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Longitudinal associations between depression, anxiety, pain, and pain-related disability in chronic pain patients. | LitMetric

Longitudinal associations between depression, anxiety, pain, and pain-related disability in chronic pain patients.

Psychosom Med

From the Department of Psychology (Lerman, Shahar), Ben-Gurion University of the Negev, Beer-Sheva, Israel; Pain Specialty Clinic (Rudich, Shalev), Soroka University Medical Center, Beer-Sheva, Israel; Chaim Sheba Medical Center (Lerman), Tel Hashomer, Israel; and Pain Specialty Clinic (Brill), Sourasky Medical Center, Tel-Aviv, Israel.

Published: April 2015

AI Article Synopsis

  • The study investigates how chronic pain relates to depression and anxiety over time, as these mental health issues are common in people living with long-term pain and affect their overall quality of life.
  • A group of 428 chronic pain patients completed surveys at four different points, allowing researchers to analyze the interaction between pain, disability, and mental health symptoms using advanced statistical methods.
  • Results show that high levels of depression and anxiety can lead to increased pain and disability, but pain itself doesn't predict worsening depression or anxiety levels.

Article Abstract

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 (β = .27, p < .001) and pain-related disability (β = .38, p < .001). However, neither pain (β = .10, p = .126) nor pain-related disability (β = -.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.

Download full-text PDF

Source
http://dx.doi.org/10.1097/PSY.0000000000000158DOI Listing

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