Philipps-University of Marburg, Section for Clinical Psychology and Psychotherapy, Gutenbergstr. 18, 35032 Marburg, Germany.
Psychosomatics. 2010 Mar-Apr;51(2):130-6. doi: 10.1176/appi.psy.51.2.130.
Pain patients with comorbid depression have reduced quality of life and more disturbances than patients without such comorbidity.
The aim of this study was to investigate cross-sectional and longitudinal associations of depression and chronic pain.
The authors followed a sample of patients who took part in a cognitive-behavior treatment protocol for chronic pain.
Higher depression levels at pretreatment were associated with higher pain intensity and higher pain disability at pretreatment. Depression at pretreatment did not affect treatment outcome. Changes in depression from pretreatment to posttreatment accounted for variance in changes in pain intensity and pain disability.
The authors concluded that reducing pain-related depression could be a central therapeutic mechanism in cognitive-behavioral treatment of chronic back pain.
患有共病性抑郁的疼痛患者的生活质量降低，且比无此类共病的患者出现更多紊乱。
本研究旨在调查抑郁和慢性疼痛的横断面和纵向关联。
作者对参加慢性疼痛认知行为治疗方案的患者样本进行了随访。
治疗前较高的抑郁水平与治疗前较高的疼痛强度和较高的疼痛残疾相关。治疗前的抑郁并不影响治疗结果。从治疗前到治疗后的抑郁变化解释了疼痛强度和疼痛残疾变化的差异。
作者得出结论，减少与疼痛相关的抑郁可能是慢性腰痛认知行为治疗的核心治疗机制。
