• Der Schmerz · Sep 2006

    Comparative Study

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

    • B W Klasen, J Brüggert, and M Hasenbring.
    • Abteilung für Medizinische Psychologie und Medizinische Soziologie, Ruhr-Universität Bochum. bernhard.klasen@ruhr-uni-bochum.de
    • Schmerz. 2006 Sep 1; 20 (5): 398, 400-2, 404-6 passim.

    BackgroundThe 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.MethodsA 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.ResultsThe 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.ConclusionThe results give further support for the cognitive mediation hypothesis and enhance it by pointing out the role of specific pain-related cognitive appraisals.

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