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Daily Social Enjoyment Interrupts the Cycle of Same-Day and Next-Day Fatigue in Women with Fibromyalgia

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

Background

Fatigue is a debilitating symptom of fibromyalgia (FM) that has limited treatment options. Some evidence, however, has linked positive social engagement with reduced within-day fatigue.

Purpose

This study elaborated longitudinal within-day and across-day relations between FM fatigue and social enjoyment.

Methods

One hundred seventy-six women with FM completed 21-day automated diaries assessing morning and end-of-day fatigue, and both afternoon social enjoyment and stress within two social domains: non-spousal and spousal.

Results

In the non-spousal domain, analysis supported a mediational path from lower morning fatigue to higher afternoon social enjoyment, which predicted lower end-of-day fatigue, and subsequently, lower next-morning fatigue. Enjoyment exerted a greater impact on within-day fatigue than did stress. Patterns in the spousal domain were similar, but the mediated path was nonsignificant.

Conclusions

Positive social engagement offers relief from FM fatigue that carries over across days and may provide an additional target to enhance the effectiveness of current interventions.

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References

  1. Neumann L, Buskila D (2003) Epidemiology of fibromyalgia. Curr Pain Headache Rep 7:362–368

    Article  PubMed  Google Scholar 

  2. Vincent A, Lahr BD, Wolfe F et al (2013) Prevalence of fibromyalgia: A population‐based study in Olmsted County, Minnesota, utilizing the Rochester Epidemiology Project. Arthritis Care Res 65:786–792

    Article  Google Scholar 

  3. Wolfe F, Clauw DJ, Fitzcharles MA et al (2010) The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res 62:600–610

    Article  Google Scholar 

  4. Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L (1995) The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum 38:19–28

    Article  CAS  PubMed  Google Scholar 

  5. Arnold LM, Hudson JI, Keck PE et al (2006) Comorbidity of fibromyalgia and psychiatric disorders. J Clin Psychiatry 67:1219–1225

    Article  PubMed  Google Scholar 

  6. Clauw DJ (2014) Fibromyalgia: A clinical review. JAMA 311:1547–1555

    Article  PubMed  Google Scholar 

  7. Fuller-Thomson E, Nimigon-Young J, Brennenstuhl S (2012) Individuals with fibromyalgia and depression: Findings from a nationally representative Canadian survey. Rheumatol Int 32:853–862

    Article  PubMed  Google Scholar 

  8. Wolfe F (1997) The relation between tender points and fibromyalgia symptom variables: Evidence that fibromyalgia is not a discrete disorder in the clinic. Ann Rheum Dis 56:268–271

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  9. Zautra AJ, Johnson LM, Davis MC (2005) Positive affect as a source of resilience for women in chronic pain. J Consult Clin Psychol 73:212–220

    Article  PubMed Central  PubMed  Google Scholar 

  10. Wolfe F, Hawley DJ, Wilson K (1996) The prevalence and meaning of fatigue in rheumatic disease. J Rheumatol 23:1407–1417

    CAS  PubMed  Google Scholar 

  11. Wolfe F, Smythe HA, Yunus MB et al (1990) The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis Rheum 33:160–172

    Article  CAS  PubMed  Google Scholar 

  12. Zautra AJ, Fasman R, Parish BP, Davis MC (2007) Daily fatigue in women with osteoarthritis, rheumatoid arthritis, and fibromyalgia. Pain 128:128–135

    Article  PubMed  Google Scholar 

  13. Henriksson C, Gundmark I, Bengtsson A, Ek A-C (1992) Living with fibromyalgia: Consequences for everyday life. Clin J Pain 8:138–144

    Article  CAS  PubMed  Google Scholar 

  14. Nicassio PM, Moxham EG, Schuman CE, Gevirtz RN (2002) The contribution of pain, reported sleep quality, and depressive symptoms to fatigue in fibromyalgia. Pain 100:271–279

    Article  PubMed  Google Scholar 

  15. Davis MC, Okun MA, Kruszewski D, Zautra AJ, Tennen H (2010) Sex differences in the relations of positive and negative daily events and fatigue in adults with rheumatoid arthritis. J Pain 11:1338–1347

    Article  PubMed Central  PubMed  Google Scholar 

  16. Finan P, Okun M, Kruszewski D et al (2010) Interplay of concurrent positive and negative interpersonal events in the prediction of daily negative affect and fatigue for rheumatoid arthritis patients. Health Psychol 29:429–437

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  17. Parrish BP, Zautra AJ, Davis MC (2008) The role of positive and negative interpersonal events on daily fatigue in women with fibromyalgia, rheumatoid arthritis, and osteoarthritis. Health Psychol 27:694–702

    Article  PubMed Central  PubMed  Google Scholar 

  18. Engel GL (1980) The clinical application of the biopsychosocial model. Am J Psychiatry 137:535–544

    Article  CAS  PubMed  Google Scholar 

  19. Rook KS (2003) Exposure and reactivity to negative social exchanges: A preliminary investigation using daily diary data. J Gerontol B-Psychol 58:100–P111

    Article  Google Scholar 

  20. Affleck G, Tennen H, Urrows S et al (1998) Fibromyalgia and women’s pursuit of personal goals: A daily process analysis. Health Psychol 17:40–47

