Chronic pain and depression: Does the evidence support a relationship?

Romano, Joan M.; Turner, Judith A.

doi:10.1037/0033-2909.97.1.18

Cited by 698 publications

(314 citation statements)

References 75 publications

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“…Together, these results support earlier theorizing (Sternbach, 1974a(Sternbach, , 1978 that acute pain has a neurophysiological basis and that chronic pain is a more complex syndrome. These findings also suggest why chronic pain is so resistant to medical interventions because such approaches are intended to relieve somatic discomfort rather than the psychosocial symptoms of enduring pain (Follick, Ahern, Attanasio, & Riley, 1985;Romano & Turner, 1985).…”

Section: Discussionmentioning

confidence: 96%

“…Investigators have conjectured that anxiety mediates the development of coexisting pain and depression (Von Knorring, Perris, Eisemann, Erickson, & Perris, 1983;Ward et al, 1983). In addition, Romano and Turner (1985) reported that about 50% of patients with chronic pain and depression developed both disorders simultaneously, whereas approximately 40% became depressed after pain onset. Their review suggests that although pain and depression often constitute a final common presentation, their coexistence is not necessarily related linearly to the time of pain onset.…”

Section: Discussionmentioning

confidence: 99%

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Acute and chronic pain: Pain dimensions and psychological status

Ackerman

Stevens

1989

J. Clin. Psychol.

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One hundred and ten outpatients with either acute or chronic low‐back pain completed the McGill Pain Questionnaire, Beck Depression Inventory, State‐Trait Anxiety Inventory, and Life Experiences Survey. Acutes and chronics did not differ on dimensions of pain, but significant correlations between pain dimensions and depression and state anxiety were found for chronics. Both groups showed elevated state anxiety; chronics also evidenced mild depression. Combined scores on depression, anxiety, and negative life change predicted sensory and affective pain for the pooled sample. These results confirm the role of psychological variables in the experience of clinical pain and underscore the highly affective nature of chronic pain.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Acute and chronic pain: Pain dimensions and psychological status

Ackerman

Stevens

1989

J. Clin. Psychol.

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“…The pain of patients with chronic depression found to be higher vice versa. The pain and depression are assumed to share at least several of same physiologic pathways [30]. Depression was found to be related to functional impairments in patients with rheumatoid arthritis and ankylosing spondylitis [31], and it was considered to be more effective on the perception of pain than the activity of arthritis [32].…”

Section: Discussionmentioning

confidence: 99%

Which is the dominant factor for perception of rheumatic pain: meteorology or psychology?

et al. 2009

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It is believed that there is an association between the weather and rheumatic symptoms. We aimed to investigate what kind of association is present and what are the factors which determine the nature of this association. Fifty-six subjects with rheumatic disease (31 RA, 15 SpA, 10 OA) who live in Antalya were followed between December 2005 and July 2006. Patients were asked to fill diaries which contain questions regarding the symptoms of their rheumatic diseases everyday. In every monthly visit, disease activity measurement, laboratory assessment and Beck depression inventory assessment were recorded. The symptomatic and psychological measurements were matched with the meteorological data of Antalya Regional Directorate of Meteorological Service of Turkish State. Correlation of symptoms with weather variables was investigated. Contributory effect of weather and of psychologic factors on symptom scores were evaluated by stepwise multiple regression analysis. Eighty-four percent of subjects belive in an association between weather and rheumatism, while 57% claimed to have ability to forecast weather. The maximum correlation coefficient between weather and arthritis symptoms was -0.451 and the maximum contribution of weather on symptoms was 17.1%. Arthritis symptoms were significantly contributed by Beck depression score. The belief about presence of weather-arthritis association was found to be stronger than its statistical power. Our results did not prove or rule out the presence of weather-rheumatism association. As long as the scientific attempts result in failure, the intuitive support in favour of the presence of weather-arthritis association will go on forever.

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“…In an excellent review of the literature, Romano and Turner (1985) concluded that depression is common among chronic pain sufferers, such as CLBP patients, but that the two problems are not equivalent. Studies that have used operational criteria to diagnose depression have shown consistently that approximately 30% of CLBP patients are also clinically depressed (Love, 1987;Reich, Tupin, & Abramowitz, 1983;Turner & Romano, 1984).…”

mentioning

confidence: 99%

Attributional style of depressed chronic low back patients

Love

1988

J. Clin. Psychol.

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This study used the Attributional Style Questionnaire to study the attributional styles of depressed and nondepressed chronic low back pain patients (N = 91) in order to test the Revised Learned Helplessness model's prediction of differences between the two. The results partly supported the hypothesis; an internal, stable, global style for negative events distinguished the depressed group from the nondepressed, but there were no differences in attributional style for positive events. The findings are consistent with recent reviews of the literature that have reported general support for the negative outcome style, but consistent failure to confirm the predictions associated with positive outcome style. In addition, the attributional style was not common to all subjects in the depressed group, which suggested that other factors may be involved in the development of different subtypes of depression. Implications for studying attributional aspects of depression and chronic low back pain are discussed.

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Chronic pain and depression: Does the evidence support a relationship?

Cited by 698 publications

References 75 publications

Acute and chronic pain: Pain dimensions and psychological status

Acute and chronic pain: Pain dimensions and psychological status

Which is the dominant factor for perception of rheumatic pain: meteorology or psychology?

Attributional style of depressed chronic low back patients

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