Symptoms and Related Functioning in a Traumatized Community

Berg, Bellis van den; Grievink, Linda; Stellato, Rebecca K.; Yzermans, C. Joris; Lebret, Erik

doi:10.1001/archinte.165.20.2402

Cited by 33 publications

(23 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4-6 Chronic pain is associated with increased stress and an impaired ability to cope effectively with stressful life events. 7 Patients with concomitant pain, anxiety, and social stressors are more likely to report greater depressive symptoms. Similarly, the likelihood of an anxiety disorder increases among individuals who experience pain and are also faced with social stressors.…”

Section: Introductionmentioning

confidence: 99%

Anxiety but Not Social Stressors Predict 12-Month Depression and Pain Severity

Bair

Poleshuck

et al. 2013

The Clinical Journal of Pain

View full text Add to dashboard Cite

OBJECTIVES To determine whether baseline anxiety and social stressors as well their early change (first 3 months) predict 12 month depression and pain severity. METHODS We analyzed data from the Stepped Care for Affective Disorders and Musculoskeletal Pain study, a randomized clinical trial of a combined medication-behavioral intervention for primary care patients with chronic musculoskeletal pain and depression. Using multivariable linear regression modeling, we examined the independent association of baseline anxiety and social stressors with depression and pain severity at 12 months. Additionally, we modeled whether changes in anxiety and social stressors predicted 12 month depression and pain severity. RESULTS Overall, the sample (N = 250) was 52.8% women with a mean age of 55.5 years, and a racial distribution of 60.4% White, 36.4% Black, and 3.2% other. Depression and pain were moderately severe at baseline (mean SCL-20 depression = 1.9 and BPI pain severity = 6.15) and similar across intervention and usual care arms. Baseline anxiety symptoms predicted both depression (t score = 2.13, p = 0.034) and pain severity (t score = 2.75, p = 0.007) at 12 months. Also, early change in anxiety predicted 12-month depression (t score = −2.47, p = .014), but not pain. Neither baseline nor early change in social stressors predicted depression or pain severity. CONCLUSIONS Anxiety, but not social stressors predict 12 month depression and pain severity. The presence of comorbid anxiety should be considered in the assessment and treatment of patients with musculoskeletal pain and depression, particularly as a factor that may adversely affect treatment response.

show abstract

Section: Introductionmentioning

confidence: 99%

Anxiety but Not Social Stressors Predict 12-Month Depression and Pain Severity

Bair

Poleshuck

et al. 2013

The Clinical Journal of Pain

View full text Add to dashboard Cite

show abstract

“…Pain may be associated with increased stress, and reduced resilience and coping capability when faced with stressful and traumatic life events [12]. Living with pain can lead to social isolation, interrupted ability to maintain roles such as grocery shopping and child care, and increased dependence on others for support.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial stress and anxiety in musculoskeletal pain patients with and without depression

Poleshuck¹,

Bair²,

Kroenke³

et al. 2009

General Hospital Psychiatry

View full text Add to dashboard Cite

Objective Determine if psychosocial stress and anxiety were associated with depression severity in primary care patients with chronic musculoskeletal pain. Method A cross-sectional sample of 500 primary care patients with musculoskeletal pain (250 with depression and 250 without depression) were assessed for anxiety, psychosocial stress, depression severity, and demographics. The depressed and nondepressed participants were compared using t-test and chi-square analyses. Multiple linear regression analyses evaluated the respective associations of psychosocial stressors and anxiety with SCL-20 depression severity across all 500 participants. Results Compared with nondepressed patients, the depressed patients reported significantly more psychosocial stressors and more severe anxiety. Depressed patients reported a higher frequency of difficulties with every psychosocial stressor assessed. After controlling for covariates, both anxiety and psychosocial stressors were associated with depression severity. Conclusion Both anxiety and psychosocial stress should be considered in the assessment and treatment of patients with musculoskeletal pain and depression. Psychosocial stressors among patients with pain may have an impact on depression beyond that of anxiety. Tailored, integrated treatments that target the psychosocial needs of patients with pain and depression are needed. In addition to pharmacotherapy, psychotherapy and other behavioral treatments may be especially important for depression complicated by anxiety or psychosocial stress.

show abstract

“…In past studies, disaster victims have scored higher than norms or controls on objective measures of morbidity (Holen 1991;Palinkas et al 1993), as well as on self-reported somatic complaints or checklists of medical conditions (e.g., Clayer et al 1985;Murphy 1984;Norris et al 2006;Phifer et al 1988). In particular, research has shown that physical health is negatively affected regardless of whether the disasters were natural or human-caused, and is particularly compromised for victims who were forced to relocate after the disaster (Escobar et al 1992;van den Berg et al 2005).…”

Section: Introductionmentioning

confidence: 99%