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Related Experiment Videos

Coping activities in chronic low back pain: relationship with depression

Anne L Weickgenant1, Mark A Slater, Thomas L Patterson

  • 1Departments of Psychiatry and Orthopedic Surgery, School of Medicine, University of California at San Diego, University of California at San Diego/San Diego State University Joint Doctoral Program in Clinical Psychology, and the Psychology, Psychiatry, and Surgery Services, San Diego Veterans Affairs Medical Center, San Diego, CA 92161 USA.

Pain
|April 1, 1993
PubMed
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Depressed chronic low back pain (CLBP) patients use more passive coping strategies than non-depressed individuals. Coping differs between pain and general stressors, especially regarding social support for CLBP exacerbations.

Area of Science:

  • Psychology
  • Pain Management
  • Behavioral Medicine

Background:

  • Chronic low back pain (CLBP) significantly impacts quality of life.
  • Coping mechanisms in CLBP patients are influenced by psychological factors.
  • Understanding coping differences between depressed and non-depressed CLBP patients is crucial.

Purpose of the Study:

  • To compare coping activities in depressed CLBP, non-depressed CLBP, and healthy individuals.
  • To investigate the role of depressed mood versus pain alone in shaping coping strategies.
  • To examine coping differences in response to pain-specific versus general life stressors.

Main Methods:

  • Comparative study design.
  • Inclusion of three groups: depressed CLBP patients, non-depressed CLBP patients, and healthy controls.

Related Experiment Videos

  • Assessment of coping activities related to pain and general stressors.

    • Main Results:

    • Depressed CLBP patients reported significantly more passive-avoidant coping than non-depressed CLBP patients and controls.
    • Coping strategies were similar between non-depressed CLBP patients and healthy controls.
    • Passive-avoidant coping was more prevalent for back pain stressors than for general life stressors, with reduced social support seeking for pain exacerbations.

    Conclusions:

    • Chronic low back pain patients adapt coping strategies based on stressor type (pain vs. general life events).
    • Passive-avoidant coping is associated with the comorbidity of CLBP and depression, not CLBP in isolation.
    • Depressed mood is a key determinant of maladaptive coping in CLBP.