Abstract
This study addressed two issues concerning the theoretical and clinical relevance of depression to chronic pain: (a) whether reliable differences among depressed, mildly depressed, and nondepressed chronic pain patients could be identified and (b) whether depression influenced participation in or outcome following a rehabilitation program. To address the first issue, four theoretical constructs (pain severity, support from significant others, instrumental activities, and coping skills) were measured by multiple scales. Multivariate analyses of each construct revealed significant differences between the three groups on instrumental activities and coping skills, with more depressed individuals reporting lower levels of functioning. There was a tendency for depressed individuals to report less support. An analysis of the second issue revealed that depressed pain patients showed a greater tendency to drop out of treatment. Outcome did not vary with depression among treatment completers. The results reveal the need to consider a cognitive-behavioral model of depression secondary to chronic pain.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 870-876 |
| Number of pages | 7 |
| Journal | Journal of Consulting and Clinical Psychology |
| Volume | 56 |
| Issue number | 6 |
| State | Published - Dec 1988 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Clinical Psychology
- Psychiatry and Mental health
Cite this
Depression Among Chronic Pain Patients : Cognitive-Behavioral Analysis and Effect on Rehabilitation Outcome. / Kerns, Robert D.; Haythornthwaite, Jennifer.
In: Journal of Consulting and Clinical Psychology, Vol. 56, No. 6, 12.1988, p. 870-876.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Depression Among Chronic Pain Patients
T2 - Cognitive-Behavioral Analysis and Effect on Rehabilitation Outcome
AU - Kerns, Robert D.
AU - Haythornthwaite, Jennifer
PY - 1988/12
Y1 - 1988/12
N2 - This study addressed two issues concerning the theoretical and clinical relevance of depression to chronic pain: (a) whether reliable differences among depressed, mildly depressed, and nondepressed chronic pain patients could be identified and (b) whether depression influenced participation in or outcome following a rehabilitation program. To address the first issue, four theoretical constructs (pain severity, support from significant others, instrumental activities, and coping skills) were measured by multiple scales. Multivariate analyses of each construct revealed significant differences between the three groups on instrumental activities and coping skills, with more depressed individuals reporting lower levels of functioning. There was a tendency for depressed individuals to report less support. An analysis of the second issue revealed that depressed pain patients showed a greater tendency to drop out of treatment. Outcome did not vary with depression among treatment completers. The results reveal the need to consider a cognitive-behavioral model of depression secondary to chronic pain.
AB - This study addressed two issues concerning the theoretical and clinical relevance of depression to chronic pain: (a) whether reliable differences among depressed, mildly depressed, and nondepressed chronic pain patients could be identified and (b) whether depression influenced participation in or outcome following a rehabilitation program. To address the first issue, four theoretical constructs (pain severity, support from significant others, instrumental activities, and coping skills) were measured by multiple scales. Multivariate analyses of each construct revealed significant differences between the three groups on instrumental activities and coping skills, with more depressed individuals reporting lower levels of functioning. There was a tendency for depressed individuals to report less support. An analysis of the second issue revealed that depressed pain patients showed a greater tendency to drop out of treatment. Outcome did not vary with depression among treatment completers. The results reveal the need to consider a cognitive-behavioral model of depression secondary to chronic pain.
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UR - http://www.scopus.com/inward/citedby.url?scp=0024227057&partnerID=8YFLogxK
M3 - Article
VL - 56
SP - 870
EP - 876
JO - Journal of Consulting and Clinical Psychology
JF - Journal of Consulting and Clinical Psychology
SN - 0022-006X
IS - 6
ER -