Chronic pain and depression: Does the evidence support a relationship?

Romano, Joan M.; Turner, Jasmine

doi:10.1016/0304-3959(85)90139-3

Cited by 35 publications

(42 citation statements)

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“…Fear of movement/(re)injury subsequently leads to increased avoidance (as demonstrated in study 2), and in the long run to disuse, depression and increased disability (Philips 1987;Council et al 1988), as for example reflected by disability compensation (study 1). Both depression and disuse are known to be associated with decreasing pain tolerance levels (Romano and Turner 1985;McQuade et al 1988), and hence promoting the painful experiences. In patients with adaptive cognitions, confrontation rather than avoidance is likely to occur, promoting health behaviors and early recovery.…”

Section: Discussionmentioning

confidence: 99%

Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance

Vlaeyen

Kole-Snijders²,

Boeren³

et al. 1995

Pain

2,028

1,393

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SummaryTwo studies are presented that investigated 'fear of movement/(re)injury' in chronic musculoskeletal pain and its relation to behavioral performance. The 1st study examines the relation among fear of movement/(re)injury (as measured with the Dutch version of the Tampa Scale for Kinesiophobia (TSK-DV)) (Kori et al. 1990), biographical variables (age, pain duration, gender, use of supportive equipment, compensation status), pain-related variables (pain intensity, pain cognitions, pain coping) and affective distress (fear and depression) in a group of 103 chronic low back pain (CLBP) patients. In the 2nd study, motoric, psychophysiologic and self-report measures of fear are taken from 33 CLBP patients who are exposed to a single and relatively simple movement. Generally, findings demonstrated that the fear of movement/(re)injury is related to gender and compensation status, and more closely to measures of catastrophizing and depression, but in a much lesser degree to pain coping and pain intensity. Furthermore, subjects who report a high degree of fear of movement/(re)injury show more fear and escape/avoidance when exposed to a simple movement. The discussion focuses on the clinical relevance of the construct of fear of movement/(re)injury and research questions that remain to be answered.

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Section: Discussionmentioning

confidence: 99%

Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance

Vlaeyen

Kole-Snijders²,

Boeren³

et al. 1995

Pain

2,028

1,393

View full text Add to dashboard Cite

show abstract

“…2,11,14,28,46,67,72,96 Most models developed to describe the relationship between marital functioning and depression are based on cognitive-behavioral and interpersonal tenets. 3,23,38 For instance, appraisals of marital dissatisfaction or discord might lead to depression because of decreased spousal reinforcement and increased hostility, as well as perceived losses in social support and coping assistance from the spouse.…”

Section: Couples Functioning In Models Of Pain and Depressionmentioning

confidence: 99%

Chronic Pain in a Couples Context: A Review and Integration of Theoretical Models and Empirical Evidence

Leonard

Caño

Johansen

2006

The Journal of Pain

225

198

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Researchers have become increasingly interested in the social context of chronic pain conditions. The purpose of this article is to provide an integrated review of the evidence linking marital functioning with chronic pain outcomes including pain severity, physical disability, pain behaviors, and psychological distress. We first present an overview of existing models that identify an association between marital functioning and pain variables. We then review the empirical evidence for a relationship between pain variables and several marital functioning variables including marital satisfaction, spousal support, spouse responses to pain, and marital interaction. On the basis of the evidence, we present a working model of marital and pain variables, identify gaps in the literature, and offer recommendations for research and clinical work.Perspective-The authors provide a comprehensive review of the relationships between marital functioning and chronic pain variables to advance future research and help treatment providers understand marital processes in chronic pain.

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“…In an early study, Romano and Turner (17) indicated that from 40% to 50% of all chronic pain patients experienced some form of depression. Usually, this depression is situational in nature, reflecting patients' reaction to their suffering with pain.…”

Section: Insert Table 2 About Here ------------------------------Deprmentioning

confidence: 99%

Psychosocial Factors That Can Influence the Self-Assessment of Function

Gatchel

2004

J Occup Rehabil

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Chronic pain and depression: Does the evidence support a relationship?

Cited by 35 publications

References 0 publications

Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance

Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance

Chronic Pain in a Couples Context: A Review and Integration of Theoretical Models and Empirical Evidence

Psychosocial Factors That Can Influence the Self-Assessment of Function

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