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Journal of Clinical Psychology in Medical Settings

Published in:

01-03-2019

The Effects of Pre-treatment Depressive Symptoms on Quality of Life Across Cognitive Behavioral Therapy for Chronic Pain

Authors: Justin M. Hughes, Eric A. Seemann, J. Michael George, K. Dean Willis

Published in: Journal of Clinical Psychology in Medical Settings | Issue 1/2019

Abstract

Recent studies suggest that chronic pain affects millions and carries significant physical, financial, and social burdens, and thus adversely affects quality of life (QOL). Cognitive behavioral therapy for chronic pain (CBTp) is a non-pharmacological treatment method which has been shown to reduce a sufferer’s experience of chronic pain and improve overall QOL. These and other studies also indicate that affective symptoms likely impact the effectiveness of CBTp. The current study focused on the effects of depressive symptoms on changes in QOL ratings across a 12-session CBT for chronic pain. Participants in this study (n = 313; mean age = 46.83 years, SD = 10.99, range = 19.1–79.9, 63.9% female, 83.9% Caucasian) were current patients of a mid-sized tertiary multidisciplinary outpatient chronic pain treatment facility. Progress through CBTp was assessed using QOL as a dependent variable and analyzed using RMANOVAs. All participants showed improvements in QOL ratings across the CBTp period, but greater improvements were seen in participants in the low depression category than in the high or moderate depression category. This study also confirms the clinical utility of the BDI-II with chronic pain patients.

Bartley, E. J., Robinson, M. E., & Staud, R. (2017). Pain and fatigue variability patterns distinguish subgroups of fibromyalgia patients. The Journal of Pain. https://doi.org/10.1016/j.jpain.2017.11.014.CrossRefPubMedPubMedCentral

Castro, M. C., Daltro, C., Kraychete, D. C., & Lopes, J. (2012). The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain. Arquivos de Neuro-Psiquiatria, 70(11), 864–868. https://doi.org/10.1590/S0004-282X2012001100008.CrossRefPubMed

de Figueiredo, J. M., & Griffith, J. L. (2016). Chronic pain, chronic demoralization, and the role of psychotherapy. Journal of Contemporary Psychotherapy, 46(3), 167–177. https://doi.org/10.1007/s10879-016-9331-x.CrossRef

Dworkin, R. H., Turk, D. C., Wyrwich, K. W., Beaton, D., Cleeland, C. S., Farrar, J. T., … Zavisic, S. (2008). Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations. The Journal of Pain, 9(2), 105–121. https://doi.org/10.1016/j.jpain.2007.09.005.CrossRefPubMed

Ehde, D. M., Dillworth, T. M., & Turner, J. A. (2014). Cognitive-behavioral therapy for individuals with chronic pain: Efficacy, innovations, and directions for research. American Psychologist, 69(2), 153–166. https://doi.org/10.1037/a003574.CrossRefPubMed

Gerrits, M. G., van Marwijk, H. J., van Oppen, P., van der Horst, H., & Penninx, B. H. (2015). Longitudinal association between pain, and depression and anxiety over four years. Journal of Psychosomatic Research, 78(1), 64–70. https://doi.org/10.1016/j.jpsychores.2014.10.011.CrossRefPubMed

Inoue, S., Kobayashi, F., Nishihara, M., Arai, Y. P., Ikemoto, T., Kawai, T., … Ushida, T. (2015). Chronic pain in the Japanese community—Prevalence, characteristics and impact on quality of life. PLoS ONE. https://doi.org/10.1371/journal.pone.0129262.

Jakšić, N., Ivezić, E., Jokić-Begić, N., Surányi, Z., & Stojanović-Špehar, S. (2013). Factorial and diagnostic validity of the Beck Depression Inventory-II (BDI-II) in Croatian primary health care. Journal of Clinical Psychology in Medical Settings, 20(3), 311–322. https://doi.org/10.1007/s10880-013-9363-2.CrossRefPubMed

Jonsdottir, T., Aspelund, T., Jonsdottir, H., & Gunnarsdottir, S. (2014). The relationship between chronic pain pattern, interference with life and health-related quality of life in a nationwide community sample. Pain Management Nursing, 15(3), 641–651. https://doi.org/10.1016/j.pmn.2013.07.005.CrossRefPubMed

Kapuria, P. (2016). A human well-being perspective to the measurement of quality of life: Findings from the City of Delhi. Applied Research in Quality of Life, 11(1), 125–145. https://doi.org/10.1007/s11482-014-9358-7.CrossRef

Kim, S., Kim, S., Shin, I., Park, M., Yoon, J., Yoon, J., & Kim, J. (2018). Changes in depression status during the year after breast cancer surgery and impact on quality of life and functioning. General Hospital Psychiatry, 50, 33–37. https://doi.org/10.1016/j.genhosppsych.2017.09.009.CrossRefPubMed

Kjaergaard, M., Arfwedson-Wang, C. E., Waterloo, K., & Jorde, R. (2014). A study of the psychometric properties of the Beck Depression Inventory-II, the Montgomery and Ásberg Depression Rating Scale, and the Hospital Anxiety and Depression Scale in a sample from a healthy population. Scandinavian Journal of Psychology, 55(1), 83–89. https://doi.org/10.1111/sjop.12090.CrossRefPubMed

Kroenke, K., Wu, J., Bair, M. J., Krebs, E. E., Damush, T. M., & Tu, W. (2011). Reciprocal relationship between pain and depression: A 12-month longitudinal analysis in primary care. The Journal of Pain, 12(9), 964–973. https://doi.org/10.1016/j.jpain.2011.03.003.CrossRefPubMedPubMedCentral

