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Cited by 408Musculoskeletal pain and rehabilitationPsychosomatic Disorders and Their TreatmentsFibromyalgia and Chronic Fatigue Syndrome Research

The DOI matches its Crossref record; 96 of the 96 references it cites were found in a registry or an index.

Longitudinal Associations Between Depression, Anxiety, Pain, and Pain-Related Disability in Chronic Pain Patients

Lerman, Sheera F., Rudich, Zvia, Brill, Silviu, Shalev, Hadar, Shahar, Golan·2015·Psychosomatic Medicine
DOI 10.1097/psy.0000000000000158
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Abstract

OBJECTIVE: The current study sets out to examine the longitudinal relationship between pain, pain-related disability, and symptoms of depression and anxiety. The latter symptoms are highly prevalent in chronic pain and seriously impede functioning and quality of life. Nevertheless, the direction of the relationship involving these variables among individuals with chronic pain is still unclear. METHODS: Four-hundred twenty-eight individuals with chronic pain (238 women, mean age 54.84 years, mean pain duration 85.21 months) treated at two pain clinics completed questionnaires regarding their pain (Short-Form McGill Pain Questionnaire), depression (Center for Epidemiological Studies-Depression Scale), state anxiety (State-Trait Anxiety Inventory), and pain-related disability (Pain Disability Index) at four time points, with an average of 5 months between measurements. Cross-lagged, structural equation modeling analyses were performed, enabling the examination of longitudinal associations between the variables. RESULTS: Significant symptoms of both depression and anxiety were reported by more than half of the sample on all waves. A latent depression/anxiety variable longitudinally predicted pain (β = .27, p < .001) and pain-related disability (β = .38, p < .001). However, neither pain (β = .10, p = .126) nor pain-related disability (β = -.01, p = .790) predicted depression/anxiety. CONCLUSIONS: Among adult patients with chronic pain treated at specialty pain clinics, high levels of depression and anxiety may worsen pain and pain-related disability.

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Metadata

Authors
Lerman, S. F., Rudich, Z., Brill, S., Shalev, H., & Shahar, G.
Affiliations
Ben-Gurion University of the Negev (IL)
Corresponding author
Lerman, Sheera F.
ORCID
Venue
Psychosomatic Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2015-04
Volume
77
Issue
3
Pages
333-341
ISSN
0033-3174 (ISSN-L)
DOI
10.1097/psy.0000000000000158
OpenAlex
W2067457834
Cited by
408
References
96
Citations by year
2026: 24 · 2025: 46 · 2024: 70 · 2023: 55 · 2022: 39 · 2021: 42 · 2020: 46 · 2019: 37 · 2018: 21 · 2017: 17 · 2016: 9 · 2015: 1
FWCI
11.53
Type
journal article
Language
en
Open access
closed
Locations
  • Psychosomatic Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Keywords
chronic pain, depression, anxiety, pain-related disability, pain intensity, longitudinal associations, psychosomatic pain, pain clinic, quality of life
MeSH terms
Activities of Daily Living, Adolescent, Adult, Aged, Aged, 80 and over, Anxiety, Depression, Disability Evaluation, Female, Humans, Longitudinal Studies, Male, Middle Aged, Pain Measurement, Prospective Studies, Quality of Life, Surveys and Questionnaires, Cohort Studies, Young Adult, Chronic Pain

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