DEPRESSION AND THE CHRONIC PAIN EXPERIENCE
DEPRESSION AND THE CHRONIC PAIN EXPERIENCE
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DOI：
10.1016/0304-3959(91)90073-7
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发表时间：
1991-08-01
期刊：
影响因子：
7.4
通讯作者：
KERNS, RD
中科院分区：
文献类型：
--
作者：
HAYTHORNTHWAITE, JA;SIEBER, WJ;KERNS, RD
本研究探讨了抑郁症与一系列描述慢性疼痛患者经历的疼痛相关变量之间的关系。通过结构化访谈、使用标准化标准和贝克抑郁量表 (BDI) 评分，确定了 37 名抑郁症患者和 32 名非抑郁症异质性慢性疼痛患者。比较两组的人口统计学变量和马洛-克罗恩社会期望量表（MC）得分，以及残疾和药物使用、疼痛严重程度、疼痛造成的干扰和报告的疼痛行为的指标。研究发现，与非抑郁组相比，抑郁组更年轻，MC 得分也更低。使用年龄和 MC 作为协变量的多变量协方差分析 (MANCOVA) 显示，相对于非抑郁症患者，抑郁性慢性疼痛患者报告的疼痛强度更大、疼痛造成的干扰更大以及更多的疼痛行为。在残疾测量和药物使用方面没有组间差异。这些结果进一步支持了将抑郁症纳入慢性疼痛的临床和理论制定中的重要性。未来使用结构化访谈和标准化标准来诊断抑郁症可能会澄清文献中发现的一些不一致之处。
The present study examined the relationship between depression and a constellation of pain-related variables that describe the experience of chronic pain patients. Thirty-seven depressed and 32 non-depressed heterogeneous chronic pain patients were identified through structured interviews, use of standardized criteria and scores on the Beck Depression Inventory (BDI). The 2 groups were compared on demographic variables and scores on the Marlowe-Crowne Social Desirability scale (MC), as well as measures of disability and medication use, pain severity, interference due to pain and reported pain behaviors. The depressed group was found to be younger and to score lower on the MC than the non-depressed group. Multivariate analyses of covariance (MANCOVA), using age and MC as covariates, revealed that depressed chronic pain patients, relative to their non-depressed counterparts, reported greater pain intensity, greater interference due to pain and more pain behaviors. There were no group differences on the measures of disability and use of medications. The results provide further support for the importance of incorporating depression into clinical and theoretical formulations of chronic pain. Future use of structured interviews and standardized criteria for diagnosing depression may clarify some of the inconsistencies found in the literature.