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Depressive Symptoms and Momentary Mood Predict Momentary Pain Among Rheumatoid Arthritis Patients

  • Author(s): Graham-Engeland, JE
  • Zawadzki, MJ
  • Slavish, DC
  • Smyth, JM
  • et al.
Abstract

© 2015 The Society of Behavioral Medicine Background: Although a relationship between mood and pain has been established cross-sectionally, little research has examined this relationship using momentary within-person data. Purpose: We examined whether baseline depressive symptoms and within-person levels of negative and positive mood predicted momentary pain among 31 individuals with rheumatoid arthritis (RA). Methods: Depressive symptomatology was measured at baseline. Mood and RA symptoms were self-reported via ecological momentary assessment five times a day for seven consecutive days. Analyses controlled for gender, age, weekend day, time of day, and experiences of stress. Results: Greater momentary positive mood was associated with less momentary pain and fewer arthritis-related restrictions; negative mood was associated with more restrictions. Greater depressive symptomatology also predicted more pain and restrictions, an effect which was not accounted for by mood. Conclusions: Results suggest that both depression and mood are uniquely associated with momentary pain; as such, multi-component interventions may provide optimal disease management.

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