TitleRecalled early life adversity and pain: the role of mood, sleep, optimism, and control.
Publication TypeJournal Article
Year of Publication2018
AuthorsMathur, A, Graham-Engeland, JE, Slavish, DC, Smyth, JM, Lipton, RB, Katz, MJ, Sliwinski, MJ
JournalJ Behav Med
Volume41
Issue4
Pagination504-515
Date Published2018 08
ISSN1573-3521
KeywordsAdult, Affect, Female, Humans, Life Change Events, Male, Mental Recall, Middle Aged, Optimism, Pain, Self-Control, Sleep Wake Disorders
Abstract

<p>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.</p>

DOI10.1007/s10865-018-9917-8
Alternate JournalJ Behav Med
PubMed ID29468533
PubMed Central IDPMC6778653
Grant ListR01 AG039409 / AG / NIA NIH HHS / United States
R01 AG042595 / AG / NIA NIH HHS / United States
R01AG039409 / AG / NIA NIH HHS / United States
R01AG042595 / AG / NIA NIH HHS / United States
P01 AG003949 / AG / NIA NIH HHS / United States