T426 PSYCHOSOCIAL FACTORS AS PREDICTORS OF DEPRESSION AND ANXIETY IN PATIENTS WITH CHRONIC PAIN

Pain is a multidimensional, unique, and private experience. Contemporary biopsychosocial models of chronic pain hypothesize a key role for psychosocial factors as contributing to the experience of and adjustment to chronic pain. The psychosocial factors that have been most often examined as they relate to chronic pain include coping responses, attributions (such as self-efficacy), mood (including depression and anxiety), and social support. Knowledge concerning the relative importance of each of these factors to adjustment is necessary for understanding and developing effective psychosocial interventions. This article reviews the literature concerning the associations between psychosocial factors and adjustment to chronic pain, with a focus on coping, attributions, mood, and social support. Overall, the findings of this research are consistent with biopsychosocial models of chronic pain, and support continued research to help identify the causal relationships among key psychosocial variables and adjustment.

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Illness perceptions are the main predictors of depression and anxiety symptoms in patients with chronic pain

Psychology Health & Medicine ◽

10.1080/13548506.2015.1109673 ◽

2015 ◽

Vol 21 (4) ◽

pp. 483-495 ◽

Cited By ~ 14

Author(s):

Eleonora C. V. Costa ◽

Sandrine Vale ◽

Manuel Sobral ◽

M. Graça Pereira

Keyword(s):

Chronic Pain ◽

Illness Perceptions ◽

Anxiety Symptoms ◽

Depression And Anxiety ◽

Predictors Of Depression

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The Creative Healing Shift

10.31124/advance.13268795 ◽

2020 ◽

Author(s):

Anthony Martello

Keyword(s):

Chronic Pain ◽

Severe Depression ◽

Alternative Therapies ◽

Depression And Anxiety ◽

Creative Therapies

Review of creative therapies to help manage chronic pain. The use of alternative therapies to provide relief to patients suffering from chronic pain, severe depression, and anxiety. Useful tools for psychotherapists and counselors who help clients that have chronic pain and dysfunctions.

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Sleep patterns and symptoms of anxiety and depression in patients with chronic pain

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2009000100007 ◽

2009 ◽

Vol 67 (1) ◽

pp. 25-28 ◽

Cited By ~ 28

Author(s):

Martha M.C. Castro ◽

Carla Daltro

Keyword(s):

Chronic Pain ◽

Sleep Disturbances ◽

Myofascial Pain ◽

Depression Scale ◽

Anxiety And Depression ◽

Depression And Anxiety ◽

Sleep Patterns ◽

Symptoms Of Depression ◽

High Prevalence ◽

The Mean

BACKGROUND: Sleep disturbances and symptoms of anxiety and depression have been shown to be involved in the genesis and perpetuation of chronic pain. OBJECTIVE: To evaluate sleep patterns and the prevalence of symptoms of anxiety and depression in patients with chronic pain. METHOD: Four hundred consecutive patients referred to a chronic pain outpatient clinic were investigated using patient charts, the numerical Visual Analogue Scale for the evaluation of pain, the Hospital Anxiety and Depression scale and the Mini-Sleep Questionnaire. RESULTS: The mean age of patients was 45.6±11.4 years. The most frequent medical diagnosis was myofascial pain followed by neuropathic pain. The prevalence of symptoms of anxiety was 72.8%, depression 93% and altered sleep patterns 93%. CONCLUSION: This study revealed a high prevalence of symptoms of depression and anxiety and alterations in sleep patterns in patients with chronic pain, justifying investigation into these disturbances in this group of patients.

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The relationship between psychosocial factors and reported disability: The role of pain self-efficacy

10.21203/rs.3.rs-736799/v1 ◽

2021 ◽

Author(s):

Antonio Varela

Keyword(s):

Physical Activity ◽

Chronic Pain ◽

Low Back Pain ◽

Psychosocial Factors ◽

Self Efficacy ◽

Pain Catastrophizing ◽

Low Back ◽

Mediating Role ◽

The Relationship

Abstract Background Chronic pain in all its forms and the accompanying level of disability is a healthcare crisis that reaches epidemic proportions and is considered a world level crisis. Chronic non-specific low back pain contributes a significant proportion of chronic pain. Specific psychosocial factors and their influence on reported disability in a chronic non-specific low back pain (CNLBP) population was researched. Methods Psychosocial factors examined include fear, catastrophizing, depression, and pain self-efficacy. This cross-sectional correlational study examined the mediating role between pain self-efficacy and the specific psychosocial factors with reported disability. The study included 90 participants with CNLBP between 20 and 60 years of age. Participants completed the Fear Avoidance Belief Questionnaire, The Pain Catastrophizing Scale, The Patient Health Questionnaire-9, The Pain Self-Efficacy Questionnaire, and The Lumbar Oswestry Disability Index to measure fear of physical activity, pain catastrophizing, depression, pain self-efficacy, and reported disability, respectively. The study used multivariate regression and mediation analyses. Results The principal finding of the study was a strong inverse relationship between pain self-efficacy and reported disability. Further, pain self-efficacy was considered a statistic mediator for all psychosocial factors investigated within this data set. Pain self-efficacy was strongly considered to have a mediating role between reported fear of physical activity and disability, reported pain catastrophizing and disability, and reported depression and disability. Additionally, adjusting for age and reported pain levels proved to be statistically significant, and it did not alter the role of pain self-efficacy. Conclusion The results identified that pain self-efficacy had a mediating role in the relationship between the specific psychosocial factors of fear, catastrophizing, and depression and reported disability. Pain self-efficacy plays a more significant role in the relationships between specific psychosocial factors and reported disability with CNLBP than previously considered.

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Covid-19: Predictors of Depression and Anxiety Among High School Students

10.35365/ctjpp.21.3.20 ◽

2021 ◽

Vol 3 (3) ◽

Keyword(s):

High School ◽

High School Students ◽

Depression And Anxiety ◽

School Students ◽

Predictors Of Depression

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Considering Depression and Anxiety as Risk Factors for Temporomandibular Joint Disorder

Overlapping Pain and Psychiatric Syndromes ◽

10.1093/med/9780190248253.003.0011 ◽

2020 ◽

pp. 152-159

Author(s):

Stefan Kindler ◽

Marike Bredow-Zeden

Keyword(s):

Risk Factors ◽

Chronic Pain ◽

Temporomandibular Joint ◽

Facial Pain ◽

Masticatory Muscles ◽

Depression And Anxiety ◽

Temporomandibular Joint Disorder ◽

Social Emotional ◽

Symptoms Of Depression ◽

Joint Disorder

Temporomandibular joint disorder (TMD) is a painful functional disorder of the temporomandibular joint, masticatory muscles, and associated musculoskeletal structures of the head and neck. TMD is a type of chronic pain and is widely used as a model for chronic pain. The etiology of TMD pain is multifactorial. Biological, behavioral, environmental, social, emotional, and cognitive factors can contribute to TMD. TMD can manifest with musculoskeletal facial pain complaints and with different forms of jaw dysfunction. Biobehavioral studies suggest an association between TMD pain and coexisting psychopathology, including depression and anxiety. This chapter presents practical clinical recommendations on how to treat patients with symptoms of depression, anxiety, and TMD pain. The authors underline the importance of considering depression and anxiety as risk factors for TMD.

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