The impact of social interactions and pain on daily positive and negative affect in adults with osteoarthritis of the knee

• Published in: Aging & mental health Vol. 24; no. 1; pp. 8 - 14
• Main Authors: Rivera, Nicole V., Parmelee, Patricia A., Smith, Dylan M.
• Format: Journal Article
• Language: English
• Published: England Routledge 02.01.2020; Taylor & Francis Ltd
• Subjects: Activity patterns; Adults; Affect; Affect (Psychology); Aged; Aged, 80 and over; Arthritis; Biomedical materials; Chronic Pain - psychology; Coping; Demographic variables; Demographics; Depression - prevention & control; Ecological momentary assessment; Emotions; Female; Humans; Interviews; Knee; Male; Mental depression; Middle Aged; Mood; Negative emotions; Osteoarthritis; Osteoarthritis, Knee - psychology; Pain; Positive emotions; Quality of Life; quality of life/wellbeing; Self Report; Self-efficacy/coping; Social activities; Social factors; Social Interaction; Social interactions; social support; social support; quality of life/wellbeing; Self-efficacy/coping
• ISSN: 1360-7863; 1364-6915; 1364-6915
• DOI: 10.1080/13607863.2018.1506744

This study utilized experience sampling methodology (ESM) to examine the relationship of social interactions with daily pain and mood symptoms in people with osteoarthritis (OA) of the knee. Two hundred sixty-eight adults with physician-diagnosed OA of the knee underwent a baseline in-person interview and subsequent week-long ESM protocol to assess their daily activity patterns, pain, and mood via phone interview four times a day. A coding system was developed to assess presence and type of social interactions based on subject self-report of activity patterns. Multilevel modeling was used to examine between- and within-subject variation in outcomes based on both global and momentary measures of social activities, pain, and mood, while controlling for key demographic and potentially confounding variables. Positive associations were demonstrated between the ratio of positive to negative affect and both global (β = 0.49, p < .001) and momentary, especially positive (β = 0.24, p < .05), social activity patterns. Additionally, the association between negative affect and pain (β = −0.07, p < .01) was attenuated in those with more baseline social interactions. Social interaction has the potential to influence mood in adults with OA of the knee, both on a global scale, and through daily variations in interactions. These interactions seem to be directly related to mood, as well as the apparently attenuating the relationship between pain and depression. Daily social interactions showed a robust positive association with contemporaneous positive affect.