Pain among women: Associations with socio-economic factors over time and the mediating role of depressive symptoms

2012 ◽  
Vol 3 (2) ◽  
pp. 62-67 ◽  
Author(s):  
Johanna Thomtén ◽  
Joaquim J.F. Soares ◽  
Örjan Sundin
Keyword(s):  
Depressive Symptoms ◽  
Educational Level ◽  
Work Conditions ◽  
Financial Strain ◽  
Regression Analyses ◽  
Mediating Role ◽  
Symptoms Of Depression ◽  
Pain Outcomes ◽  
The Relationship

AbstractBackground and aimsLower socioeconomic status (SES), based on economic situation, education and occupation, has been associated with greater morbidity and mortality in a wide range of diseases, and socioeconomic inequalities have been found in several chronic pain populations. Since women are overrepresented in several clinical pain conditions, there is a need to understand the influence of SES among women with pain. In a previous cross-sectional study, socioeconomic-and work conditions were associated with pain among women from the general population of Sweden. In the present study, based on baseline and follow-up measures from 2300 of the same sample, we examined associations between pain variables, socioeconomic status and work conditions over time by means of multiple logistic/linear regression analyses. Additionally, a possible mediating role of depressive symptoms on the relationship between SES and pain was examined.MethodsThe study was a prospective panel survey with two measurements 12 months apart among 2300 women with and without pain from the general population in Stockholm (aged 18–64). Logistic and linear regression analyses were used to identify associations between SES and pain outcomes.ResultsResults revealed that pain is a rather stable condition with large impact on daily functioning among many women. Certain SES variables (educational level, financial strain, occupational level) were related to pain and pain related disability prospectively. Financial strain and to be a blue-collar worker were related to the incidence of pain among all women, while educational level was related to worse pain outcomes among women with pain in terms of pain intensity, pain frequency, number of pain locations and pain-related disability. Symptoms of depression were associated with pain incidence and with pain variables (intensity, number of pain locations and pain-related disability) and with lower SES.ConclusionsFinancial strain and occupational level were here identified as risk factors for the incidence of pain, and could be interpreted as increasing both physical and psychological stress and thereby work both as predisposing the individual to pain and to perpetuate the development of a pain condition. Educational level was associated with the course of pain in terms of pain duration and pain-related disability which may indicate that once affected by pain, lower educational level may be related to less functional coping strategies in the adaptation to the pain condition. Depressive symptoms could be understood as a mediator of the relationship between SES and pain among women in terms of limiting the individual’s strategies to handle pain in a functional manner by increasing passive behavior patterns such as avoidance.ImplicationsThe interplay between SES and symptoms of depression should be regarded in preventive interventions and in treatment of pain among women. An overall risk-profile in terms of psychosocial and biological factors needs to be assessed early on within pain treatment for women. Increased knowledge of socioeconomic risk factors for long term pain, e.g. low educational level, is needed on all levels among all professionals within the healthcare system in order to facilitate effective communication in the treatment of women with pain.

Mediator and Moderator Role of Loneliness in the Relationship Between Peer Victimization and Depressive Symptoms

2011 ◽  
Vol 21 (2) ◽  
pp. 175-185 ◽  
Author(s):  
Özgür Erdur Baker ◽  
Asli Bugay
Keyword(s):  
Depressive Symptoms ◽  
Regression Analyses ◽  
Hierarchical Multiple Regression ◽  
Related Literature ◽  
Mediating Role ◽  
Peer Victimisation ◽  
Independent Effects ◽  
Moderator Role ◽  
The Relationship

AbstractThe goal of this study was to examine the mediator and moderator roles of loneliness in the relationship between peer victimisation and depressive symptoms. The participants of the study were 144 adolescents (66 girls, 78 boys) ranging in age from 11 to 15 years. Hierarchical multiple regression analyses were conducted to test the relations of peer victimisation to depressive symptoms through the mediating role of loneliness, as well as examining the joint and independent effects of loneliness and victimisation on depressive symptoms. The results of the analysis indicated that loneliness fully mediates the relationship between victimisation and depressive symptoms but loneliness and victimisation independently contribute to depressive symptoms. Results are discussed in light of the related literature.

