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Ecological Momentary Assessment of Associations Between Sleep Quality, Stress, and Pain Among Women in Midlife with Risk for Cardiovascular Disease.

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Title: Ecological Momentary Assessment of Associations Between Sleep Quality, Stress, and Pain Among Women in Midlife with Risk for Cardiovascular Disease.
Authors: Salvatore, Gabrielle M. (AUTHOR), Bercovitz, Iris (AUTHOR), Gular, Sofia (AUTHOR), Arigo, Danielle (AUTHOR)
Source: Behavioral Medicine. Apr-Jun2026, Vol. 52 Issue 2, p94-103. 10p.
Subjects: Risk assessment, Pain measurement, Research funding, Secondary analysis, Health status indicators, Cardiovascular diseases risk factors, Psychology of women, Descriptive statistics, Psychological stress, Pain, Intraclass correlation, Sleep, Circadian rhythms, Sleep quality, Activities of daily living, Psychosocial factors
Abstract: Women in midlife (ages 40–60) are at elevated risk of developing cardiovascular disease (CVD), and daily experiences such as stress, physical pain, and poor sleep quality exacerbate this risk. Understanding the severity and temporal sequencing of these experiences as they occur in daily life will inform health promotion efforts for this vulnerable group. To achieve these goals, we used ecological momentary assessment to clarify the occurrence, severity, and temporal associations between momentary stress and pain, and tested for moderating effects of subjective sleep quality on these associations. Participants were 75 women in midlife with >1 risk factors for CVD (mean age = 52 years, mean BMI = 34.0 kg/m2) who completed 10 days of assessment. Multilevel models showed considerable within-person variability in sleep quality and stress. Pain was reported at 32% of moments and showed within-person variability. Within-person, stress and pain were worse on days with poorer sleep; pain intensity was worse after times when stress was worse (vs. better), on days when sleep was poorer. Findings show that women experience considerable variability in their daily experiences of sleep quality, stress, and pain. Greater-than-usual stress may be a real-time marker of later pain, on days when sleep is worse than usual. This clarification of temporal sequencing in women's daily lives may inform just-in-time interventions to mitigate pain. [ABSTRACT FROM AUTHOR]
Copyright of Behavioral Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Ecological Momentary Assessment of Associations Between Sleep Quality, Stress, and Pain Among Women in Midlife with Risk for Cardiovascular Disease.
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  Data: <searchLink fieldCode="AR" term="%22Salvatore%2C+Gabrielle+M%2E%22">Salvatore, Gabrielle M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Bercovitz%2C+Iris%22">Bercovitz, Iris</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gular%2C+Sofia%22">Gular, Sofia</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Arigo%2C+Danielle%22">Arigo, Danielle</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Behavioral+Medicine%22">Behavioral Medicine</searchLink>. Apr-Jun2026, Vol. 52 Issue 2, p94-103. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+measurement%22">Pain measurement</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Health+status+indicators%22">Health status indicators</searchLink><br /><searchLink fieldCode="DE" term="%22Cardiovascular+diseases+risk+factors%22">Cardiovascular diseases risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+women%22">Psychology of women</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Pain%22">Pain</searchLink><br /><searchLink fieldCode="DE" term="%22Intraclass+correlation%22">Intraclass correlation</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep%22">Sleep</searchLink><br /><searchLink fieldCode="DE" term="%22Circadian+rhythms%22">Circadian rhythms</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+quality%22">Sleep quality</searchLink><br /><searchLink fieldCode="DE" term="%22Activities+of+daily+living%22">Activities of daily living</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Women in midlife (ages 40–60) are at elevated risk of developing cardiovascular disease (CVD), and daily experiences such as stress, physical pain, and poor sleep quality exacerbate this risk. Understanding the severity and temporal sequencing of these experiences as they occur in daily life will inform health promotion efforts for this vulnerable group. To achieve these goals, we used ecological momentary assessment to clarify the occurrence, severity, and temporal associations between momentary stress and pain, and tested for moderating effects of subjective sleep quality on these associations. Participants were 75 women in midlife with >1 risk factors for CVD (mean age = 52 years, mean BMI = 34.0 kg/m2) who completed 10 days of assessment. Multilevel models showed considerable within-person variability in sleep quality and stress. Pain was reported at 32% of moments and showed within-person variability. Within-person, stress and pain were worse on days with poorer sleep; pain intensity was worse after times when stress was worse (vs. better), on days when sleep was poorer. Findings show that women experience considerable variability in their daily experiences of sleep quality, stress, and pain. Greater-than-usual stress may be a real-time marker of later pain, on days when sleep is worse than usual. This clarification of temporal sequencing in women's daily lives may inform just-in-time interventions to mitigate pain. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Behavioral Medicine is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/08964289.2025.2513319
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 94
    Subjects:
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Pain measurement
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Secondary analysis
        Type: general
      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: Cardiovascular diseases risk factors
        Type: general
      – SubjectFull: Psychology of women
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Psychological stress
        Type: general
      – SubjectFull: Pain
        Type: general
      – SubjectFull: Intraclass correlation
        Type: general
      – SubjectFull: Sleep
        Type: general
      – SubjectFull: Circadian rhythms
        Type: general
      – SubjectFull: Sleep quality
        Type: general
      – SubjectFull: Activities of daily living
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
    Titles:
      – TitleFull: Ecological Momentary Assessment of Associations Between Sleep Quality, Stress, and Pain Among Women in Midlife with Risk for Cardiovascular Disease.
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            NameFull: Salvatore, Gabrielle M.
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            NameFull: Bercovitz, Iris
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            NameFull: Gular, Sofia
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            NameFull: Arigo, Danielle
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            – D: 01
              M: 04
              Text: Apr-Jun2026
              Type: published
              Y: 2026
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              Value: 52
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            – TitleFull: Behavioral Medicine
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