Fear of movement and acceptance of pain in association with depression in persons with chronic widespread pain
DOI:
https://doi.org/10.6016/ZdravVestn.2866Keywords:
chronic widespread pain, depression, fear of movement, acceptanceAbstract
Background: In persons with chronic widespread pain, symptoms of depression are common; consequently, their quality of life can decrease. The purpose of this study was to investigate the fear of movement, pain willingness and activity engagement in relation with depression.
Methods: The study included 215 participants who were examined at the outpatient clinic for persons with chronic non-malignant pain at the University Rehabilitation Institute between October 2016 and April 2018. All of them completed Beck Depression Inventory (BDI-II), Tampa Scale of Kinesiophobia (TSK) and Chronic Pain Acceptance Questionnaire (CPAQ).
Results: Multivariate analysis of variance showed differences between depressed and nondepressed persons with chronic pain in the fear of movement, pain willingness and activity engagement. Compared to the nondepressed, depressed persons had a higher fear of movement and lower pain willingness and activity engagement.
Conclusion: Due to the high prevalence of depression in persons with chronic pain and its influence on various aspects of their life, appropriate treatment of mood disorders is essential.
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References
1. Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken). 2010;62(5):600-10.
DOI: 10.1002/acr.20140
PMID: 20461783
2. Mansfield KE, Sim J, Jordan JL, Jordan KP. A systematic review and meta-analysis of the prevalence of chronic widespread pain in the general population. Pain. 2016;157(1):55-64.
DOI: 10.1097/j.pain.0000000000000314
PMID: 26270591
3. Turk DC, Flor H. Chronic pain: a biobehavioral perspective. In: Gatchel RJ, Turk DC. Psychosocial factors in pain: critical perspectives. New York: Guilford Press; 1999. pp. 18-34.
4. Dworkin RH, Turk DC, Farrar JT, Haythornthwaite JA, Jensen MP, Katz NP, et al.; IMMPACT. Core outcome measures for chronic pain clinical trials: IMMPACT recommendations. Pain. 2005;113(1-2):9-19.
DOI: 10.1016/j.pain.2004.09.012
PMID: 15621359
5. Jamnik H. Ocenjevanje izida rehabilitacije pri osebah s kronično razširjeno bolečino. Rehabilitacija. 2016;15:90-5.
6. Demyttenaere K, Bruffaerts R, Lee S, Posada-Villa J, Kovess V, Angermeyer MC, et al. Mental disorders among persons with chronic back or neck pain: results from the World Mental Health Surveys. Pain. 2007;129(3):332-42.
DOI: 10.1016/j.pain.2007.01.022
PMID: 17350169
7. Bair MJ, Robinson RL, Katon W, Kroenke K. Depression and pain comorbidity: a literature review. Arch Intern Med. 2003;163(20):2433-45.
DOI: 10.1001/archinte.163.20.2433
PMID: 14609780
8. Rayner L, Hotopf M, Petkova H, Matcham F, Simpson A, McCracken LM. Depression in patients with chronic pain attending a specialised pain treatment centre: prevalence and impact on health care costs. Pain. 2016;157(7):1472-9.
DOI: 10.1097/j.pain.0000000000000542
PMID: 26963849
9. Arnow BA, Hunkeler EM, Blasey CM, Lee J, Constantino MJ, Fireman B, et al. Comorbid depression, chronic pain, and disability in primary care. Psychosom Med. 2006;68(2):262-8.
DOI: 10.1097/01.psy.0000204851.15499.fc
PMID: 16554392
10. Soriano-Maldonado A, Amris K, Ortega FB, Segura-Jiménez V, Estévez-López F, Álvarez-Gallardo IC, et al. Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia. Qual Life Res. 2015;24(12):2951-7.
DOI: 10.1007/s11136-015-1045-0
PMID: 26071756
11. Sheng J, Liu S, Wang Y, Cui R, Zhang X. The link between depression and chronic pain: neural mechanisms in the brain. Neural Plast. 2017;2017:9724371.
DOI: 10.1155/2017/9724371
PMID: 28706741
12. Holmes A, Christelis N, Arnold C. Depression and chronic pain. Med J Aust. 2013;199:S17-20.
PMID: 25370278
13. Edwards RR, Dworkin RH, Sullivan MD, Turk DC, Wasan AD. The role of psychosocial processes in the development and maintenance of chronic pain disorders. J Pain. 2016;17(9):T70-92.