Pain intensity and physical performance among individuals with fibromyalgia in mid-to-late life: The influence of depressive symptoms

2021 ◽  
pp. 135910532110092
Author(s):  
Dylan G Serpas ◽  
Laura Zettel-Watson ◽  
Barbara J Cherry
Keyword(s):  
Depressive Symptoms ◽  
Pain Intensity ◽  
Physical Performance ◽  
Walk Test ◽  
Mediation Analyses ◽  
Mediating Role ◽  
6 Minute Walk Test ◽  
The Relationship ◽  
Minute Walk

This study investigated the mediating role of depressive symptoms among 147 middle-aged and older adults with FM in the relationship between pain intensity and 4 objective measures of physical performance: Fullerton Advanced Balance scale (FAB), 6-Minute Walk Test (6MWT), 30-Second Chair Stand (30SCS), and 8-Foot Up and Go Test (8FUPGT). Asymptotic mediation analyses revealed that depressive symptoms fully mediated the relationship between pain intensity and FAB (95% CI [−0.40, −0.10]) and 8FUPGT (CI [0.02, 0.11]) and partially mediated the relationship to 6MWT (CI [−9.15, −2.20]) and 30SCS (CI [−0.29, −0.06]). Findings support the evaluation of co-morbid depression in FM.

scholarly journals Satisfaction with Life: Mediating Role in the Relationship between Depressive Symptoms and Coping Mechanisms

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 787
Author(s):  
Daniela Almeida ◽  
Diogo Monteiro ◽  
Filipe Rodrigues
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Coping Strategies ◽  
Satisfaction With Life ◽  
Well Being ◽  
Coping Mechanisms ◽  
Significant Positive Association ◽  
Mediating Role ◽  
The Relationship

The purpose of this study was to analyze the mediating role of life satisfaction in the relationship between fourteen coping strategies and depressive symptoms in the Portuguese population. To undertake this work, 313 Portuguese adults aged 18 to 70 years (M = 30.73; SD = 10.79) were invited to participate in this study. Their participation was completely voluntary, and participants granted and signed informed consent previously to the filling of the validated Portuguese questionnaires. These questionnaires measured depressive symptoms, coping, and life satisfaction. The results revealed that life satisfaction displayed a mediating role in the relationship between adaptive coping mechanisms, specifically between active coping, planning, reinterpretation, and acceptance and depressive symptoms, showing a negative and significant indirect effect. Maladaptive coping mechanisms of self-blame, denial, self-distraction, disengagement, and substance use had a significant positive association with depressive symptoms, considering the mediating role of satisfaction with life. Current investigation provides initial evidence of how each coping mechanism is associated with satisfaction with life and depressive symptoms. This study clearly demonstrates that not all coping strategies are capable of influencing well-being indicators and that health professionals should focus on endorsing those that are significantly associated with lowering depressive symptoms and increasing overall satisfaction with life.

scholarly journals The Relationship between Personal Resources and Depression in a Sample of Victims of Cyberbullying: Comparison of Groups with and without Symptoms of Depression

2020 ◽  
Vol 17 (24) ◽  
pp. 9307
Author(s):  
Lourdes Rey ◽  
Cirenia Quintana-Orts ◽  
Sergio Mérida-López ◽  
Natalio Extremera
Keyword(s):  
Mental Health ◽  
Emotional Intelligence ◽  
Depressive Symptoms ◽  
Clinical Symptoms ◽  
Personal Resources ◽  
Symptoms Of Depression ◽  
And Function ◽  
The Relationship ◽  
Adolescent Victims

