Heterogeneous depression responses to chronic pain onset among middle-aged adults: A prospective study

Abstract

Studies on depression response to chronic pain are limited by lack of clarification of different forms of response patterns and cross-sectional measures. The current study examined heterogeneous long-term patterns of depression response to chronic pain onset using the mixture modeling technique. Depression symptoms prior to and following pain onset over a course of six years were charted in a nationally representative middle-aged sample. Four distinct depression symptom trajectories emerged. The resilience (72.0%) trajectory describes a pattern of no/minimal depression symptoms prior to and following pain onset. The post-pain depression trajectory (11.4%) describes a pattern of low depression at baseline and increasing symptoms following pain onset. The chronic depression (6.8%) trajectory is characterized by persistently high depression symptoms irrespective of pain onset. The prior depression improved (9.8%) trajectory describes a pattern of high depression at baseline and gradually declining symptoms following pain onset. Self-rated health at both baseline and following pain onset predicted the resilience trajectory. Baseline self-rated health distinguished the post-pain depression and chronic depression trajectories. Individuals in the prior depression improved trajectory were older and had more chronic illnesses at baseline but fewer illnesses following pain onset, compared to those in the resilience or post-pain depression trajectory.

Can having internal locus of control insure against negative shocks? Psychological evidence from panel data

“…In Mancini et al’s study, 71% of the sample did not report any significant changes in their life satisfaction at the year of divorce, and only 19% experienced a moderate decrease in their subjective well-being. Zhu et al (2014), using the Health and Retirement Study survey, report that 72% of people experienced zero or minimal depression symptoms prior to, and following, chronic pain onset. 2 …”

Can Having Internal Locus of Control Insure Against Negative Shocks? Psychological Evidence from Panel Data

“…In Mancini et al's study, 71% of the sample did not report any significant changes in their life satisfaction at the year of divorce, and only 19% experienced a moderate decrease in their subjective wellbeing. Zhu et al (2014), using the Health and Retirement Study survey, report that 72% of people experienced zero or minimal depression symptoms prior to, and following, chronic pain onset.…”

A closer look: Alternative pain management practices by heart failure patients with chronic pain

“…1 Chronic pain in people hospitalized with HF was reported as 60% at one hospital. 2 Chronic pain is associated with multiple negative consequences that include increased depression 3 and decreased physical activity, 4 both of which increase burden and further reduce the quality of life for people living with HF. 5 Non-cardiac pain reported by people with HF ranges in intensity, and pain interference with activity from mild 6 to severe, with severe ratings reported by 38.9%.…”