A causal analysis of chronic pain and depression.
A causal analysis of chronic pain and depression.
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慢性疼痛和抑郁症的因果分析。
DOI：
10.1037//0021-843x.99.2.127
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发表时间：
1990
影响因子：
4.6
通讯作者：
Brown,GK
中科院分区：
文献类型：
--
作者：
Brown,GK
关于慢性疼痛和抑郁症的相关程度以及这种相关性的可能因果关系，文献中存在相当大的争议。本研究以243名被诊断为类风湿性关节炎（RA）的患者为样本，通过邮寄问卷调查六波数据收集来研究这些问题。结果表明，类风湿性关节炎患者的抑郁情绪水平高于社区样本。采用双变量交叉滞后设计，协方差结构模型进行了自我报告的措施，疼痛和抑郁超过6个月的时间间隔。结果最有力地支持了一个因果模型，其中疼痛预测抑郁症在过去12个月的研究。
There is considerable controversy in the literature regarding the extent to which chronic pain and depression are associated and the possible causal relationship of such an association. The present study examines these issues with a sample of 243 patients diagnosed with rheumatoid arthritis (RA) who were mailed questionnaires for six waves of data collection. The results indicated that RA patients experience higher levels of depressive symptomatology than community samples. Using a twolatent-variable, cross-lagged design, covariance structural modeling was conducted on self-report measures of pain and depression over 6-month intervals. Results most strongly supported a causal model in which pain predicts depression during the last 12 months of the study.