Reactive effects of diary self-assessment in chronic pain patients

Cruise, Charles E.; Broderick, Joan; Porter, Laura; Kaell, Alan; Stone, Arthur A.

doi:10.1016/0304-3959(96)03125-9

Cited by 126Musculoskeletal pain and rehabilitationMental Health Research TopicsPediatric Pain Management Techniques

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Reactive effects of diary self-assessment in chronic pain patients

Cruise, Charles E., Broderick, Joan, Porter, Laura, Kaell, Alan, Stone, Arthur A.·1996·Pain

DOI 10.1016/0304-3959(96)03125-9

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Abstract

Several studies of experimental and acute clinical pain have indicated reactive effects of self-assessment on pain intensity and tolerance. A recent study of chronic pain patients (vonBaeyer 1994), however, failed to show these effects. The present investigation sought to determine whether reactive effects can be produced in chronic pain patients by an intensive self-assessment protocol. Using the methodology of ecological momentary assessment (EMA; Stone and Shiffman 1994), thirty-five chronic rheumatoid arthritis patients completed diaries of pain and mood seven times a day for 1 wk. Eighteen patients were included in the final sample because they responded to at least half of the number of hourly prompts for each of the 7 days. Using repeated measures analysis of the daily means, no significant effects of time were found for any measures. Reactive effects that result in an average change in pain levels over time, therefore, do not appear to be produced by intensive self-assessment in a naturalistic context. Results are discussed in terms of cognitive and behavioral theories of pain reactivity.

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These findings are in line with reports of no symptom reactivity in other patient populations, such as those with chronic pain and mood disorders.
“These findings are in line with reports of no symptom reactivity in other patient populations, such as those with chronic pain (114) and mood disorders (81).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [114]

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Authors: Cruise, C. E., Broderick, J., Porter, L., Kaell, A., & Stone, A. A.
Affiliations: State University of New York (US)
Stony Brook University (US)
Corresponding author: Stone, Arthur A.
ORCID: Broderick, Joan
Porter, Laura
Kaell, Alan
Stone, Arthur A.
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1996-10
Volume: 67
Issue: 2
Pages: 253-258
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/0304-3959(96)03125-9
OpenAlex: W1965958056
Cited by: 126
References: 48
Citations by year: 2024: 3 · 2023: 2 · 2022: 4 · 2021: 3 · 2020: 4 · 2019: 7 · 2018: 5 · 2017: 5 · 2016: 6 · 2015: 6 · 2014: 4 · 2013: 4 · 2012: 9
FWCI: 1.51
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: chronic pain, pain intensity, pain tolerance, rheumatoid arthritis, ecological momentary assessment, pain reactivity
MeSH terms: Adult, Affect, Aged, Arthritis, Rheumatoid, Chronic Disease, Female, Humans, Male, Medical Records, Middle Aged, Pain, Self-Assessment

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Reactive effects of diary self-assessment in chronic pain patients

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