Longitudinal Associations Between Depression, Anxiety, Pain, and Pain-Related Disability in Chronic Pain Patients

被引:275
作者
Lerman, Sheera F. [1 ,3 ]
Rudich, Zvia [2 ]
Brill, Silviu [4 ]
Shalev, Hadar [2 ]
Shahar, Golan [1 ]
机构
[1] Ben Gurion Univ Negev, Dept Psychol, IL-84105 Beer Sheva, Israel
[2] Soroka Univ, Med Ctr, Pain Specialty Clin, Beer Sheva, Israel
[3] Chaim Sheba Med Ctr, IL-52621 Tel Hashomer, Israel
[4] Tel Aviv Univ, Tel Aviv Sourasky Med Ctr, Pain Specialty Clin, IL-69978 Tel Aviv, Israel
来源
PSYCHOSOMATIC MEDICINE | 2015年 / 77卷 / 03期
基金
以色列科学基金会;
关键词
chronic pain; depression; anxiety; pain-related disability; LOW-BACK-PAIN; QUALITY-OF-LIFE; CHRONIC WIDESPREAD PAIN; RISK-FACTOR; RECIPROCAL RELATIONSHIP; PSYCHIATRIC-DISORDERS; GENERAL-POPULATION; MAJOR DEPRESSION; MENTAL-DISORDERS; FIT INDEXES;
D O I
10.1097/PSY.0000000000000158
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective The current study sets out to examine the longitudinal relationship between pain, pain-related disability, and symptoms of depression and anxiety. The latter symptoms are highly prevalent in chronic pain and seriously impede functioning and quality of life. Nevertheless, the direction of the relationship involving these variables among individuals with chronic pain is still unclear. Methods Four-hundred twenty-eight individuals with chronic pain (238 women, mean age 54.84 years, mean pain duration 85.21 months) treated at two pain clinics completed questionnaires regarding their pain (Short-Form McGill Pain Questionnaire), depression (Center for Epidemiological Studies-Depression Scale), state anxiety (State-Trait Anxiety Inventory), and pain-related disability (Pain Disability Index) at four time points, with an average of 5 months between measurements. Cross-lagged, structural equation modeling analyses were performed, enabling the examination of longitudinal associations between the variables. Results Significant symptoms of both depression and anxiety were reported by more than half of the sample on all waves. A latent depression/anxiety variable longitudinally predicted pain ( = .27, p < .001) and pain-related disability ( = .38, p < .001). However, neither pain ( = .10, p = .126) nor pain-related disability ( = -.01, p = .790) predicted depression/anxiety. Conclusions Among adult patients with chronic pain treated at specialty pain clinics, high levels of depression and anxiety may worsen pain and pain-related disability.
引用
收藏
页码:333 / 341
页数:9
相关论文
共 95 条
[1]   Comorbid depression, chronic pain, and disability in primary care [J].
Arnow, BA ;
Hunkeler, EM ;
Blasey, CM ;
Lee, J ;
Constantino, MJ ;
Fireman, B ;
Kraemer, HC ;
Dea, R ;
Robinson, R ;
Hayward, C .
PSYCHOSOMATIC MEDICINE, 2006, 68 (02) :262-268
[2]   Self-reported pain interference and symptoms of anxiety and depression in community-dwelling older adults: Can a temporal relationship be determined? [J].
Arola, Heidi-Maria ;
Nicholls, Elaine ;
Mallen, Christian ;
Thomas, Elaine .
EUROPEAN JOURNAL OF PAIN, 2010, 14 (09) :966-971
[3]   Association of Depression and Anxiety Alone and in Combination With Chronic Musculoskeletal Pain in Primary Care Patients [J].
Bair, Matthew J. ;
Wu, Jingwei ;
Damush, Teresa M. ;
Sutherland, Jason M. ;
Kroenke, Kurt .
PSYCHOSOMATIC MEDICINE, 2008, 70 (08) :890-897
[4]   Anxiety but Not Social Stressors Predict 12-Month Depression and Pain Severity [J].
Bair, Matthew J. ;
Poleshuck, Ellen L. ;
Wu, Jingwei ;
Krebs, Erin K. ;
Damush, Teresa M. ;
Tu, Wanzhu ;
Kroenke, Kurt .
CLINICAL JOURNAL OF PAIN, 2013, 29 (02) :95-101
[5]   Depression and pain comorbidity - A literature review [J].
Bair, MJ ;
Robinson, RL ;
Katon, W ;
Kroenke, K .
ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (20) :2433-2445
[6]   Explaining high rates of depression in chronic pain: A diathesis-stress framework [J].
Banks, SM ;
Kerns, RD .
PSYCHOLOGICAL BULLETIN, 1996, 119 (01) :95-110
[7]  
BENTLER PM, 1980, PSYCHOL BULL, V88, P588, DOI 10.1037/0033-2909.107.2.238
[8]  
BENTLER PM, 1990, PSYCHOL BULL, V107, P238, DOI 10.1037/0033-2909.88.3.588
[9]   MULTIVARIATE-ANALYSIS WITH LATENT-VARIABLES - CAUSAL-MODELING [J].
BENTLER, PM .
ANNUAL REVIEW OF PSYCHOLOGY, 1980, 31 :419-456
[10]   CHOICE OF STRUCTURAL MODEL VIA PARSIMONY - A RATIONALE BASED ON PRECISION [J].
BENTLER, PM ;
MOOIJAART, A .
PSYCHOLOGICAL BULLETIN, 1989, 106 (02) :315-317