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

Ann Behav Med. 2016 Feb;50(1):12-23. doi: 10.1007/s12160-015-9723-2.

Abstract

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.

Keywords: Affect; Depressed mood; Ecological momentary assessment; Negative mood; Pain; Positive mood.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Affect*
  • Arthritis, Rheumatoid / complications*
  • Arthritis, Rheumatoid / psychology*
  • Depression / complications*
  • Depression / diagnosis
  • Depression / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pain / complications*
  • Pain / psychology*
  • Self Report
  • Symptom Assessment