08.001</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Pain (Amsterdam), 2012-12, Vol.153 (12), p.2352-2358 |
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| subjects | Adult Anger Anger expression Anger-in Anger-out Biological and medical sciences Causality Chronic pain Chronic Pain - diagnosis Chronic Pain - epidemiology Chronic Pain - psychology Comorbidity Ecological momentary assessment Electronic diary Expressed Emotion Female Fundamental and applied biological sciences. Psychology Humans Illness and personality Illness, stress and coping Low Back Pain - diagnosis Low Back Pain - epidemiology Low Back Pain - psychology Male Pain intensity Pain Measurement - statistics & numerical data Prevalence Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Risk Factors Severity of Illness Index Somesthesis and somesthetic pathways (proprioception, exteroception, nociception) interoception electrolocation. Sensory receptors Tennessee - epidemiology United States - epidemiology Vertebrates: nervous system and sense organs |
| title | Associations between daily chronic pain intensity, daily anger expression, and trait anger expressiveness: An ecological momentary assessment study |
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