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Cited by 218Musculoskeletal pain and rehabilitationRheumatoid Arthritis Research and TherapiesOptimism, Hope, and Well-being

Everyday life with osteoarthritis or rheumatoid arthritis: independent effects of disease and gender on daily pain, mood, and coping

Affleck, Glenn, Tennen, Howard, Keefe, Francis J, Lefebvre, John C, Kashikar-Zuck, Susmita, Wright, Katherine, Starr, Kathleen, Caldwell, David S·1999·Pain
DOI 10.1016/s0304-3959(99)00167-0
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Abstract

The effects of disease (form of arthritis) and gender on pain, mood, and pain coping strategies were examined in a prospective 30-day diary study of 71 patients with osteoarthritis (OA) and 76 with rheumatoid arthritis (RA). Diary instruments included joint pain ratings, POMS-B checklists for positive and negative mood, and the Daily Coping Inventory. Women's average daily pain was 72% greater than men's pain, and RA patients' average daily pain was 42% greater than OA patients' pain. Hierarchical Linear Models were estimated for (a) within-person associations between pain and next-day mood; coping and next-day pain; and coping and next-day mood; and (b) the independent effects of disease and gender on individual intercepts for pain, mood, and coping and on individual slopes for pain-coping-mood relations. Women, regardless of their disease, and RA patients, regardless of their gender, reported more daily pain. Women used more emotion-focused strategies each day than did men, regardless of their disease and even after controlling for their greater pain. Men were more likely than women to report an increase in negative mood the day after a more painful day. RA patients' pain worsened, but OA patients' pain improved, following a day with more emotion-focused coping. Implications for research and clinical practice are summarized.

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Crossref · 10.1016/s0304-3959(99)00167-0

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  • In patients with osteoarthritis and rheumatoid arthritis, after a day of intense pain, men were much more likely to report an increase in negative mood than women.

    “after a day of intense pain, men were much more likely to report an increase in negative mood than women.”

    From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [2]

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Authors
Affleck, G., Tennen, H., Keefe, F. J., Lefebvre, J. C., Kashikar-Zuck, S., Wright, K., Starr, K., & Caldwell, D. S.
Affiliations
  • Ohio University (US)
  • UConn Health (US)
  • Duke Medical Center (US)
Corresponding author
Affleck, Glenn
ORCID
Keefe, Francis J
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1999-12-01
Volume
83
Issue
3
Pages
601-609
ISSN
0304-3959 (ISSN-L)
DOI
10.1016/s0304-3959(99)00167-0
OpenAlex
W2121593831
Cited by
218
References
3
Citations by year
2026: 1 · 2025: 2 · 2024: 6 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 1 · 2019: 5 · 2018: 7 · 2017: 10 · 2016: 5 · 2015: 9 · 2014: 12 · 2013: 9 · 2012: 15
FWCI
3.91
Type
journal article
Language
en
Open access
closed
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • International Association for the Study of Pain
  • National Institutes of Health (5r01ar035270-11)
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR-42261, AR 35270, R01AR042261)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
  • Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Keywords
osteoarthritis, rheumatoid arthritis, joint pain, gender differences, mood, emotion-focused coping, daily pain, negative mood, within-person associations
MeSH terms
Adaptation, Psychological, Affect, Arthritis, Rheumatoid, Data Collection, Female, Humans, Male, Osteoarthritis, Prospective Studies, Sex Factors, Cohort Studies, Chi-Square Distribution, Linear Models, Arthralgia

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