    Article  CAS  PubMed  Google Scholar 

  21. Krause N, Jay G (1991) Stress, social support, and negative interaction in later life. Res Aging 13:333–363

    Article  Google Scholar 

  22. Schuster TL, Kessler RC, Aseltine RH Jr (1990) Supportive interactions, negative interactions, and depressed mood. Am J Commun Psychol 18:423–438

    Article  CAS  Google Scholar 

  23. Okifuji A, Turk D, Sinclair J, Starz T, Marcus D (1997) A standardized manual tender point survey. I. Development and determination of a threshold point for the identification of positive tender points in fibromyalgia syndrome. J Rheumatol 24:377–383

    CAS  PubMed  Google Scholar 

  24. Jensen MP, Karoly P, Braver S (1986) The measurement of clinical pain intensity: A comparison of six methods. Pain 27:117–126

    Article  CAS  PubMed  Google Scholar 

  25. Zautra AJ, Guarnaccia CA, Dohrenwend BP (1986) Measuring small life events. Am J Community Psychol 14:629–655

    Article  CAS  PubMed  Google Scholar 

  26. Buysse DJ, Reynolds CF, Monk TH, Hoch CC (1991) Quantification of subjective sleep quality in healthy elderly men and women using the Pittsburgh Sleep Quality Index (PSQI). J Sleep Res 14:331–338

    CAS  Google Scholar 

  27. Watson D, Clark LA, Tellegen A (1988) Development and validation of brief measures of positive and negative affect: The PANAS scales. J Pers Soc Psychol 54:1063–1070

    Article  CAS  PubMed  Google Scholar 

  28. Conner TS, Tennen H, Zautra AJ et al (2006) Coping with rheumatoid arthritis pain in daily life: Within-person analyses reveal hidden vulnerability for the formerly depressed. Pain 126:198–209

    Article  PubMed  Google Scholar 

  29. Preacher KJ, Zyphur MJ, Zhang Z (2010) A general multilevel SEM framework for assessing multilevel mediation. Psychol Methods 15:209–233

    Article  PubMed  Google Scholar 

  30. Muthén L, Muthén B. Mplus user’s guide. Los Angeles, CA: Muthén and Muthén, 1998–2002

  31. Kenny DA, Korchmaros JD, Bolger N (2003) Lower level mediation in multilevel models. Psychol Methods 8:115–128

    Article  PubMed  Google Scholar 

  32. Tofighi D, MacKinnon DP (2011) RMediation: An R package for mediation analysis confidence intervals. Behav Res Methods 43:692–700

    Article  PubMed Central  PubMed  Google Scholar 

  33. Muthén B, and Asparouhov T. Growth mixture modeling: Analysis with non-Gaussian random effects. Longitudinal Data Analysis. 2008; 143–165

  34. Holt-Lunstad J, Birmingham W, Jones BQ (2008) Is there something unique about marriage? The relative impact of marital status, relationship quality, and network social support on ambulatory blood pressure and mental health. Ann Behav Med 35:239–244

    Article  PubMed  Google Scholar 

  35. Umberson D, Williams K (2005) Marital quality, health, and aging: Gender equity? J Gerontol B-Psychol 60:S109–S113

    Article  Google Scholar 

  36. Fredrickson BL (1998) What good are positive emotions? Rev Gen Psychol 2:300–319

    Article  PubMed Central  PubMed  Google Scholar 

  37. Folkman S, Moskowitz JT (2000) Positive affect and the other side of coping. Am Psychol 55:647–654

    Article  CAS  PubMed  Google Scholar 

  38. Stone AA, Broderick JE, Porter LS, Kaell AT (1997) The experience of rheumatoid arthritis pain and fatigue: Examining momentary reports and correlates over one week. Arthritis Rheum 10:185–193

    Article  CAS  Google Scholar 

  39. Kisbu-Sakarya Y, MacKinnon DP, Aiken LS (2013) A Monte Carlo comparison study of the power of the analysis of covariance, simple difference, and residual change scores in testing two-wave data. Educ Psychol Meas 73:47–62

    Article  Google Scholar 

  40. Bernardy K, Füber N, Köllner V, Häuser W (2010) Efficacy of cognitive-behavioral therapies in fibromyalgia syndrome—a systematic review and metaanalysis of randomized controlled trials. J Rheumatol 37:1991–2005

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors thank David MacKinnon, Kristopher Preacher, and Alex Zautra. Research reported in this publication was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health under Award Number R01 AR053245-01. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Authors’ Statement of Conflict of Interest and Adherence to Ethical Standards

Authors Wan, Davis, Aiken, and Tennen declare that they have no conflict of interest. All procedures, including the informed consent process, were conducted in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.

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Correspondence to Ellen W. Yeung Ph.D..

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Yeung, E.W., Davis, M.C., Aiken, L.S. et al. Daily Social Enjoyment Interrupts the Cycle of Same-Day and Next-Day Fatigue in Women with Fibromyalgia. ann. behav. med. 49, 411–419 (2015). https://doi.org/10.1007/s12160-014-9666-z

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  • DOI: https://doi.org/10.1007/s12160-014-9666-z

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