Positive affect as a factor of resilience in the pain—negative affect relationship in patients with rheumatoid arthritis

Strand, Elin Bolle; Zautra, Alex; Thoresen, Magne; Ødegård, Sigrid; Uhlig, Till; Finset, Arnstein

doi:10.1016/j.jpsychores.2005.08.010

Cited by 126 publications

(96 citation statements)

References 48 publications

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“…Positive emotions, such as contentment, happiness and compassion, appear to be involved in stress resilience. They not only reduce Stress-Sensitivity in terms of altered mood response (Strand et al, 2006;Wichers et al, 2007a, b, c), but also in terms of stress-induced physical changes such as cardiovascular reactivity (Fredrickson and Levenson, 1998;Tugade and Fredrickson, 2004;Steptoe et al, 2007). In addition, they decrease the expression of genetic risk for depression and genetic risk for Stress-Sensitivity (Wichers et al, 2007a, b, c;Wichers et al, unpublished data).…”

Section: Introductionmentioning

confidence: 99%

Reduced Stress-Sensitivity or Increased Reward Experience: The Psychological Mechanism of Response to Antidepressant Medication

Wichers

Barge-Schaapveld

Nicolson

et al. 2008

Neuropsychopharmacol

126

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Depression has often been associated with increased negative affect reactivity to stress (Stress-Sensitivity) and reduced capacity to experience pleasure or positive affect (Reward Experience). To date, no studies have prospectively examined changes in StressSensitivity and Reward Experience following antidepressant treatment. The sample included 83 depressed patients and 22 healthy controls. A randomized controlled trial was carried out with patients receiving either imipramine or placebo for 6 weeks. At baseline and 6 weeks, patients and controls participated in an Experience Sampling procedure, prospectively measuring ecologically valid daily life appraisals of activities and mood states. The course of depression was assessed with the Hamilton Depression Rating Scale (HDRS). Multilevel linear regression analyses showed that patients had higher negative and lower positive appraisals of activities than controls. In addition, patients showed increased Stress-Sensitivity (negative affect reactivity to negatively appraised activities). Treatment with imipramine decreased Stress-Sensitivity and increased Reward Experience (positive affect reactivity to positively appraised activities). Changes in Stress-Sensitivity and Reward Experience were in part reducible to changes in the process of activity appraisal itself. However, increase in Reward Experience, but not decrease in Stress-Sensitivity, discriminated between patients who responded and those who did not, independent of changes in the process of activity appraisal itself. Response to treatment in depression may be conditional on restoration of hedonic capacity, the cerebral substrate of which requires further study in relation to antidepressant response. A search for (synergistic) antidepressant therapies specifically targeting ability to experience reward may be warranted.

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Section: Introductionmentioning

confidence: 99%

Reduced Stress-Sensitivity or Increased Reward Experience: The Psychological Mechanism of Response to Antidepressant Medication

Wichers

Barge-Schaapveld

Nicolson

et al. 2008

Neuropsychopharmacol

126

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“…Physiological mechanisms related to norephinephrine, oxytocin and endogenous opioids regulation following stress are also considered related to affect differentiation Zautra et al, 2001) It is important to highlight that affect differentiation within the DMA refers to the simultaneous relations between positive affect, negative affect and pain, which have been shown to follow the predicted pattern in samples of OA, RA and FM (Potter et al, 2000;Strand et al, 2006;Zautra et al, 2005;Zautra et al, 2007;Zautra et al, 1997;Zautra et al, 2001). The authors acknowledge the difficulties in …”

Section: Literature Review Processmentioning

confidence: 99%

“…Several empirical studies reviewed (Zautra, Potter, & Reich, 1997;Zautra, Smith, Affleck & Tennen, 2001;Zautra, Johnson, & Davis, 2005;Strand et al, 2006;Zautra et al, 2007) have tested predictions of the Dynamic Model of Affect in chronic pain (DMA; also in Zautra, Reich, Davis, Potter, & Nicolson, 2000;Reich, Zautra & Potter, 2001;Davis, Zautra & Smith, 2004). The initial focus of the DMA has been to clarify a longstanding controversy regarding the distinctiveness between positive and negative affect.…”