Previous research has highlighted the relationship between being cybervictimised and the presence of clinical symptoms, such as depression. To date, however, there has been no comparative analysis of the personal resources profiles of adolescent victims of cyberbullying with and without depressive symptoms. The current study analysed the relationship between positive personal resources and clinical symptoms in 251 adolescent victims of cyberbullying at several Spanish high schools. It examined how several positive personal resources varied in adolescent victims of cyberbullying who displayed symptoms of depression (n = 89) or did not (n = 162). Victims of cyberbullying who displayed depressive symptoms reported lower levels of personal resources (emotional intelligence, gratitude, optimism, and forgiveness) than those who did not. Logistic regression provided evidence that gratitude was the strongest predictor of depressive symptoms in victims of cyberbullying, followed by emotional intelligence and optimism. These findings expand the existing literature on the role of personal resources in mental health and highlight the need for their development in youths to help them cope more effectively and function better after being cyberbullied.

A Dyadic Study on Perceived Stress and Couple Adjustment During Pregnancy: The Mediating Role of Depressive Symptoms

2020 ◽  
Vol 41 (11) ◽  
pp. 1935-1955 ◽  
Author(s):  
Franco Baldoni ◽  
Michele Giannotti ◽  
Giulia Casu ◽  
Valerio Luperini ◽  
Federico Spelzini
Keyword(s):  
Depressive Symptoms ◽  
Relationship Satisfaction ◽  
Perceived Stress ◽  
Transition To Parenthood ◽  
Dyadic Adjustment ◽  
Third Trimester ◽  
Mediating Role ◽  
Couple Adjustment ◽  
The Relationship

Stress is associated with dyadic adjustment during transition to parenthood, but little is known about mechanisms underlying this link, particularly during prenatal period. This dyadic study explored the mediating role of depressive symptoms in the relationship between perceived stress and dyadic adjustment in expectant couples. One hundred and fourteen couples at the third trimester of pregnancy completed self-reports of perceived stress, depression, and dyadic adjustment. Results indicated that both parents’ perceived stress was associated with their own lower relationship satisfaction directly and indirectly, through their own higher depressive symptoms. Mothers’ perceived stress was also linked to higher fathers’ depressive symptoms, and thus also to lower fathers’ relationship satisfaction. Both parents’ perceived stress was only directly associated with their own dyadic consensus, and their own and their partners’ affectional expression. Findings suggest that interventions aimed at reducing expectant parents’ perceived stress could protect against depressive symptoms and promote the couple’s adjustment during pregnancy.

The Longitudinal Association Between Passive Social Networking Site Usage and Depressive Symptoms: The Mediating Role of Envy and Moderating Role of Life Satisfaction

2019 ◽  
Vol 38 (3) ◽  
pp. 181-199
Author(s):  
Hai-Zhen Wang ◽  
Ting-Ting Yang ◽  
James Gaskin ◽  
Jin-Liang Wang
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Social Networking ◽  
Social Networking Site ◽  
Mediation Effect ◽  
Mediating Role ◽  
Indirect Relationship ◽  
The Relationship

Introduction: The relationship between Social Networking Site (SNS) usage and depressive symptoms is a growing concern among mental health researchers and practitioners. The purpose of this study was to better understand the mechanism and context under which SNS use affects depressive symptoms. Method: We did this by examining envy as a mediator of the relationship between passive SNS usage and depression over time, with life satisfaction as a moderator of this mediation effect. The sample included 266 college students, who completed the surveys in two waves. Results: The results showed that envy fully mediated the association between passive SNS usage and depression. This indirect relationship was moderated by level of life satisfaction. Specifically, and unexpectedly, among individuals with higher levels of life satisfaction, more frequent passive SNS use was related to increased envy, which, in turn, was associated with increased depressive symptoms. However, this indirect relationship was non-significant for those with lower levels of life satisfaction. Discussion: Thus, the potential of passive SNS use to increase depressive symptoms through envy among individuals with high life satisfaction should be considered when mental health practitioners design interventions.

