caa a22 4500 606179003 CHVBK 20210128100759.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s11136-015-1031-6 doi (NATIONALLICENCE)springer-10.1007/s11136-015-1031-6 Meaning-focused coping, pain, and affect: a diary study of hospitalized women with rheumatoid arthritis [Elektronische Daten] [Ewa Gruszczyńska, Nina Knoll] Purpose: The aim of the study was to investigate the relationship between affective state, pain, and coping in hospitalized women with rheumatoid arthritis, including both between- and within-person perspectives. Methods: Participants were 95 female patients between 24 and 82years of age (M=50.91; SD=13.80). For three consecutive days, they rated each night their state affect (positive and negative), pain level, and coping strategies (emotion-, problem- and meaning-focused ones). Relations among variables were tested with a multilevel approach with time included as a covariate. Results: Within-person meaning-focused coping suppressed the negative pain effect on emotional state, but only for positive affect (Sobel's z=2.07, p=.04). Moderators of the pain-affect relationship were between-person differences in pain level (B=−.23, SE=.08, t=−2.884, p=.004) and in meaning-focused coping (B=−.63, SE=.20, t=−2.097, p=.04). Specifically, suppression was significant only for patients who reported lower than sample average pain levels and for patients who reported lower than sample average use of meaning-focused strategies. Conclusions: Findings indicated that meaning-focused coping can be a crucial strategy for keeping daily positive affect in the face of chronic pain and how this effect is modified by interindividual differences. Even if restricted to the specific context, it may inform an intervention for hospitalized women with rheumatoid arthritis. The Author(s), 2015 Pain nationallicence Coping nationallicence Affect nationallicence Rheumatoid arthritis nationallicence Diary study nationallicence Multilevel modeling nationallicence Gruszczyńska Ewa Health Psychology Department, University of Social Sciences and Humanities, Chodakowska 19/31, 03-815, Warsaw, Poland aut Knoll Nina Division of Health Psychology, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany aut Quality of Life Research Springer International Publishing 24/12(2015-12-01), 2873-2883 0962-9343 24:12<2873 2015 24 11136 https://doi.org/10.1007/s11136-015-1031-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-015-1031-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gruszczyńska Ewa Health Psychology Department, University of Social Sciences and Humanities, Chodakowska 19/31, 03-815, Warsaw, Poland aut NATIONALLICENCE 700 1- Knoll Nina Division of Health Psychology, Freie Universität Berlin, Habelschwerdter Allee 45, 14195, Berlin, Germany aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/12(2015-12-01), 2873-2883 0962-9343 24:12<2873 2015 24 11136