Details

Autor(en) / Beteiligte

• Arewasikporn, Anne
• Ehde, Dawn M.
• Alschuler, Kevin N.
• Turner, Aaron P.
• Jensen, Mark P.
• Ehde, Dawn M

Titel

Positive Factors, Pain, and Function in Adults With Multiple Sclerosis

Ist Teil von

• Rehabilitation psychology, 2018-11, Vol.63 (4), p.612-620

Ort / Verlag

United States: American Psychological Association

Erscheinungsjahr

2018

Link zum Volltext

Quelle

EBSCOhost APA PsycARTICLES

Beschreibungen/Notizen

• Objective: Much is known about the associations between negative factors and adjustment to chronic pain. However, less is known about how positive factors (e.g., positive affect [PA], resilience) function in relation to disability and mood in individuals with multiple sclerosis (MS). To better understand how positive factors contribute to function we sought to determine if (a) PA and/or trait resilience moderate the associations between pain intensity and function (pain interference, depressive symptoms), and (b) trait resilience concurrently mediates the association between PA and function in a sample of individuals with MS. Method: There were 455 adults with MS who provided data via an ongoing survey. Results: Controlling for negative affect, demographic, and disease-related variables, cross-sectional path analysis revealed the following: PA and trait resilience did not moderate the associations between pain intensity and pain interference (βPA = 0.01, p = .86; βRESILIENCE = 0.04, p = .33), and pain intensity and depression (βPA = 0.01, p = .79; βRESILIENCE = −0.02, p = .60). However, trait resilience significantly mediated the associations between PA and both criterion variables (abINTERFERENCE = −0.03, p = .03; abDEPRESSION = −0.13, p < .001). Conclusions: The findings provide preliminary support for the conclusion that PA is indirectly related to pain interference and depression via resilience, rather than serves as a protective function. The findings are consistent with theoretical models suggesting that increases in PA build personal resources. Research examining the potential benefits of increasing PA and resilience to improve pain outcomes in individuals with MS is warranted. Impact and Implications Although risk factors for poor quality of life, such as pain catastrophizing, are often examined in samples of adults with multiple sclerosis (MS), research on positive factors is scarce. This study is the first to examine relationships between positive affect, resilience, and pain measures by simultaneously evaluating two models of positive coping. Contrary to some previous research, no support was found for a stress and coping model hypothesizing buffering or moderating effects of positive affect and resilience on the associations between pain intensity and pain-related measures. This study is the first to test and demonstrate preliminary support for the broaden-and-build model of coping with pain in a sample of individuals with MS. Additional research to examine the potential for positive factors to enhance the efficacy of psychosocial interventions for pain in MS is warranted.