Pain coping strategies and depression in rheumatoid arthritis

Brown, Gregory K.; Nicassio, Perry M.; Wallston, Kenneth A.

doi:10.1037/0022-006x.57.5.652

Cited by 243Musculoskeletal pain and rehabilitationRheumatoid Arthritis Research and TherapiesPediatric Pain Management Techniques

Pain coping strategies and depression in rheumatoid arthritis

Brown, Gregory K., Nicassio, Perry M., Wallston, Kenneth A.·1989·Journal of Consulting and Clinical Psychology

DOI 10.1037/0022-006x.57.5.652

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Abstract

A study was conducted to examine the role of pain episodes and the role of active and passive pain coping strategies in predicting depression in 287 patients with rheumatoid arthritis (RA). The independent effects of pain and pain coping strategies, as well as the interaction effects between pain and pain coping strategies on depression, were evaluated cross-sectionally and prospectively over a 6-month interval. The cross-sectional findings revealed that pain, passive coping, and the interaction between pain and passive coping contributed independent variance, all accounting for higher depression. Of principal interest was the finding that the frequent use of passive pain coping strategies in the face of high pain contributed to the most severe level of depression over time. These results were obtained after controlling for the potentially confounding effects of prior depression, functional disability, and medication status. These data imply that there may be a potential benefit of developing techniques to reduce the use of passive pain coping strategies to deal with chronic arthritis pain in cognitive-behavioral pain management programs.

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“emotional distress and psychosocial stress have been shown to increase the likelihood of transitioning from acute to chronic musculoskeletal pain 18, 36, 37, 41, 42.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [41]

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Authors: Brown, G. K., Nicassio, P. M., & Wallston, K. A.
Affiliations: University of Pennsylvania (US)
ORCID: Brown, Gregory K.
Wallston, Kenneth A.
Venue: Journal of Consulting and Clinical Psychology
Publisher: American Psychological Association (APA)
Published: 1989
Volume: 57
Issue: 5
Pages: 652-657
ISSN: 0022-006X (ISSN-L)
1939-2117
DOI: 10.1037/0022-006x.57.5.652
OpenAlex: W2077740412
Cited by: 242
References: 31
Citations by year: 2025: 3 · 2024: 1 · 2022: 4 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 4 · 2017: 5 · 2016: 4 · 2015: 3 · 2014: 5 · 2013: 3 · 2012: 7
FWCI: 8.56
Type: journal article
Language: en
Open access: closed
Locations: Journal of Consulting and Clinical Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5r01nr001007-10)
National Institute of Nursing Research (5 R01 NR01007)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: rheumatoid arthritis, pain coping, depression, passive coping, chronic pain, pain episodes, cognitive-behavioral pain management, functional disability, medication use
MeSH terms: Adaptation, Psychological, Adult, Arthritis, Rheumatoid, Depression, Female, Humans, Male, Middle Aged, Pain, Prospective Studies

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Pain coping strategies and depression in rheumatoid arthritis

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