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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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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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