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Vulnerability to stress among women in chronic pain from fibromyalgia and osteoarthritis davis et al. stress vulnerability
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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“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 Pain and Evil: From Local Nociception to Misery Following Social Harm (2020) · cites this paper as [143]
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“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 Pain and Evil: From Local Nociception to Misery Following Social Harm (2020) · cites this paper as [143]
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“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 Pain and Evil: From Local Nociception to Misery Following Social Harm (2020) · cites this paper as [143]
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Metadata
- 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
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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