scholarly journals Relationship Between Social Capital and Depressive Symptoms Among Type 2 Diabetes Mellitus Patients in Northwest China: A Mediating Role of Sleep Quality

2021 ◽  
Vol 12 ◽  
Author(s):  
Liqun Wang ◽  
Jiangping Li ◽  
Yuqi Dang ◽  
Haiyu Ma ◽  
Yang Niu
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Depressive Symptoms ◽  
Sleep Quality ◽  
Northwest China ◽  
Mediating Role ◽  
The Relationship

Objective: There are few studies about the relationship between social capital (SC) and depression among type 2 diabetes mellitus (T2DM) patients, and the mechanism explaining how SC leads to decreased depression is unclear. The current study aims to explore the relationship between SC and depressive symptoms among the T2DM patients in northwest China, with a particular focus on the mediating role of sleep quality.Methods: A cross-sectional study of 1,761 T2DM patients from Ningxia Province was conducted. The Center for Epidemiological Survey Depression Scale (CES-D) and self-report sleep quality questionnaire coupled with the SC scales were administered during the face-to-face survey. The Bootstrap methods PROCESS program is employed to test the mediation model.Results: The prevalence of depressive symptoms among T2DM patients was 24.8%. After controlling for covariates, the SC (r = −0.23, p < 0.001) was negatively correlated with CES-D score; the sleep quality was also negatively correlated with CES-D score (r = −0.31, p < 0.001); and the SC was positively correlated with sleep quality (r = 0.10, p < 0.001). Logistic regression analysis showed that SC was inversely related to the risk of depressive symptoms. Meanwhile, sleep quality was negatively associated with depressive symptoms. Sleep quality has mediated the relationship between SC and depressive symptoms among T2DM patients (explaining 12.6% of the total variance).Conclusions: We elucidated how SC interacted with depressive symptoms through the mediation pathway of sleep quality using a representative sample of the Chinese diabetes patients. The findings indicate that the improvement of SC and sleep quality may help in maintaining mental health among T2DM patients. Hence, clinicians can suggest that patients communicate more with others to improve the SC and, in turn, maintain their health.

scholarly journals Moral Disengagement as a Moderating Factor in the Relationship between the Perception of Dating Violence and Victimization

2020 ◽  
Vol 17 (14) ◽  
pp. 5164 ◽  
Author(s):  
Isabel Cuadrado-Gordillo ◽  
Inmaculada Fernández-Antelo ◽  
Guadalupe Martín-Mora Parra
Keyword(s):  
Dating Violence ◽  
Moral Disengagement ◽  
Psychological Interventions ◽  
Regression Analyses ◽  
Mediating Role ◽  
Structural Correlation ◽  
Type Of Abuse ◽  
The Relationship ◽  
Dating Relationship

There have been studies establishing the relationship between moral disengagement and aggressiveness in various contexts, especially in the role of the aggressor. Few, however, have analyzed moral disengagement’s mediating role in the phenomenon of teenage dating violence, taking into account how these mechanisms affect the victims’ perception of themselves as fearful, trapped, or mistreated in a dating relationship. This study analyzes the relationship between moral disengagement, the acceptance of violence, and how the victims of this type of abuse perceive victimization. The participants were 2577 adolescents between the ages of 14 and 18. They completed two questionnaires that addressed teenage dating violence and moral disengagement. To study the relationship between the variables, factorial, structural, correlation, and hierarchical multiple regression analyses were performed to construct the perceptual structure of victimization. The analyses showed moral disengagement and the acceptance of violence, as well as their interaction, to have a mediating and moderating influence by modifying the perception of victimization. The victims’ levels of moral disengagement explained their acceptance of the violence and their inability to recognize abuse. Finally, these results may be a key element in the design of psychological interventions aimed at minimizing the use of moral disengagement and the acceptance of violence in situations involving aggression in teenage dating.

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