Section: Affect Differentiation -Positive Affect and Negative Affect mentioning

confidence: 99%

“…It is important to highlight that affect differentiation within the DMA refers to the simultaneous relations between positive affect, negative affect and pain, which have been shown to follow the predicted pattern in samples of OA, RA and FM Strand et al, 2006;Zautra et al, 2005;Zautra et al, 2007;Zautra et al, 1997;Zautra et al, 2001). The authors acknowledge the difficulties in Affect differentiation suggests that conceptualizing pain and positive and negative affect as distinct dimensions in clinical practice may be useful in clinical diagnosis, as these dimensions provide distinct information in some contexts.…”

Section: Affect Differentiation -Positive Affect and Negative Affect mentioning

confidence: 99%

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Dynamic pain–emotion relations in chronic pain: a theoretical review of moderation studies

Dima

Gillanders

Power

2013

Health Psychology Review

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Running head: DYNAMIC PAIN-EMOTION RELATIONS 2Current developments in chronic pain research are changing the focus in the study of pain-emotion relations from the identification of general patterns to the study of dynamic and context-related interactions manifesting both within and between individuals. This shift towards understanding variation at both intra-and interpersonal levels has significant clinical implications for psychological adjustment to chronic pain conditions, and thus represents an important topic for both clinical and health psychology. The present article reviews the existing theoretical explanations of these dynamics and their emerging empirical support, and suggests further areas of investigation. A literature search identified research on moderators of pain-emotion relations in chronic pain; existing theories were also examined from this perspective.A theoretical analysis revealed several important contributions, including the concepts of affect differentiation, generalized discrimination ability, resilience, vulnerability, coping, emotion regulation and desynchrony, which are described here together with the relevant empirical research and clinical implications. Important areas for development are the clarification of the common elements and opposing predictions and the empirical examination of mediating mechanisms. Several methodological issues are discussed. This review identifies a rich theoretical basis for research into pain-emotion moderation, and suggests that further examinations of such relationships might hold important clinical consequences. ; moderation; chronic pain; pain-affect Running head: DYNAMIC PAIN-EMOTION RELATIONS 3 In comparison to other health conditions, chronic pain is a special case, in that its main symptom, pain itself, is simultaneously a sensory and emotional experience. Keywords: pain; emotionTherefore, understanding the role of emotion in pain is central to our efforts of improving psychosocial adjustment to chronic pain. Moreover, since pain is a prevalent symptom in most health complaints, the study of pain-emotion relations can be considered a topic of strategic interest to health psychologists. However, chronic pain research and pain management interventions have focused predominantly on cognition and behaviour, and by comparison our understanding of emotion is still incipient. Although numerous studies have tackled pain-emotion relations from different perspectives, a coherent image is yet to emerge. The present review attempts to bring together various theoretical contributions in an effort to clarify one important aspect of this relationship: its dynamic quality, as shown by the increasing number of studies reporting moderating factors for pain-emotion relations. Thus, our review aims also to contribute to the current shift from solely cognitive and behavioural models towards recognising the contribution of emotion in chronic pain management.Emotion has been studied from various perspectives in chronic pain research.In the study of pain perceptio...

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“…Al respecto se han desarrollado en los últimos 20 años estudios empíricos sobre la influencia favorable de la resiliencia en la recuperación de las enfermedades crónicas, véa-se dolor crónico (Ong, Zautra & Reid, 2010;Sturgeon & Zautra, 2010;Zautra, Johnson & Davis, 2005), VIH/Sida (Bletzer, 2007;Moskowitz, 2010), esclerosis múltiple (Rabkin, Wagner & Del Bene, 2000), artritis reumatoide (Strand et al, 2006;Girtler et al, 2010), enfermedades reumáti-cas (Evers, Zautra & Thieme, 2011), fatiga en pacientes con cáncer sometidos a radioterapia (Strauss et al, 2007), cáncer de ovario (Wenzel et al, 2002), insuficiencia renal crónica (White, Driver & Warren, 2008), lesiones en la medula espinal (Catalano, Chan, Wilson, Chiu & Muller, 2011), tartamudez crónica (Craig, Blumgart & Tran, 2011). Más recientemente Stewart y Yuen (2011) y Trivedi, Bosworth y Jackson (2011) han desarrollado revisiones sistemáticas de literatura sobre el peso de la resiliencia sobre las enfermedades cróni-cas planteando un aumento exponencial año tras año de estos estudios sobre todo en países anglosajones.…”

