Relations between adaptive and maladaptive pain cognitions and within-day pain exacerbations in individuals with fibromyalgia
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The objectives of this study were to assess within-person hypotheses regarding temporal cognition-pain associations: (1) do morning pain flares predict changes in two afternoon adaptive and maladaptive pain-related cognitions, and (2) do these changes in afternoon cognitions predict changes in end-of-day pain reports, which in turn, carry over to predict next morning pain in individuals with fibromyalgia. Two hundred twenty individuals with fibromyalgia completed electronic assessments of pain intensity, pain catastrophizing, and pain coping efficacy three times a day for three weeks. Multilevel structural equation modeling established that afternoon catastrophizing and coping efficacy were parallel mediators linking late morning with end-of-day pain reports (controlling for afternoon pain), in line with prediction. Catastrophizing was a stronger mediator than coping efficacy. Moreover, afternoon cognitions and end-of-day pain reports served as sequential mediators of the relation between same-day and next-day morning pain. These findings align with assertions of cognitive-behavioral theories of pain that pain flares predict changes in pain both adaptive and maladaptive cognitions, which in turn, predict further changes in pain.
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The direction of the finding that pain catastrophizing predicts between-person differences in moment-to-moment pain increase corresponds with the literature [14,15].
“Although the contribution found is small, the direction of our finding corresponds with the literature [14,15].”
From Nocebo hyperalgesia and other expectancy-related factors in daily fibromyalgia pain: Combining experimental and electronic diary methods (2024) · cites this paper as [15]
The Results (Test of Within-day Mediation Model; page not provided) report that increased afternoon catastrophizing predicted a higher end-of-day pain report, supporting the direction of the association. The analysis was within-person, however, and does not establish the claimed between-person differences in moment-to-moment pain increase. (LLM, conf=0.85)
Experimental — accuracy not yet measuredIn fibromyalgia, both maladaptive (pain catastrophizing) and adaptive (pain coping) cognitions impact changes in daily pain intensity.
“In fibromyalgia, both maladaptive (pain cata strophizing) and adaptive (pain coping) cognitions have been found to impact changes in daily pain intensity [15].”
From Nocebo hyperalgesia and other expectancy-related factors in daily fibromyalgia pain: Combining experimental and electronic diary methods (2024) · cites this paper as [15]
Morning pain intensity predicts upcoming afternoon pain cognitions, which mediate end-of-day pain intensity.
“Morning pain intensity predicted the upcoming pain cognitions in the afternoon, which in turn mediated the end-of-day pain intensity [15].”
From Nocebo hyperalgesia and other expectancy-related factors in daily fibromyalgia pain: Combining experimental and electronic diary methods (2024) · cites this paper as [15]
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- Authors
- Taylor, S. S., Davis, M. C., Yeung, E. W., Zautra, A. J., & Tennen, H. A.
- Affiliations
- Durham VA Medical Center (US)
- Arizona State University (US)
- UConn Health (US)
- Corresponding author
- Taylor, Shannon Stark
- Venue
- Journal of Behavioral Medicine
- Published
- 2016-11-16
- Volume
- 40
- Issue
- 3
- Pages
- 458-467
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- PMC
- PMC5530764
- OpenAlex
- W2555352558
- Cited by
- 27
- References
- 45
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 6 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 2 · 2017: 1
- FWCI
- 2.37
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (5R01AR053245)
- Department of Veterans Affairs, Office of Academic Affiliations (TPP 21-027)
- National Institute on Alcohol Abuse and Alcoholism (T32AA013526)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- fibromyalgia, pain catastrophizing, pain intensity
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Cognition, Female, Fibromyalgia, Humans, Male, Middle Aged, Pain Measurement, Young Adult, Catastrophization, Chronic Pain
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