Catastrophizing as a cognitive vulnerability factor related to depression in workers' compensation patients with chronic musculoskeletal pain

被引:25
作者
Lee, Eun-Jeong [1 ]
Wu, Ming-Yi [2 ]
Lee, Gloria K. [3 ]
Cheing, Gladys [4 ]
Chan, Fong [5 ]
机构
[1] IIT, Inst Psychol, Chicago, IL 60616 USA
[2] Natl Kaohsiung Normal Univ, Grad Inst Rehabil Counseling, Kaohsiung, Taiwan
[3] SUNY Buffalo, Dept Counseling Sch & Educ Psychol, Buffalo, NY 14260 USA
[4] Hong Kong Polytech Univ, Dept Rehabil Sci, Hong Kong, Hong Kong, Peoples R China
[5] Univ Wisconsin, Dept Rehabil Psychol & Special Educ, Madison, WI 53706 USA
关键词
depression; chronic musculoskeletal pain; catastrophizing; cognitive vulnerability; rehabilitation;
D O I
10.1007/s10880-008-9118-7
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The purpose of this study was to examine the role of catastrophizing as a mediator and moderator between life stress and depression in a sample of workers' compensation patients with chronic musculoskeletal pain. Pain intensity, life stress (especially work and financial stress), and catastrophizing contributed significantly to depression. Catastrophizing was found to be partially mediating the relationship between life stress and depression and a moderator between social stress and depression. The results supported the role of catastrophizing as a cognitive vulnerability-stress factor related to depression in chronic pain patients. Screening for life stress and intervening early to prevent catastrophizing from occurring in the workers' compensation rehabilitation process may reduce psychosocial distress and enhance the overall effectiveness of rehabilitation programming for workers' compensation patients with chronic pain.
引用
收藏
页码:182 / 192
页数:11
相关论文
共 66 条
[2]   The hopelessness theory of depression: A test of the diathesis-stress component in the interpersonal and achievement domains [J].
Abela, JRZ ;
Seligman, MEP .
COGNITIVE THERAPY AND RESEARCH, 2000, 24 (04) :361-378
[3]   HOPELESSNESS DEPRESSION - A THEORY-BASED SUBTYPE OF DEPRESSION [J].
ABRAMSON, LY ;
ALLOY, LB ;
METALSKY, GI .
PSYCHOLOGICAL REVIEW, 1989, 96 (02) :358-372
[4]  
ABRAMSON LY, 2002, HDB DEPRESSION, P295
[5]   CANCER-RELATED PAIN .2. ASSESSMENT WITH VISUAL ANALOG SCALES [J].
AHLES, TA ;
RUCKDESCHEL, JC ;
BLANCHARD, EB .
JOURNAL OF PSYCHOSOMATIC RESEARCH, 1984, 28 (02) :121-124
[6]  
Aiken L. S., 1991, Multiple Regression: Testing and Interpreting Interactions
[7]  
[Anonymous], 2005, Development of psychopathology: A vulnerability-stress perspective pp, DOI DOI 10.4135/9781452231655.N5
[8]   Explaining high rates of depression in chronic pain: A diathesis-stress framework [J].
Banks, SM ;
Kerns, RD .
PSYCHOLOGICAL BULLETIN, 1996, 119 (01) :95-110
[9]   THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].
BARON, RM ;
KENNY, DA .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182
[10]  
BECK A T, 1976, P356