Faculty Collaboration Database

Stress-related clinical pain and mood in women with chronic pain: moderating effects of depression and positive mood induction. Ann Behav Med 2014 Aug;48(1):61-70

Date

02/18/2014

Pubmed ID

24532393

Pubmed Central ID

PMC4104254

DOI

10.1007/s12160-013-9583-6

Scopus ID

2-s2.0-84893668270 (requires institutional sign-in at Scopus site)   21 Citations

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.

Author List

Davis MC, Thummala K, Zautra AJ

Author

Kirti Thummala PhD Assistant Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Affect
Attention
Chronic Disease
Depression
Female
Fibromyalgia
Humans
Middle Aged
Osteoarthritis
Pain
Pain Measurement
Photic Stimulation
Stress, Psychological