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Cited by 189Fibromyalgia and Chronic Fatigue Syndrome ResearchMusculoskeletal pain and rehabilitationPsychosomatic Disorders and Their Treatments

Vulnerability to stress among women in chronic pain from fibromyalgia and osteoarthritis davis et al. stress vulnerability

Davis, Mary C., Zautra, Alex J., Reich, John W.·2001·Annals of Behavioral Medicine
DOI 10.1207/s15324796abm2303_9
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Abstract

In two investigations, we studied vulnerability to the negative effects of stress among women in chronic pain from 2 types of musculoskeletal illnesses, fibromyalgia syndrome (FMS) and osteoarthritis (OA). In Study 1, there were 101 female participants 50 to 78 years old: 50 had FMS, 29 had OA knee pain and were scheduled for knee surgery, and 22 had OA but were not planning surgery. Cross-sectional analyses showed that the three groups were comparable on demographic variables, personality attributes, negative affect, active coping, and perceived social support. As expected, FMS and OA surgery women reported similar levels of bodily pain, and both groups scored higher than OA nonsurgery women. However, women with FMS reported poorer emotional and physical health, lower positive affect, a poorer quality social milieu, and more frequent use of avoidant coping with pain than did both groups of women with OA. Moreover, the perception and use of social support were closely tied to perceived social stress only among the FMS group. In Study 2, we experimentally manipulated negative mood and stress in 41 women 37 to 74 years old: 20 women had FMS, and 21 women had OA. Participantsfrom each group were randomly assigned to either a negative mood induction or a neutral mood (control) condition, and then all participants discussed a stressful interpersonal eventfor 30 min. Stress-related increases in pain were exacerbated by negative mood induction among women with FMS but not women with OA, and pain during stress was associated with decreases in positive affect in women with FMS but not women with OA. These findings suggest that among women with chronic pain, those with FMS may be particularly vulnerable to the negative effects of social stress. They have fewer positive affective resources, use less effective pain-coping strategies, and have more constrained social networks than their counterparts with OA, particularly those who experience similar levels ofpain. They also seem to experience more prolonged stress-related increases in pain under certain circumstances, all of which may contribute to a lowering of positive affect and increased stress reactivity over time.

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  • Subjects with fibromyalgia show negative moods, fewer positive affective resources, constrained social networks, reduced ability to mentalize, and poorer coping tools compared to patients with osteoarthritis.

    “Results showed that subjects with FM showed negative moods, fewer positive affective resources, constrained social networks, reduced ability to mentalize, and poorer coping tools in comparison to patients with OA”

    From <p>Pain and Evil: From Local Nociception to Misery Following Social Harm</p> (2020) · cites this paper as [143]

    The Study 1 Summary and Group Differences sections support fewer positive affective resources, more avoidant pain coping, and smaller social networks in women with fibromyalgia, particularly compared with women with osteoarthritis awaiting surgery. The Group Differences section reports greater emotional disturbance but no significant difference in negative affect. Our copy does not report reduced ability to mentalize. (LLM, conf=0.90)

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  • Vulnerability factors affect individual resilience skills in individuals with CP.

    “this feature has been correlated with the reduced ability of FM patients to cope with stressful life events, suggesting that vulnerability factors affect individual resilience skills in individuals with CP.”

    From <p>Pain and Evil: From Local Nociception to Misery Following Social Harm</p> (2020) · cites this paper as [143]

    The General Discussion reports that women with fibromyalgia may be more vulnerable to social stress than women with osteoarthritis, partly because of coping deficits. It does not establish that vulnerability factors affect resilience skills across individuals with chronic pain generally; the authors also note in the Study 1 Summary that its cross-sectional design cannot determine the effects of vulnerability factors. (LLM, conf=0.85)

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  • FM patients are more vulnerable to the negative effects of stress, and within CP conditions there are important differences.

    “The Authors also suggested that FM patients were more vulnerable to the negative effects of stress and that, within the CP conditions, there are important differences.”

    From <p>Pain and Evil: From Local Nociception to Misery Following Social Harm</p> (2020) · cites this paper as [143]

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Research works printed but not linked: 9

  1. Wolfe F, Ross K, Anderson J, Russell IJ, Herbert L: The preva- lence and characteristics of fibromyalgia in the general popula- tion. Arthritis & Rheumatism. 1995, 38:19-28.
  2. McDermid AJ, Rollman GB, McCain GA: Generalized hypervigilance of fibromyalgia: Evidence of perceptual ampli- fication. Pain. 1996, 66:133-144.
  3. Manne S, Zautra AJ: The effects of spouse critical remarks on psychological adjustment in rheumatoid arthritis. Journal of Personality and Social Psychology. 1989, 56:608-617.
  4. Burckhardt CS, Bejelle A: Perceived control: A comparison of women with fibromyalgia, rheumatoid arthritis, and systemic lupus erythematosus. Scandinavian Journal of Rheumatology. 1996, 25:300-306.
  5. Spangler DL, Simons AD, Thase ME: Gender differences in cognitive diathesis-stress domain match. Journal of Abnormal Psychology. 1992, 105:653-657.
  6. Watson D, Clark LA, Tellegen A: Development and validation of brief measures of positive and negative affect. Journal of Per- sonality and Social Psychology. 1998, 54:1063-1070.
  7. Bradley LA, Alarcon GS, Scarinci IC, Hailie JE: Pain thresh- olds and psychological distress among patients and non-pa- tients with fibromyalgia (FM). Arthritis and Rheumatism. 1992, 35:R11.
  8. Affleck G, Tennen H, Urrows S, Higgins P: Person and contex- tual features of daily stress reactivity. Journal of Personality and Social Psychology. 1994, 66:329-340.
  9. Mankin, HJ: Clinical features of osteoarthritis. In Kelly WN, Harris ED, Ruddy SR, Sledge CB (eds), Textbook of Rheumatology. Philadelphia: Saunders, 1993, 1374-1384.

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Authors
Davis, M. C., Zautra, A. J., & Reich, J. W.
Affiliations
Arizona State University (US)
ORCID
Davis, Mary C.
Venue
Annals of Behavioral Medicine
Publisher
Oxford University Press (OUP)
Published
2001-08
Volume
23
Issue
3
Pages
215-226
ISSN
  • 0742-5554 (ISSN-L)
  • 0883-6612
  • 1532-4796
DOI
10.1207/s15324796abm2303_9
OpenAlex
W1561201574
Cited by
189
References
52
Citations by year
2025: 3 · 2024: 4 · 2023: 3 · 2022: 7 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 6 · 2017: 4 · 2016: 7 · 2015: 11 · 2014: 7 · 2013: 13 · 2012: 15
FWCI
3.66
Type
journal article
Language
en
Open access
closed
Locations
  • Annals of Behavioral Medicine (publishedVersion)
  • PubMed (publishedVersion)
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 › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
stress vulnerability, fibromyalgia, osteoarthritis, chronic pain, women, social stress, negative mood induction, positive affect, avoidance coping, social support, knee surgery, stress reactivity
MeSH terms
Adaptation, Psychological, Affect, Aged, Attitude to Health, Chronic Disease, Female, Fibromyalgia, Humans, Interpersonal Relations, Middle Aged, Osteoarthritis, Pain, Pain Measurement, Quality of Life, Surveys and Questionnaires, Random Allocation, Social Support, Stress, Psychological

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