The role of affect in chronic pain: A systematic review of within-person symptom dynamics.
Affect
Ecological momentary assessment
Pain
Journal
Journal of psychosomatic research
ISSN: 1879-1360
Titre abrégé: J Psychosom Res
Pays: England
ID NLM: 0376333
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
12
01
2021
revised:
14
04
2021
accepted:
17
05
2021
pubmed:
4
6
2021
medline:
25
11
2021
entrez:
3
6
2021
Statut:
ppublish
Résumé
Chronic pain is conceptualized as a biopsychosocial phenomenon that involves both physical and emotional processes. The vast majority of research regarding these facets of chronic pain characterizes differences between individuals. In this review, we describe problems with assuming that differences between persons accurately characterize within-person processes. We also provide a systematic review of studies that have examined within-person relationships between pain and affect among individuals with chronic pain. Articles published by December 2020 that pertained to within-person assessment of pain and emotion, affect, or mood were identified. Data regarding study design, adherence, and concurrent and prospective relationships among pain and affect variables were extracted and summarized. Of 611 abstracts, 55 studies met inclusion criteria. Results suggest that individuals with chronic pain tend to experience increased negative affect and decreased positive affect when experiencing more severe pain (r Consistent with group-level relationships, experiencing more severe pain relative to an individual's average seems to be associated with more negative affect and less positive affect. However, individuals vary in the size and even direction of these effects. More research is necessary to understand the implications of such variability for the assessment and treatment of chronic pain.
Identifiants
pubmed: 34082154
pii: S0022-3999(21)00172-0
doi: 10.1016/j.jpsychores.2021.110527
pmc: PMC9009535
mid: NIHMS1791614
pii:
doi:
Types de publication
Journal Article
Review
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
110527Subventions
Organisme : NIDCD NIH HHS
ID : R01 DC017451
Pays : United States
Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.
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