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Effects of Pain Intensity on Goal Schemas and Goal Pursuit: A Daily Diary Study

机译:疼痛强度对目标模式和目标追求的影响:每日日记研究

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摘要

abstract: Objective: Although the adverse effects of chronic pain on work productivity and daily life pursuits are clear, the within-person dynamics of pain, goal cognition, and engagement in work-related and lifestyle goals remain uncharted. This study investigated the impact of pain intensity (assessed on 3 occasions each day) and goal-related schematic thinking (ratings of importance, planning, and goal pursuit opportunities, assessed only in the morning) on afternoon and evening work and lifestyle goal pursuit. Methods: A community sample of working adults with chronic pain (N = 131) were screened and interviewed about their work and lifestyle goals and completed a 21-day telephonic diary. Hierarchical linear modeling was used to estimate within-person and between-person effects. Results: At the within-person level, morning pain intensity was inversely related to schematic cognition concerning work and lifestyle goals, whereas, at the between-person level, morning pain intensity varied positively with schematic thinking about work goals as well with afternoon lifestyle goal pursuit. At both the between- and within- analytic levels, morning goal schemas were positively associated with the pursuit of each type of goal in the afternoon and again in the evening. Moreover, positive carry-over effects of morning goal schemas on next day afternoon goal pursuit were observed. Conclusions: Whereas morning pain intensity exhibited inconsistent effects across analytic levels, morning goal-related schematic thinking consistently predicted goal pursuit across analytic levels, type of goal, and time of day. These findings have implications for treatment and prevention of pain’s potentially deleterious effects on workplace and lifestyle goals.
机译:摘要:目的:尽管慢性疼痛对工作效率和日常生活追求的不良影响是显而易见的,但是人们内部的疼痛,目标认知以及参与与工作有关的生活方式和生活方式目标的动态仍然未知。这项研究调查了疼痛强度(每天3次评估)和与目标相关的示意性思维(重要性,计划和目标追求机会的等级,仅在早晨进行评估)对下午和晚上工作以及生活方式目标追求的影响。方法:筛选社区样本的慢性疼痛(N = 131)的在职成年人,并就他们的工作和生活方式目标进行访谈,并完成了为期21天的电话日记。分层线性建模用于估计人际和人际影响。结果:在人际层面上,早晨疼痛强度与关于工作和生活方式目标的示意性认知成反比,而在人际层面上,早晨疼痛强度与关于工作目标以及下午生活方式目标的示意性思考呈正相关追求。在分析之间和内部两个层面上,早晨的目标方案与下午和晚上对每种目标的追求均呈正相关。此外,观察到早晨目标方案对第二天下午目标追求的积极影响。结论:早晨疼痛强度在分析水平上表现出不一致的影响,而早晨与目标相关的示意图式思维则一致地预测了分析水平,目标类型和一天中不同时间的目标追求。这些发现对治疗和预防疼痛对工作场所和生活方式目标的潜在有害影响具有重要意义。

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