Erschienen in:
01.08.2014 | Original Article
Stress-Related Clinical Pain and Mood in Women with Chronic Pain: Moderating Effects of Depression and Positive Mood Induction
verfasst von:
Mary C. Davis, Ph.D., Kirti Thummala, B.A., Alex J. Zautra, Ph.D.
Erschienen in:
Annals of Behavioral Medicine
|
Ausgabe 1/2014
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Abstract
Background
Chronic pain with comorbid depression is characterized by poor mood regulation and stress-related pain.
Purpose
This study aims to compare depressed and non-depressed pain patients in mood and pain stress reactivity and recovery, and test whether a post-stress positive mood induction moderates pain recovery.
Methods
Women with fibromyalgia and/or osteoarthritis (N = 110) underwent interpersonal stress and were then randomly assigned by pain condition and depression status, assessed via the Center for Epidemiological Studies-Depression scale, to positive versus neutral mood induction.
Results
Depression did not predict stress-related reactivity in despondency, joviality, or clinical pain. However, depression × mood condition predicted recovery in joviality and clinical pain; depressed women recovered only in the positive mood condition, whereas non-depressed women recovered in both mood conditions.
Conclusions
Depression does not alter pain and mood stress reactivity, but does impair recovery. Boosting post-stress jovial mood ameliorates pain recovery deficits in depressed patients, a finding relevant to chronic pain interventions.