DOI: 10.1016/j.jpain.2016.01.001
PMID: 27586832
14. Vlaeyen JW, Kole-Snijders AM, Boeren RG, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995;62(3):363-72.
DOI: 10.1016/0304-3959(94)00279-N
PMID: 8657437
15. Miller RP, Kori SH, Todd DD. The Tampa Scale: a measure of kinesiophobia. Clin J Pain. 1991;7(1):51-2.
DOI: 10.1097/00002508-199103000-00053
16. Marshall PW, Schabrun S, Knox MF. Physical activity and the mediating effect of fear, depression, anxiety, and catastrophizing on pain related disability in people with chronic low back pain. PLoS One. 2017;12(7):e0180788.
DOI: 10.1371/journal.pone.0180788
PMID: 28686644
17. McCracken LM. Learning to live with the pain: acceptance of pain predicts adjustment in persons with chronic pain. Pain. 1998;74(1):21-7.
DOI: 10.1016/S0304-3959(97)00146-2
PMID: 9514556
18. Esteve R, Ramírez-Maestre C, López-Marínez AE. Adjustment to chronic pain: the role of pain acceptance, coping strategies, and pain-related cognitions. Ann Behav Med. 2007;33(2):179-88.
DOI: 10.1007/BF02879899
PMID: 17447870
19. Beck AT, Steer RA, Brown GK. Manual for the Beck Depression Inventory-II. San Antonio (TX): Psychological Corporation; 1996.
20. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4(6):561-71.
DOI: 10.1001/archpsyc.1961.01710120031004
PMID: 13688369
21. Beck AT, Steer RA, Carbin MG. Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988;8(1):77-100.
DOI: 10.1016/0272-7358(88)90050-5
22. Harris CA, D’Eon JL. Psychometric properties of the Beck Depression Inventory—second edition (BDI-II) in individuals with chronic pain. Pain. 2008;137(3):609-22.
DOI: 10.1016/j.pain.2007.10.022
PMID: 18079063
23. McCracken LM, Vowles KE, Eccleston C. Acceptance of chronic pain: component analysis and a revised assessment method. Pain. 2004;107(1-2):159-66.
DOI: 10.1016/j.pain.2003.10.012
PMID: 14715402
24. Horvat B, Jamnik H, Vidmar G, Sočan G, Mramor M. Analiza notranje strukture slovenske oblike Vprašalnika o sprejemanju bolečine (CPAQ). Psihol Obz (Ljubl). 2014;23:102-9.
DOI: 10.20419/2014.23.410
25. Field A. Discovering statistics using IBM SPSS Statistics. 5th ed. London: Sage; 2018.
26. Pituch KA, Stevens JP. Applied multivariate statistics for the social sciences: Analyses with SAS and IBM’s SPSS. 6th ed. New York: Routledge; 2016.
27. Zwick R. Nonparametric one-way multivariate analysis of variance: a computational approach based on the Pillai-Bartlett trace. Psychol Bull. 1985;97(1):148-52.
DOI: 10.1037/0033-2909.97.1.148
PMID: 3983296
28. Finch H. Comparison of the performance of nonparametric and parametric MANOVA test statistics when assumptions are violated. Methodology European Journal of Research Methods for the Behavioral and Social Sciences. 2005;1(1):27-38.
DOI: 10.1027/1614-1881.1.1.27
29. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New York: Lawrence Erlbaum Associates; 1988.
30. Van Den Houte M, Luyckx K, Van Oudenhove L, Bogaerts K, Van Diest I, De Bie J, et al. Differentiating progress in a clinical group of fibromyalgia patients during and following a multicomponent treatment program. J Psychosom Res. 2017;98:47-54.
DOI: 10.1016/j.jpsychores.2017.05.004
PMID: 28554372
31. Malaty A, Sabharwal J, Lirette LS, Chaiban G, Eissa H, Tolba R. How to assess a new patient for a multidisciplinary chronic pain rehabilitation program: a review article. Ochsner J. 2014;14(1):96-100.
PMID: 24688340
32. Antunes RS, de Macedo BG, Amaral TS, Gomes HA, Pereira LS, Rocha FL. Pain, kinesiophobia and quality of life in chronic low back pain and depression. Acta Ortop Bras. 2013;21(1):27-9.
