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Predictive relationships between chronic pain and negative emotions: a 4-month daily process study using Therapeutic Interactive Voice Response (TIVR).

Publication ,  Journal Article
Naylor, MR; Krauthamer, GM; Naud, S; Keefe, FJ; Helzer, JE
Published in: Compr Psychiatry
2011

This article examines temporal relationships between negative emotions and pain in a cohort of 33 patients with chronic musculoskeletal pain enrolled in a telephone-based relapse prevention program (Therapeutic Interactive Voice Response [TIVR]), after 11 weeks of group cognitive behavioral therapy (CBT). Patients were asked to make daily reports to the TIVR system for 4 months after CBT. Patients' daily reports were analyzed with path analysis to examine temporal relationships between 3 emotion variables (anger, sadness, and stress) and 2 pain variables (pain and pain control). As expected, same-day correlations were significant between emotion variables and both pain and pain control. The lagged associations revealed unidirectional relationships between pain and next-day emotions: increased pain predicted higher reports of sadness the following day (P < .05). Conversely, increased pain control predicted decreased sadness and anger the following day (P < .05). Unlike some previous studies, this study did not reveal that an increase of negative emotions predicted increased next-day pain. We speculate that CBT treatment followed by the relapse prevention program teaches patients how to modulate negative emotions such that they no longer have a negative impact on next-day pain perception. The clinical implications of our findings are discussed.

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Published In

Compr Psychiatry

DOI

EISSN

1532-8384

Publication Date

2011

Volume

52

Issue

6

Start / End Page

731 / 736

Location

United States

Related Subject Headings

  • Telephone
  • Surveys and Questionnaires
  • Stress, Psychological
  • Secondary Prevention
  • Psychiatry
  • Middle Aged
  • Male
  • Humans
  • Female
  • Emotions
 

Citation

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Naylor, M. R., Krauthamer, G. M., Naud, S., Keefe, F. J., & Helzer, J. E. (2011). Predictive relationships between chronic pain and negative emotions: a 4-month daily process study using Therapeutic Interactive Voice Response (TIVR). Compr Psychiatry, 52(6), 731–736. https://doi.org/10.1016/j.comppsych.2010.11.008
Naylor, Magdalena R., G Michael Krauthamer, Shelly Naud, Francis J. Keefe, and John E. Helzer. “Predictive relationships between chronic pain and negative emotions: a 4-month daily process study using Therapeutic Interactive Voice Response (TIVR).Compr Psychiatry 52, no. 6 (2011): 731–36. https://doi.org/10.1016/j.comppsych.2010.11.008.
Naylor, Magdalena R., et al. “Predictive relationships between chronic pain and negative emotions: a 4-month daily process study using Therapeutic Interactive Voice Response (TIVR).Compr Psychiatry, vol. 52, no. 6, 2011, pp. 731–36. Pubmed, doi:10.1016/j.comppsych.2010.11.008.
Journal cover image

Published In

Compr Psychiatry

DOI

EISSN

1532-8384

Publication Date

2011

Volume

52

Issue

6

Start / End Page

731 / 736

Location

United States

Related Subject Headings

  • Telephone
  • Surveys and Questionnaires
  • Stress, Psychological
  • Secondary Prevention
  • Psychiatry
  • Middle Aged
  • Male
  • Humans
  • Female
  • Emotions