Li, L., Liu, X., & Herr, K. (2007). Postoperative pain intensity assessment: A comparison of four scales in Chinese adults. Pain Medicine, 8(3), 223–234. https://doi.org/10.1111/j.1526-4637.2007.00296.x.CrossRefPubMed

Longo, M. R., Betti, V., Aglioti, S. M., & Haggard, P. (2009). Visually induced analgesia: Seeing the body reduces pain. Journal of Neuroscience, 29(39), 12125–12130. https://doi.org/10.1523/JNEUROSCI.3072-09.2009.CrossRefPubMed

Manchikanti, L., Fellows, B., & Singh, V. (2002). Understanding psychological aspects of chronic pain in interventional pain management. Pain Physician, 5(1), 57–82.PubMed

Poole, H., White, S., Blake, C., Murphy, P., & Bramwell, R. (2009). Depression in chronic pain patients: Prevalence and measurement. Pain Practice, 9(3), 173–180. https://doi.org/10.1111/j.1533-2500.2009.00274.x.CrossRefPubMed

Schneider, S., Junghaenel, D. U., Keefe, F. J., Schwartz, J. E., Stone, A. A., & Broderick, J. E. (2012). Individual differences in the day-to-day variability of pain, fatigue, and well-being in patients with rheumatic disease: Associations with psychological variables. Pain, 153(4), 813–822. https://doi.org/10.1016/j.pain.2012.01.001.CrossRefPubMedPubMedCentral

Scott, W., Hann, K. J., & McCracken, L. M. (2016). A comprehensive examination of changes in psychological flexibility following acceptance and commitment therapy for chronic pain. Journal of Contemporary Psychotherapy, 46(3), 139–148. https://doi.org/10.1007/s10879-016-9328-5.CrossRefPubMedPubMedCentral

Shaw, W. S., Means-Christensen, A. J., Slater, M. A., Webster, J. S., Patterson, T. L., Grant, I., … Atkinson, J. H. (2010). Psychiatric disorders and risk of transition to chronicity in men with first onset low back pain. Pain Medicine, 11(9), 1391–1400. https://doi.org/10.1111/j.1526-4637.2010.00934.x.CrossRefPubMed

Shawver, Z., Griffith, J. D., Adams, L. T., Evans, J. V., Benchoff, B., & Sargent, R. (2016). An examination of the WHOQOL-BREF using four popular data collection methods. Computers in Human Behavior, 51(Part A), 446–454. https://doi.org/10.1016/j.chb.2015.09.030.CrossRef

Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A Report from the WHOQOL Group. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 13(2), 299–310. https://doi.org/10.1023/B:QURE.0000018486.91360.00.CrossRef

Stewart, W. C., Reynolds, K. E., Jones, L. J., Stewart, J. A., & Nelson, L. A. (2016). The source and impact of specific parameters that enhance well-being in daily life. Journal of Religion and Health, 55(4), 1326–1335. https://doi.org/10.1007/s10943-015-0076-8.CrossRefPubMed

Stubbs, B., Schofield, P., & Patchay, S. (2016). Mobility limitations and fall-related factors contribute to the reduced health-related quality of life in older adults with chronic musculoskeletal pain. Pain Practice, 16(1), 80–89. https://doi.org/10.1111/papr.12264.CrossRefPubMed

The WHOQOL Group. (1998). The World Health Organization quality of life assessment (WHOQOL): Development and general psychometric properties. Social Science and Medicine, 46(12), 1569–1585.CrossRef

Thorn, B. E. (2004). Cognitive therapy for chronic pain. New York: The Guilford Press.

Tupper, S. M., Rosenberg, A. M., Pahwa, P., & Stinson, J. N. (2013). Pain intensity variability and its relationship with quality of life in youths with juvenile idiopathic arthritis. Arthritis Care & Research, 65(4), 563–570. https://doi.org/10.1002/acr.21850.CrossRef

Valentini, E., Koch, K., & Aglioti, S. M. (2015). Seeing one’s own painful hand positioned in the contralateral space reduces subjective reports of pain and modulates laser evoked potentials. The Journal of Pain, 16(6), 499–507. https://doi.org/10.1016/j.jpain.2015.02.003.CrossRefPubMed

Wise, E. A., & Streiner, D. L. (2010). A comparison of the millon behavioral medical diagnostic and millon behavioral health inventory with medical populations. Journal of Clinical Psychology, 66(12), 1281–1291. https://doi.org/10.1002/jclp.20725.CrossRefPubMed

Zakoscielna, K. M., & Parmelee, P. A. (2013). Pain variability and its predictors in older adults: Depression, cognition, functional status, health, and pain. Journal of Aging and Health, 25(8), 1329–1339. https://doi.org/10.1177/0898264313504457.CrossRefPubMed

Title: The Effects of Pre-treatment Depressive Symptoms on Quality of Life Across Cognitive Behavioral Therapy for Chronic Pain
Authors: Justin M. Hughes
Eric A. Seemann
J. Michael George
K. Dean Willis
Publication date: 01-03-2019
Publisher: Springer US
Published in: Journal of Clinical Psychology in Medical Settings / Issue 1/2019
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-018-9568-5

At a glance: The STEP trials

Springer Medicine

The Effects of Pre-treatment Depressive Symptoms on Quality of Life Across Cognitive Behavioral Therapy for Chronic Pain

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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