Haley William E, Turner Judith A, Romano Joan M
Department of Psychology, University of Alabama at Birmingham, Birmingham, AL 35294 U.S.A. Department of Psychiatry and Behavioral Sciences RP-10, University of Washington School of Medicine, Seattle, WA 98195 U.S.A.
Pain. 1985 Dec;23(4):337-343. doi: 10.1016/0304-3959(85)90003-X.
Depression is commonly reported among chronic pain patients and receiving increased attention from clinicians and researchers. There is, however, little empirical evidence concerning variables that differentiate depressed from non-depressed chronic pain patients, and whether depression is related to factors such as gender, pain report, and activity. As part of a study to address these questions, 63 chronic pain patients completed daily diaries of activity, pain levels, and medication intake, and completed questionnaires and interviews assessing depression, medical history, and demographic variables. Male and female depressed and non-depressed chronic pain patients did not differ on demographic and medical history data, but sex differences were found in patterns of the relationships of depression, activity, and pain. For women, depression was closely related to pain report, whereas for men depression was more strongly related to impairment of activity. Pain report was related only minimally to activity for male and female patients. Implications of the results of behavioral research on depression in chronic pain patients are discussed. Researchers are urged to carefully consider sex differences in future research with chronic pain patients.
慢性疼痛患者中普遍存在抑郁症，这一情况日益受到临床医生和研究人员的关注。然而，关于区分抑郁与非抑郁慢性疼痛患者的变量，以及抑郁症是否与性别、疼痛报告和活动等因素相关，几乎没有实证证据。作为解决这些问题的一项研究的一部分，63名慢性疼痛患者完成了关于活动、疼痛水平和药物摄入的每日日记，并完成了评估抑郁症、病史和人口统计学变量的问卷及访谈。抑郁和非抑郁的慢性疼痛男性和女性患者在人口统计学和病史数据方面没有差异，但在抑郁症、活动和疼痛的关系模式中发现了性别差异。对于女性来说，抑郁症与疼痛报告密切相关，而对于男性来说，抑郁症与活动障碍的关系更为密切。男性和女性患者的疼痛报告与活动的关联都很小。本文讨论了慢性疼痛患者抑郁症行为研究结果的意义。敦促研究人员在未来对慢性疼痛患者的研究中仔细考虑性别差异。
