Chronic Low Back Pain, Description, and Attributional Styloe

Cheatle, Martin D.; Brandy, J. P.; Ruland, T.

doi:10.1097/00002508-199006000-00007

Cited by 21 publications

(17 citation statements)

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“…Our results indicate that low back and neck pain are major public health problems in the US because more than 34 million (17%) adults reported LBPO, 9 million (4%) reported NPO, and 19 million (9%) reported LBPNP in the previous 3 months. Not only does our study corroborate previous research suggesting an association between low back and neck pain, depressive and anxiety symptoms (15–30), fatigue (31), and sleep impairments (32, 33), it also suggests that persons with LBPO, NPO, and LBPNP are significantly more likely than those without either condition to have potential serious mental illness, even after adjustment for number and type of comorbid conditions and sociodemographic characteristics.…”

Section: Discussionsupporting

confidence: 88%

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US national prevalence and correlates of low back and neck pain among adults

Strine

Hootman

2007

Arthritis & Rheumatism

335

265

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Objective. To estimate the US prevalence and psychological and health behavior correlates of low back pain and/or neck pain. No current US national prevalence estimates of low back and neck pain exist and few studies have investigated the associations between low back and neck pain, psychological factors, and health behaviors in a representative sample of US community dwellers. Methods. We analyzed data obtained from adults ages 18 years or older (n ‫؍‬ 29,828) who participated in the 2002 National Health Interview Survey, a cross-sectional, population-based survey of US adults. Results. The 3-month US prevalence of back and/or neck pain was 31% (low back pain: 34 million, neck pain: 9 million, both back and neck pain: 19 million). Generally, adults with low back and/or neck pain reported more comorbid conditions, exhibited more psychological distress (including serious mental illness), and engaged in more risky health behaviors than adults without either condition. Conclusion. Low back and neck pain are critical public health problems. Our study supports the idea of a multidimensional approach to examining low back and neck problems and suggests the need for further research to address potentially modifiable psychological factors and health behaviors in these populations.

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Section: Discussionsupporting

confidence: 88%

“…(34), and psychological (depression, anxiety disorders, somatization, personality disorders, etc.) factors (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30), as well as coping skills (51). Impairments in any of these domains likely contribute to the onset and chronicity of back and neck pain.…”

mentioning

confidence: 99%

US national prevalence and correlates of low back and neck pain among adults

Strine

Hootman

2007

Arthritis & Rheumatism

335

265

View full text Add to dashboard Cite

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“…Whereas one study (Love, 1988) observed that depressed pain patients were more likely than nondepressed patients to exhibit an internal, stable, and global attributional style for negative (but not positive) outcomes, another study (Ingram et al, 1990) was unable to find significant differences in attributional style between depressed and nondepressed chronic pain patients. Cheatle, Brady, and Ruland (1990) found that a composite score of internal, stable, and global attributional styles in response to negative outcomes was associated with depression among a group of chronic pain patients. Smith et al (1990) observed that helplessness mediated the relationship between disease severity and depression among rheumatoid arthritis patients.…”

Section: What Is Unique About Chronic Pain?mentioning

confidence: 93%

Explaining high rates of depression in chronic pain: A diathesis-stress framework.

Banks¹,

Kerns²

1996

Psychological Bulletin

651

390

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Depression has been observed to accompany chronic pain. Yet, controversy remains regarding the extent and nature of the relationship between these 2 disorders. The authors analyze the literature regarding depression rates in chronic pain and other chronic medical populations and argue that depression appears to be highest among chronic pain patients. Drawing from cognitive-behavioral models of depression, the authors explore the unique psychological experiences of living with chronic pain that may account for the high prevalence of depression. Then a diathesis-stress framework is proposed to conceptualize the development of depression in chronic pain. Clinical and heuristic implications are discussed.

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“…2 Indeed, it appears that persons with pain have high rates of associated depressive symptoms and their quality of life is markedly affected. 3,4 Ericsson et al (2002) found that depression was an important disability predictor in long-term chronic pain patients, indicating a correlation between depression and pain. 5 This association is supported by evidence that effective and well coordinated medical interventions can significantly improve the psychological outcomes for pain sufferers.…”

mentioning

confidence: 99%

Health service utilization in patients with major depression and co‐morbid pain

Alvarenga

Caniato

Mauritz

et al. 2009

Psychiatry Clin Neurosci

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Aims: Patients with depression often have co-morbid pain symptoms. However, rates of service utilization by psychiatric in-patients with co-morbid pain symptoms are unknown. The purpose of this study is to estimate whether patients with major depression and co-morbid pain access medical treatment for their pain as much as their counterparts with psychiatric diagnoses other than major depression.Methods: A total of 103 patients (62 female; 41 male) were assessed for a diagnosis of major depression applying a psychiatric clinical interview followed by a self-report pain questionnaire, which assessed physical pain in psychiatric patients. Results:Patients with major depression reported higher rates of pain symptoms in the past 6 and 12 months than their counterparts with a psychiatric diagnosis other than major depression. Analysis of variance showed that patients with depression were less likely to attend medical and specialist services for their pain symptoms than their counterparts. On the contrary, depressed patients with pain attended more frequently general in-patient services than nondepressed patients with pain. Conclusions:Patients with depression suffer high rates of pain symptoms, but are at higher risk of not accessing appropriate services suggesting inadequate service utilization. The results have implications for screening and health care delivery for psychiatric patients with pain.

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Chronic Low Back Pain, Description, and Attributional Styloe

Cited by 21 publications

References 0 publications

US national prevalence and correlates of low back and neck pain among adults

US national prevalence and correlates of low back and neck pain among adults

Explaining high rates of depression in chronic pain: A diathesis-stress framework.

Health service utilization in patients with major depression and co‐morbid pain

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