[Role of cognitive pain coping strategies for depression in chronic back pain. Path analysis of patients in primary care].

Autor: Klasen BW; Abteilung für Medizinische Psychologie und Medizinische Soziologie, Ruhr-Universität Bochum. bernhard.klasen@ruhr-uni-bochum.de, Brüggert J, Hasenbring M
Jazyk: němčina
Zdroj: Schmerz (Berlin, Germany) [Schmerz] 2006 Sep; Vol. 20 (5), pp. 398, 400-2, 404-6 passim.
DOI: 10.1007/s00482-006-0470-y
Abstrakt: Background: The concurrent occurrence of chronic pain syndromes and depressive symptoms is a commonly observed phenomenon.The aim of the present study was to illuminate the mediating role of specific cognitive pain coping strategies as a connective link between pain and depression.
Methods: A total of 122 chronic and chronic recurrent simple back pain patients were examined in view of the connection between pain, cognitive pain coping strategies, and depression.
Results: The results of the path analysis support the assumption of a mediating effect of cognitive coping strategies between pain and depression (GFI = 0.99; AGFI = 0.96). It could be shown, that cognitive coping mediates the link between pain and depression in back pain patients.
Conclusion: The results give further support for the cognitive mediation hypothesis and enhance it by pointing out the role of specific pain-related cognitive appraisals.
Databáze: MEDLINE