Effects of anger and anger regulation styles on pain in daily life of women with fibromyalgia: A diary study
Abstract
Background Fibromyalgia is characterized by an amplified pain response to various physical stimuli. Through biological and behavioural mechanisms, patients with fibromyalgia may also show an increase of pain in response to emotions. Anger, and how it is regulated, may be particularly important in chronic pain. Aim To examine, among patients with fibromyalgia, whether anger during everyday life amplifies pain and whether general and situational anger inhibition and anger expression modulate the anger-pain link. Methods For 28 consecutive days, 333 women with fibromyalgia (mean age 47+/-12years) reported their transient anger and state anger inhibition (anger-in) and expression (anger-out) responses regarding a significant emotional event during the day as well as end-of-day pain. Trait anger inhibition and expression were assessed by questionnaire. Multilevel regression analyses were performed. Results State anger predicted higher end-of-day pain (p Conclusions Our study suggests that anger and a general tendency to inhibit anger predicts heightened pain in the everyday life of female patients with fibromyalgia. Psychological intervention could focus on healthy anger expression to try to mitigate the symptoms of fibromyalgia.
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A study examining female fibromyalgia patients showed that trait anger-out and behavioral anger expression appeared to interact, with the lowest pain intensity among high anger-out individuals who behaviorally expressed anger.
“a study examining female fibromyalgia patients64 showed that trait anger-out and behavioral anger expression appeared to interact, with the lowest pain intensity among high anger-out individuals who behaviorally expressed anger.”
From <p>Pain and Evil: From Local Nociception to Misery Following Social Harm</p> (2020) · cites this paper as [64]
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- Authors
- Van Middendorp, H., Lumley, M. A., Moerbeek, M., Jacobs, J. W. G., Bijlsma, J. W. J., & Geenen, R.
- Affiliations
- Wayne State University (US)
- Utrecht University (NL)
- University Medical Center Utrecht (NL)
- Venue
- European Journal of Pain
- Publisher
- Wiley
- Published
- 2010-02
- Volume
- 14
- Issue
- 2
- Pages
- 176-182
- ISSN
- 1090-3801 (ISSN-L)
- 1532-2149
- OpenAlex
- W2122837789
- Cited by
- 88
- References
- 50
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 4 · 2023: 6 · 2022: 7 · 2021: 7 · 2020: 2 · 2019: 9 · 2018: 7 · 2017: 7 · 2016: 4 · 2015: 9 · 2014: 6 · 2013: 4 · 2012: 3
- FWCI
- 2.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Funders
- Dutch Arthritis Association
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- fibromyalgia, anger, anger regulation, anger expression, pain, chronic pain, emotional pain, women, trait anger
- MeSH terms
- Adaptation, Psychological, Adult, Anger, Emotions, Female, Fibromyalgia, Humans, Medical Records, Middle Aged, Neurotic Disorders, Pain, Socioeconomic Factors, Time Factors
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