Ecological Momentary Assessment of Associations Between Sleep Quality, Stress, and Pain Among Women in Midlife with Risk for Cardiovascular Disease.

IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES
Gabrielle M Salvatore, Iris Bercovitz, Sofia Gular, Danielle Arigo
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引用次数: 0

Abstract

Women in midlife (ages 40-60) are at elevated risk of developing cardiovascular disease (CVD), and daily experiences such as stress, physical pain, and poor sleep quality exacerbate this risk. Understanding the severity and temporal sequencing of these experiences as they occur in daily life will inform health promotion efforts for this vulnerable group. To achieve these goals, we used ecological momentary assessment to clarify the occurrence, severity, and temporal associations between momentary stress and pain, and tested for moderating effects of subjective sleep quality on these associations. Participants were 75 women in midlife with >1 risk factors for CVD (mean age = 52 years, mean BMI = 34.0 kg/m2) who completed 10 days of assessment. Multilevel models showed considerable within-person variability in sleep quality and stress. Pain was reported at 32% of moments and showed within-person variability. Within-person, stress and pain were worse on days with poorer sleep; pain intensity was worse after times when stress was worse (vs. better), on days when sleep was poorer. Findings show that women experience considerable variability in their daily experiences of sleep quality, stress, and pain. Greater-than-usual stress may be a real-time marker of later pain, on days when sleep is worse than usual. This clarification of temporal sequencing in women's daily lives may inform just-in-time interventions to mitigate pain.

有心血管疾病风险的中年妇女睡眠质量、压力和疼痛之间关系的生态瞬时评估
中年女性(40-60岁)患心血管疾病(CVD)的风险较高,日常经历如压力、身体疼痛和睡眠质量差加剧了这种风险。了解这些经历在日常生活中发生时的严重程度和时间顺序,将为这一弱势群体的健康促进工作提供信息。为了实现这些目标,我们使用了生态瞬时评估来澄清瞬时压力和疼痛之间的发生、严重程度和时间关联,并测试了主观睡眠质量对这些关联的调节作用。参与者为75名中年女性,心血管疾病危险因素为bbb1(平均年龄52岁,平均BMI = 34.0 kg/m2),完成了10天的评估。多层次模型显示,睡眠质量和压力在人体内存在相当大的可变性。疼痛在32%的时刻被报告,并表现出人与人之间的差异。在人体内,睡眠不足的日子压力和疼痛更严重;在压力更大(vs.更好)、睡眠更差的日子里,疼痛强度更大。研究结果表明,女性在日常睡眠质量、压力和疼痛方面的经历存在相当大的差异。在睡眠比平时差的日子里,比平时更大的压力可能是后期疼痛的实时标志。这种对女性日常生活中时间序列的澄清可能会为及时干预减轻疼痛提供信息。
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来源期刊
Behavioral Medicine
Behavioral Medicine 医学-行为科学
CiteScore
5.30
自引率
4.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: Behavioral Medicine is a multidisciplinary peer-reviewed journal, which fosters and promotes the exchange of knowledge and the advancement of theory in the field of behavioral medicine, including but not limited to understandings of disease prevention, health promotion, health disparities, identification of health risk factors, and interventions designed to reduce health risks, ameliorate health disparities, enhancing all aspects of health. The journal seeks to advance knowledge and theory in these domains in all segments of the population and across the lifespan, in local, national, and global contexts, and with an emphasis on the synergies that exist between biological, psychological, psychosocial, and structural factors as they related to these areas of study and across health states. Behavioral Medicine publishes original empirical studies (experimental and observational research studies, quantitative and qualitative studies, evaluation studies) as well as clinical/case studies. The journal also publishes review articles, which provide systematic evaluations of the literature and propose alternative and innovative theoretical paradigms, as well as brief reports and responses to articles previously published in Behavioral Medicine.
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