Temporal associations between spouse criticism/hostility and pain among patients with chronic pain: A within-couple daily diary study
| Autor: | David A. Smith, John W. Burns, Francis J. Keefe, Ellen Kinner, Erik Schuster, Laura S. Porter, Kristina M. Peterson |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Time Factors Hostility Interpersonal communication Medical Records Article Interpersonal relationship Intervention (counseling) medicine Humans Expressed emotion Interpersonal Relations Prospective Studies Spouses Pain Measurement Medical record Chronic pain Middle Aged medicine.disease Cross-Sectional Studies Anesthesiology and Pain Medicine Neurology Spouse Female Self Report Neurology (clinical) Chronic Pain medicine.symptom Psychology Clinical psychology |
| Zdroj: | Pain. 154:2715-2721 |
| ISSN: | 0304-3959 |
| DOI: | 10.1016/j.pain.2013.07.053 |
| Popis: | Chronic musculoskeletal pain can strain marriages, perhaps even to the point of engendering spouse criticism and hostility directed toward patients. Such negative spouse responses may have detrimental effects on patient well-being. While results of cross-sectional studies support this notion, we extended these efforts by introducing expressed emotion (EE) and interpersonal theoretical perspectives, and by using electronic diary methods to capture both patient and spouse reports in a prospective design. Chronic low back pain (CLBP) patients and their spouses (N = 105 couples) reported on perceived spouse behavior and patient pain 5 times/day for 14 days using Personal Data Assistants (PDAs). Concurrent and lagged within-couple associations between patient's perceptions of spouse criticism/hostility and patient self-reported pain and spouses’ observations of patient pain behaviors revealed that 1) patient perceived spouse criticism and hostility were correlated significantly with pain intensity, and spouse observed patient pain behavior was related significantly with patient perceived hostility at the same time point; 2) patient perceived spouse hostility significantly predicted patient pain intensity three hours later, and spouse observed pain behaviors significantly predicted patient perceived spouse hostility three hours later. Results support both EE and interpersonal models, and imply that a comprehensive model would combine these conceptualizations to fully illustrate how spouse criticism/hostility and patient pain interact to produce a negative spiral. Given that marital interactions are amenable to clinical intervention, improved insight into how spouse behavior and patient pain are tightly linked will encourage productive translational efforts to target this neglected area. |
| Databáze: | OpenAIRE |
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