Within-person relationships among pain intensity, mood and physical activity in chronic pain: a naturalistic approach

Abstract

Fifty-seven chronic pain patients rated their pain intensity, mood and activity level, at a random time schedule, eight times a day during 6 consecutive days, according to the Experience Sampling Method (ESM). Within-person correlations among pain intensity, mood and activity level were calculated. We found pain intensity to be significantly associated with mood. However, the associations between pain intensity and activity level, and activity level and mood could not be supported. Further, we examined whether the relationship between pain intensity and mood was the result of a pattern across the day. Results showed that pain intensity and mood were worst in the morning and improved during the afternoon among participants whose pain intensity and mood were correlated significantly. We suggest that attentional as well as behavioural processes might explain the established day pattern of pain intensity and mood.

The Association between Symptoms, Pain Coping Strategies, and Physical Activity Among People with Symptomatic Knee and Hip Osteoarthritis

“…We found that pain assessed momentarily was not significantly related to activity levels as measured by accelerometer. This finding is similar to previous studies of low back pain that have also reported a lack of relationship between pain and activity when measured objectively (Vendrig and Lousberg, 1997; Hasenbring et al, 2006; Huijnen et al, 2010). Fatigue, a symptom that is not typically addressed in clinical interventions and not typically examined in OA research studies, was significantly and negatively related to activity levels similar to our findings in a separate sample of women with knee or hip OA (Murphy et al, 2008b).…”

Better Quality Sleep Promotes Daytime Physical Activity in Patients with Chronic Pain? A Multilevel Analysis of the Within-Person Relationship

“…Applying multilevel modeling on the time-specific data, we assessed the impact of within-person changes in sleep quality and efficiency on physical activity levels during the following day. Although previous studies found neither pain nor mood a significant predictor of next-day physical activity [37], [38], we were mindful of the influence of sleep on these variables and included participants’ morning ratings of pain and mood in our models to control for these potential confounding factors and to maximise comparability of the current findings with the literature. Figure 1 depicts the design and data analysis plan of the current study.…”

How to Investigate Within-Subject Associations between Physical Activity and Momentary Affective States in Everyday Life: A Position Statement Based on a Literature Overview

“…The ages ranged from 10 to 85 years; thus, the studies assessed nearly all age groups, from adolescents (Axelson et al, 2003; Bohnert et al, 2009; Dunton et al, 2011) to young adults (Gauvin and Szabo, 1992; Vansteelandt et al, 2007; Hausenblas et al, 2008; LePage and Crowther, 2010; Kanning et al, 2012) to middle-aged and older people (the remaining 14 studies). In most cases, the sample was a healthy cohort; however, seven studies dealt with patient groups with conditions such as affective or eating disorders (Axelson et al, 2003; Vansteelandt et al, 2007), breast cancer (Grossman et al, 2008), joint replacement (Powell et al, 2009), knee osteoarthritis (Focht et al, 2004), or chronic pain (Vendrig and Lousberg, 1997). Two studies included overweight people (Carels et al, 2007; Rofey et al, 2010).…”