The relationship of chronic pain to depression, marital adjustment, and family dynamics

Mohamed, Sumaya; Weisz, Gary; Waring, Edward M.

doi:10.1016/0304-3959(78)90015-5

Cited by 107 publications

(32 citation statements)

References 13 publications

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“…Past research that has examined spouses' general health has shown that spouses of ICPs are more likely to have pain symptoms than spouses of patients with diabetes (Flor et al, 1987a). Additionally, spouses of depressed pain patients have more pain symptoms than spouses of depressed patients without pain (Mohamed et al, 1978). Mohamed et al (1978) further noted that the location of the pain symptoms among spouses was more similar to patient's pain location for this group compared to the depressed group without pain.…”

Section: Discussionmentioning

confidence: 75%

“…Additionally, spouses of depressed pain patients have more pain symptoms than spouses of depressed patients without pain (Mohamed et al, 1978). Mohamed et al (1978) further noted that the location of the pain symptoms among spouses was more similar to patient's pain location for this group compared to the depressed group without pain. Although that study lacked a group of participants who were not depressed but still had pain, the findings suggest some similarity within couples with pain.…”

Section: Discussionmentioning

confidence: 89%

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Pain affects spouses too: Personal experience with pain and catastrophizing as correlates of spouse distress

Leonard

Caño

2006

Pain

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Chronic pain has adverse effects on individuals with chronic pain (ICPs) as well as their family members. Borrowing from an empathy model described by Goubert et al. (2005), we examined topdown and bottom-up factors that may be related to psychological well-being in the spouses of ICPs. A diverse community sample of 113 middle-aged spouses of individuals with chronic pain (ICPs) completed measures on pain severity and spouse pain catastrophizing (PCS-S; Cano et al., 2005). Results showed that almost half (48.7%) of spouses reported chronic pain themselves and that pain in the spouse accounted for within-couple differences on psychological distress. That is, in couples where only the ICP reported pain, ICP psychological distress was greater than their spouses. However, when both partners reported chronic pain, there was no significant difference in psychological distress between partners. Hierarchical regression analyses showed that spouse magnification catastrophizing was associated with depressive and anxiety symptoms, and that helplessness catastrophizing was associated with depressive symptoms for spouses of ICPs who also reported chronic pain but not for spouses of ICPs without chronic pain. The results are discussed in light of interpersonal processes that may affect spouses' distress.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 89%

Pain affects spouses too: Personal experience with pain and catastrophizing as correlates of spouse distress

Leonard

Caño

2006

Pain

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“…45 However, many other studies that assessed both variables did not report these correlations. 25,58,64,69,[71][72][73]77,85,86,96,100 Although it is unclear, it is likely that these researchers did not report the correlations because they were weak or not significant. Perceived spousal support is another marital variable that has been of particular interest to rheumatoid arthritis (RA) researchers.…”

Section: Pain Severitymentioning

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 patients with depressive disorders, pain has been found as a symptom in a great proportion of the patients (yon Knorring~ 1975; yon Knorring et al, 1983;Merskey and Spear, 1967;Mohamed et al, 1978;Sternbacb, 1974;Ward et al, 1979). Depression has also been found to be a very common symptom in patients with chronic pain syndromes (Merskey and Spear, 1967;Sternbacb, 1974;Almay et al, 1978;Blumer and Heilbroeon, 1982;Sternbacb, 1980).…”

Section: Introductionmentioning

confidence: 94%

Pain as a symptom in depressive disorders and its relationship to platelet monoamine oxidase activity

Knorring

Perris

Oreland

et al. 1984

J. Neural Transmission

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144 depressed in-patients were rated by means of the Comprehensive Psychopathological Rating Scale (CPRS) and platelet monoamine oxidase (MAO) was determined. 49 per cent of the patients were found to have pain as a symptom, and 21 per cent were found to have more severe pain. The patients with more severe pain were found to have lower platelet MAO activity than the patients without pain or with slight pain. As platelet MAO activity may reflect the turn-over in the serotinergic systems in CNS it is hypothesized that patients with depressive disorders with pain as a symptom may have more pronounced disturbances in the serotinergic systems than patients without pain as a symptom.

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The relationship of chronic pain to depression, marital adjustment, and family dynamics

Cited by 107 publications

References 13 publications

Pain affects spouses too: Personal experience with pain and catastrophizing as correlates of spouse distress

Pain affects spouses too: Personal experience with pain and catastrophizing as correlates of spouse distress

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

Pain as a symptom in depressive disorders and its relationship to platelet monoamine oxidase activity

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