TY - JOUR
T1 - Recalled early life adversity and pain
T2 - the role of mood, sleep, optimism, and control
AU - Mathur, Ambika
AU - Graham-Engeland, Jennifer E.
AU - Slavish, Danica C.
AU - Smyth, Joshua M.
AU - Lipton, Richard B.
AU - Katz, Mindy J.
AU - Sliwinski, Martin J.
N1 - Publisher Copyright:
© 2018, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2018/8/1
Y1 - 2018/8/1
N2 - Early life adversity (ELA) has been associated with pain symptomatology in adulthood, but mechanisms and moderators of these associations are unclear. Using recall based and concurrently assessed self-report data, we examined associations between ELA, mood, sleep, and recent pain intensity and interference, and whether optimism and perceived control weakened these associations in a midlife community sample of diverse adults reporting some ELA. Controlling for demographic variables and BMI, higher levels of ELA were associated with more pain intensity and interference; greater sleep disturbance and negative mood accounted for these associations. When moderation was examined, only the path from sleep disturbance to pain interference was significantly attenuated for those with higher optimism and higher perceived control. These findings suggest that higher levels of ELA may link with pain in adulthood through poorer mood and sleep, and that resilience resources such as optimism and control may buffer some of these pathways.
AB - Early life adversity (ELA) has been associated with pain symptomatology in adulthood, but mechanisms and moderators of these associations are unclear. Using recall based and concurrently assessed self-report data, we examined associations between ELA, mood, sleep, and recent pain intensity and interference, and whether optimism and perceived control weakened these associations in a midlife community sample of diverse adults reporting some ELA. Controlling for demographic variables and BMI, higher levels of ELA were associated with more pain intensity and interference; greater sleep disturbance and negative mood accounted for these associations. When moderation was examined, only the path from sleep disturbance to pain interference was significantly attenuated for those with higher optimism and higher perceived control. These findings suggest that higher levels of ELA may link with pain in adulthood through poorer mood and sleep, and that resilience resources such as optimism and control may buffer some of these pathways.
KW - Early life adversity
KW - Mood disturbance
KW - Optimism
KW - Pain
KW - Perceived control and mastery
KW - Sleep disturbance
KW - Structural equation modeling
UR - http://www.scopus.com/inward/record.url?scp=85042211959&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85042211959&partnerID=8YFLogxK
U2 - 10.1007/s10865-018-9917-8
DO - 10.1007/s10865-018-9917-8
M3 - Article
C2 - 29468533
AN - SCOPUS:85042211959
SN - 0160-7715
VL - 41
SP - 504
EP - 515
JO - Journal of Behavioral Medicine
JF - Journal of Behavioral Medicine
IS - 4
ER -
