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Effects of anger and anger regulation styles on pain in daily life of women with fibromyalgia: A diary study
European Journal of Pain, 04/23/09
van Middendorp H et al. - Study suggests that anger and a general tendency to inhibit anger predicts heightened pain in the everyday life of female patients with fibromyalgia. Psychological intervention could focus on healthy anger expression to try to mitigate the symptoms of fibromyalgia.
Methods- Aim was to examine, among pts with fibromyalgia:
- whether anger during everyday life amplifies pain and
- whether general and situational anger inhibition and anger expression modulate the anger–pain link
- 333 women with fibromyalgia (mean age 47±12years)
- Subjects reported their transient anger and state anger inhibition and expression responses for 28 days
- Trait anger inhibition and expression were assessed by questionnaire
- State anger predicted higher end-of-day pain in half of the pts, but lower pain in one-quarter of pts
- State anger inhibition was unrelated to pain
- Trait anger inhibition was related to more pain
- Lowest pain level was observed among pts with high trait anger expression who actually expressed their anger in an anger-arousing situation
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