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Chronic low back pain and depression.

D C Garron, F Leavitt

    Journal of Clinical Psychology
    |July 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Chronic low back pain leads to psychological disturbances, including heightened somatic awareness and depressive symptoms, but not increased pain perception. This study clarifies the relationship between pain duration and mental health in patients.

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    Area of Science:

    • Psychology
    • Pain Medicine
    • Clinical Psychiatry

    Background:

    • The relationship between psychological disturbances and chronic low back pain (CLBP) is unclear.
    • It remains uncertain if pain duration correlates with depression in CLBP patients.

    Purpose of the Study:

    • To investigate the association between the duration of low back pain and psychological characteristics.
    • To determine if increasing pain chronicity influences psychopathological features, mood, and pain perception.

    Main Methods:

    • 148 patients with low back pain were categorized into recent (0-6 months), longstanding (6-24 months), and chronic (>24 months) groups.
    • Psychological assessments included the MMPI, MAACL, STAI, and LBPQ.

    Main Results:

    Related Experiment Videos

    • Increasing pain chronicity correlated with significant increases in MMPI scales (Hs, D, HY, PT, MA) and STAI Trait Anxiety.
    • These findings suggest chronicity contributes to psychopathological characteristics.
    • No significant increase in depressive mood or pain perception was observed with increasing chronicity.

    Conclusions:

    • Chronic low back pain appears to induce psychopathological changes.
    • These changes involve heightened somatic awareness and vegetative depressive symptoms.
    • Depressive mood and pain perception do not necessarily increase with pain duration.