Depression in Chronic Back Pain Patients: Prediction of Pain Intensity and Pain Disability in Cognitive-Behavioral Treatment

Abstract

The authors concluded that reducing pain-related depression could be a central therapeutic mechanism in cognitive-behavioral treatment of chronic back pain.

Is it feasible and effective to provide osteopathy and acupuncture for patients with musculoskeletal problems in a GP setting? A service evaluation

“…Anxiety and depression are common among chronic pain patients and can exacerbate pain [45-47], making mental health an important factor to address when treating these patients. BQ data showed patients in this study improved on all biopsychosocial dimensions of pain, including anxiety and depression.…”

“…This suggests that holistic approaches like osteopathy and acupuncture may have added advantages for patient groups with relatively poor mental health. However, cognitive-behavioural and stress-management techniques may need to be considered alongside these therapies for patients who have psychological barriers to recovery [45,48,49]. …”

Pain‐related psychological distress, self‐rated health and significance of neuropathic pain in Danish soldiers injured in Afghanistan

“…4,5 Studies have shown that pain and mental health issues seldom occur in isolation but rather in combination with one another. 3,6,7 This comorbidity may result in an overall negative impact and studies indicate that individuals with chronic pain and co-occurring mental health disorders experience more intense levels of pain [8][9][10] and affective distress, 11 as well as greater disability. 9 In addition, studies have shown diminishing health-related quality of life correlating with increasing physical and mental burdens on the individual.…”

“…3,6,7 This comorbidity may result in an overall negative impact and studies indicate that individuals with chronic pain and co-occurring mental health disorders experience more intense levels of pain [8][9][10] and affective distress, 11 as well as greater disability. 9 In addition, studies have shown diminishing health-related quality of life correlating with increasing physical and mental burdens on the individual. 9,10,12 To date, most of the published research has focused on chronic pain as an entity, and there has been limited research examining the association of neuropathic pain and psychological comorbidity.…”

“…9 In addition, studies have shown diminishing health-related quality of life correlating with increasing physical and mental burdens on the individual. 9,10,12 To date, most of the published research has focused on chronic pain as an entity, and there has been limited research examining the association of neuropathic pain and psychological comorbidity. Findings from civilian studies suggest that individuals with neuropathic pain symptoms report higher levels of anxiety and depression in addition to diminished self-rated health compared with those classified with nonneuropathic pain, even when adjusted for intensity levels and duration of pain.…”