Section: Introductionunclassified

Resilience, illness perception of disease, beliefs and spiritual-religious coping in relation to the health-related quality of life in chronic colombian patients

2012

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Resumen: El objetivo del estudio fue relacionar la resiliencia, percepción de enfermedad, creencias y afrontamiento espiritual-religioso sobre la calidad de vida relacionada con la salud en 121 pacientes de la ciudad de Medellín (Colombia) con diagnóstico de insuficiencia renal crónica (n=40), artritis reumatoide (n=41) y enfermedad pulmonar obstructiva crónica (n=40). Instrumentos: escala de resiliencia (RS), escala de resiliencia breve CD-RISC2, cuestionario breve de percepción de enfermedad (IPQ-B), inventario de sistema de creencias (SBI-15R), escala estrategias de afrontamiento espirituales (SCS) y cuestionario de Salud MOS SF-36. Los resultados del análisis de regresión lineal múltiple indicaron que las consecuencias y respuesta emocional tuvieron un peso negativo sobre el índice de salud mental, y que la competencia personal, años de estudios y afrontamiento no religioso tuvieron un peso positivo. Y, las consecuencias, edad y tiempo de diagnóstico de la enfermedad tuvieron un peso negativo sobre el índice de salud física. En conclusión, la CVRS se ve más afectada por las consecuencias, mientras que los años de estudios, el tener mayor tiempo de diagnóstico y más edad la favorecen. Finalmente las creencias/prácticas y el afrontamiento espiritual-religioso no tienen un peso significativo sobre la CVRS. Palabras clave: resiliencia; percepción de enfermedad; creencias y afrontamiento espiritual-religioso; calidad de vida relacionada con la salud; enfermedad crónica.Title: Resilience, illness perception of disease, beliefs and spiritualreligious coping in relation to the health-related quality of life in chronic colombian patients. Abstract: The aim of this study was to evaluate the resilience, illness perception, beliefs and spiritual-religious coping above health-related quality of life in 121 patients from Medellin (Colombia) with chronic kidney disease (n = 40), rheumatoid arthritis (n = 41) and chronic obstructive pulmonary disease (n = 40). Instruments: resilience scale RS, the ConnorDavidson resilience scale CD-RISC2, the brief illness perception questionnaire IPQ-B, systems of beliefs inventory SBI-15R, spiritual coping scale SCS and medical outcomes study short form 36 ítems MOS SF-36. The results of multiple linear regression analysis indicated that the consequences and emotional response of illness perception had a negative weight on the mental health index, and personal competence -RS, years of study and non-religious coping had a positive weight. And the consequences -IPQ-B, age and time of diagnosis of the disease had a negative weight above physical health index. Conclusion, HRQOL is more affected by the consequences, while that the years of schooling, more diagnosis time and years older favor it. Finally beliefs/practices and the spiritualreligious coping are not significant above HRQL.

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Positive affect as a factor of resilience in the pain—negative affect relationship in patients with rheumatoid arthritis

Cited by 126 publications

References 48 publications

Reduced Stress-Sensitivity or Increased Reward Experience: The Psychological Mechanism of Response to Antidepressant Medication

Reduced Stress-Sensitivity or Increased Reward Experience: The Psychological Mechanism of Response to Antidepressant Medication

Dynamic pain–emotion relations in chronic pain: a theoretical review of moderation studies

Resilience, illness perception of disease, beliefs and spiritual-religious coping in relation to the health-related quality of life in chronic colombian patients

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