DOI: 10.1590/S1413-78522013000100005
PMID: 24453639
33. Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. The association between the physical activity of patients with idiopathic chronic neck pain and their psychological state. Arch Hell Med. 2016;34(1):100-3.
34. Åkerblom S, Perrin S, Rivano Fischer M, McCracken LM. The impact of PTSD on functioning in patients seeking treatment for chronic pain and validation of the Posttraumatic Diagnostic Scale. Int J Behav Med. 2017;24(2):249-59.
DOI: 10.1007/s12529-017-9641-8
PMID: 28194719
35. Ravn SL, Vaegter HB, Cardel T, Andersen TE. The role of posttraumatic stress symptoms on chronic pain outcomes in chronic pain patients referred to rehabilitation. J Pain Res. 2018;11:527-36.
DOI: 10.2147/JPR.S155241
PMID: 29563832
36. de Rooij A, van der Leeden M, Roorda LD, Steultjens MP, Dekker J. Predictors of outcome of multidisciplinary treatment in chronic widespread pain: an observational study. BMC Musculoskelet Disord. 2013;14(1):133.
DOI: 10.1186/1471-2474-14-133
PMID: 23577981
37. Munce SE, Stewart DE. Gender differences in depression and chronic pain conditions in a national epidemiologic survey. Psychosomatics. 2007;48(5):394-9.
DOI: 10.1176/appi.psy.48.5.394
PMID: 17878497
38. Altemus M, Sarvaiya N, Neill Epperson C. Sex differences in anxiety and depression clinical perspectives. Front Neuroendocrinol. 2014;35(3):320-30.
DOI: 10.1016/j.yfrne.2014.05.004
PMID: 24887405
39. Martin LA, Neighbors HW, Griffith DM. The experience of symptoms of depression in men vs women: analysis of the National Comorbidity Survey Replication. JAMA Psychiatry. 2013;70(10):1100-6.
DOI: 10.1001/jamapsychiatry.2013.1985
PMID: 23986338
40. Fillingim RB, King CD, Ribeiro-Dasilva MC, Rahim-Williams B, Riley JL. Sex, gender, and pain: a review of recent clinical and experimental findings. J Pain. 2009;10(5):447-85.
DOI: 10.1016/j.jpain.2008.12.001
PMID: 19411059
41. Bränström H, Fahlström M. Kinesiophobia in patients with chronic musculoskeletal pain: differences between men and women. J Rehabil Med. 2008;40(5):375-80.
DOI: 10.2340/16501977-0186
PMID: 18461263
42. Rovner GS, Sunnerhagen KS, Björkdahl A, Gerdle B, Börsbo B, Johansson F, et al. Chronic pain and sex-differences; women accept and move, while men feel blue. PLoS One. 2017;12(4):e0175737.
DOI: 10.1371/journal.pone.0175737
PMID: 28441403
43. Ojala T, Piirainen A, Sipilä K, Suutama T, Häkkinen A. Reliability and validity study of the Finnish version of the Chronic Pain Acceptance Questionnaire (CPAQ). Disabil Rehabil. 2013;35(4):306-14.
DOI: 10.3109/09638288.2012.694572
PMID: 22726109
44. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70.
DOI: 10.1111/j.1600-0447.1983.tb09716.x
PMID: 6880820
45. Edwards RR, Bingham CO, Bathon J, Haythornthwaite JA. Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases. Arthritis Rheum. 2006;55(2):325-32.
DOI: 10.1002/art.21865
PMID: 16583384
46. Kowal J, McWilliams LA, Péloquin K, Wilson KG, Henderson PR, Fergusson DA. Attachment insecurity predicts responses to an interdisciplinary chronic pain rehabilitation program. J Behav Med. 2015;38(3):518-26.
DOI: 10.1007/s10865-015-9623-8
PMID: 25716120
47. Bucourt E, Martaillé V, Mulleman D, Goupille P, Joncker-Vannier I, Huttenberger B, et al. Comparison of the Big Five personality traits in fibromyalgia and other rheumatic diseases. Joint Bone Spine. 2017;84(2):203-7.
DOI: 10.1016/j.jbspin.2016.03.006
PMID: 27269650
48. Kurklinsky S, Perez RB, Lacayo ER, Sletten CD. The efficacy of interdisciplinary rehabilitation for improving function in people with chronic pain. Pain Res Treat. 2016;2016:7217684.
DOI: 10.1155/2016/7217684
PMID: 27242925
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