Full metadata
Title
Do daily fluctuations in interpersonal experiences moderate the relation between catastrophizing and self-efficacy in individuals with chronic pain?
Description
Prevailing models describing coping with chronic pain posit that it is a complex day-to-day process that can involve psychosocial factors, including cognitive appraisals about pain, interpersonal challenges such as distressed social relationships, and reduced engagement in enjoyable experiences. Few studies, however, have applied a process-oriented approach to elaborate the relations between key pain-related appraisals, social environmental factors, and self-efficacy, a key self-appraisal for successful adaptation to chronic pain. This study used within-day daily diary methodology to test the following hypotheses: (a) increases in morning pain catastrophizing predict decreases in end of day pain self-efficacy; (b) increases in perceived stressfulness of interpersonal relations occurring during the day exacerbate the negative effects of morning catastrophizing on end-of-day pain self-efficacy; and (c) increases in perceived enjoyment of interpersonal relations occurring during the day mitigate the negative effects of morning pain catastrophizing on end of day pain self-efficacy. Within-day measures, including morning pain catastrophizing, afternoon interpersonal stress and enjoyment ratings, and end-of-day pain self-efficacy, were collected for 21 days via an automated phone system from 223 participants with widespread chronic pain. The use of diary data allowed for examination of time-varying processes related to pain adaptation. Results of multilevel regression models indicated that, consistent with prediction, increases in morning pain catastrophizing and predicted decreases in end-of-day pain self-efficacy. Contrary to prediction, changes in midday interpersonal enjoyment and stress did not moderate the within-day catastrophizing-efficacy relation. Rather increases in midday enjoyment and stable individual differences in enjoyment predicted end-of-day efficacy. Overall, findings suggest a within-day relation between pain cognition and social context and subsequent self-efficacy, and highlight potential targets for intervention in chronic pain.
Date Created
2018
Contributors
- Thummala, Kirti (Author)
- Davis, Mary C. (Thesis advisor)
- Zautra, Alex (Committee member)
- Okun, Morris (Committee member)
- Arizona State University (Publisher)
Topical Subject
Resource Type
Extent
75 pages : illustrations (one color)
Language
eng
Copyright Statement
In Copyright
Primary Member of
Peer-reviewed
No
Open Access
No
Handle
https://hdl.handle.net/2286/R.I.48997
Statement of Responsibility
by Kirti Thummala
Description Source
Viewed on August 14, 2019
Level of coding
full
Note
thesis
Partial requirement for: M.A., Arizona State University, 2018
bibliography
Includes bibliographical references (pages 45-57)
Field of study: Psychology
System Created
- 2018-06-01 08:00:08
System Modified
- 2021-08-26 09:47:01
- 3 years ago
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