The effects of depression and chronic pain on psychosocial and physical functioning
The effects of depression and chronic pain on psychosocial and physical functioning
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DOI：
10.1097/00002508-199606000-00006
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发表时间：
1996-06-01
影响因子：
2.9
通讯作者：
Gremillion, HA
中科院分区：
文献类型：
--
作者：
Holzberg, AD;Robinson, ME;Gremillion, HA
目的：本研究采用因果模型来研究抑郁症的躯体和认知症状对慢性疼痛患者功能的影响。设计：进行路径分析以确定疼痛水平是否与功能状态的心理社会和身体维度直接相关，或者这种关系是否由抑郁症介导。受试者是从佛罗里达大学的面部疼痛诊所招募的，这是一家与三级保健中心相关的门诊诊所。所有受试者完成了一个包的自我报告问卷，包括贝克抑郁症量表，麦吉尔疼痛问卷，和疾病的影响profile.Results：路径分析的结果表明，躯体和认知症状的抑郁症显着相关的心理社会功能，即使在控制疼痛水平，特质焦虑和特质愤怒的影响。躯体症状的抑郁症与疼痛水平，焦虑和愤怒后的身体功能显着相关。结论：本研究表明，抑郁症是直接相关的身体和心理社会功能的面部疼痛患者，而自我报告的疼痛水平是没有。更好地了解抑郁症对慢性疼痛的影响以及这两种疾病的关系可能会改善慢性疼痛疾病的评估和治疗。
Objective: The present study employed causal modeling to examine the impact of somatic and cognitive symptoms of depression on the functioning of patients with chronic pain.Design: Path analyses were conducted to determine whether pain level is directly related to the psychosocial and physical dimensions of functional status or whether this relationship is mediated by depression.Setting: Subjects were recruited from a facial pain clinic at the University of Florida, an outpatient clinic associated with a tertiary-care health center.Patients: Subjects were 70 patients with chronic pain, 53 of whom had primary facial pain.Main outcome measures: All subjects completed a packet of self-report questionnaires, including the Beck Depression Inventory, McGill Pain Questionnaire, and Sickness Impact Profile.Results: Results of path analyses indicated that both somatic and cognitive symptoms of depression significantly correlate with psychosocial functioning even after controlling for the effects of pain level, trait anxiety, and trait anger. Somatic symptoms of depression were significantly correlated with physical functioning after pain level, anxiety and anger were controlled.Conclusions: This study indicates that depression is directly related to both the physical and the psychosocial functioning of facial pain patients, while self-reported level of pain is not. A better understanding of the impact of depression on chronic pain and the relationship of these two disorders could lead to improved assessment and treatment of chronic pain disorders.