Cited by 178Musculoskeletal pain and rehabilitationRheumatoid Arthritis Research and TherapiesPediatric Pain Management Techniques

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Pain coping strategies and coping efficacy in rheumatoid arthritis: a daily process analysis

Keefe, Francis J, Affleck, Glenn, Lefebvre, John C, Starr, Kathleen, Caldwell, David S, Tennen, Howard·1997·Pain

DOI 10.1016/s0304-3959(96)03246-0

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Abstract

Data from daily diaries were used to analyze pain coping processes in rheumatoid arthritis patients. For 30 consecutive days, 53 individuals described the pain coping strategies they used that day and rated the efficacy of their coping, joint pain, and positive and negative mood. Relations among variables were examined across-persons and within-persons over time. At the across-persons level of analysis, (i) daily coping efficacy was unrelated to pain coping or pain intensity, and (ii) the more frequent daily use of a wide variety of pain coping strategies was correlated with greater pain. Within-person analyses provided unique information about the relations among coping, pain, and mood not apparent in the across-persons results. Specifically, these analyses showed that increases in daily coping efficacy were not only related to decreases in pain, but also to decreases in negative mood and increases in positive mood. Time-lagged effects of coping and coping efficacy were also found. Individuals who reported high levels of coping efficacy on one day had lower levels of pain on the subsequent day. The daily use of pain reduction efforts and relaxation strategies also contributed to an improvement in next-day pain and an enhancement of positive mood. The implications of these findings for the assessment of pain and coping in rheumatoid arthritis patients are discussed.

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Authors: Keefe, F. J., Affleck, G., Lefebvre, J. C., Starr, K., Caldwell, D. S., & Tennen, H.
Affiliations: Duke Medical Center (US)
University of Connecticut (US)
Corresponding author: Keefe, Francis J
ORCID: Keefe, Francis J
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1997-01
Volume: 69
Issue: 1
Pages: 35-42
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/s0304-3959(96)03246-0
OpenAlex: W2018719613
Cited by: 177
References: 25
Citations by year: 2026: 1 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 6 · 2018: 4 · 2016: 2 · 2015: 6 · 2014: 7 · 2013: 3 · 2012: 11
FWCI: 6.76
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5p60ar020621-19, 5r01ar035270-11)
National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR-42261, AR 35270, AR 20621, R01AR042261)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: rheumatoid arthritis, pain coping, coping self-efficacy, joint pain, mood, positive and negative affect, relaxation techniques, analgesia, within-person variability, time-lagged effects
MeSH terms: Adaptation, Psychological, Affect, Arthritis, Rheumatoid, Female, Humans, Male, Middle Aged, Pain, Relaxation Therapy, Pain Management

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Pain coping strategies and coping efficacy in rheumatoid arthritis: a daily process analysis

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