Depression history, stress, and pain in rheumatoid arthritis patients

This study examined the role of past episodes of depression on pain reports for patients with rheumatoid arthritis (RA) before and during stress induction. A history of major depressive episodes was assessed by diagnostic interviews for 138 RA patients, 74 who later participated in a set of laborato...

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Bibliographic Details
Published in:Journal of behavioral medicine 2007-06, Vol.30 (3), p.187-197
Main Authors: ZAUTRA, Alex J, PARRISH, Brendt P, VAN PUYMBROECK, Christina M, TENNEN, Howard, DAVIS, Mary C, REICH, John W, IRWIN, Mike
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Affect
Arthralgia - psychology
Arthritis, Rheumatoid - psychology
Biological and medical sciences
Chronic illnesses
Chronic pain
Conflict (Psychology)
Depression
Depressive Disorder, Major - complications
Depressive Disorder, Major - diagnosis
Depressive Disorder, Major - psychology
Diseases of the osteoarticular system
Female
Fundamental and applied biological sciences. Psychology
Humans
Hypotheses
Illness and personality
Illness, stress and coping
Inflammatory joint diseases
Interviews
Laboratories
Male
Medical sciences
Mental depression
Middle Aged
Mood disorders
Pain
Pain Measurement
Personality Assessment
Psychology and medicine
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Psychopathology. Psychiatry
Questionnaires
Recurrence
Rheumatoid arthritis
Risk Factors
Sick Role
Speech
Stress
Stress, Psychological - complications
Stress, Psychological - psychology
Women
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Description
Summary:This study examined the role of past episodes of depression on pain reports for patients with rheumatoid arthritis (RA) before and during stress induction. A history of major depressive episodes was assessed by diagnostic interviews for 138 RA patients, 74 who later participated in a set of laboratory procedures designed to induce interpersonal stress. Patients were evaluated by a rheumatologist and then asked to report joint and bodily pain throughout the laboratory study. We found that RA patients with a history of two or more episodes of major depression had more pain at baseline, and exhibited higher pain in response to the stress induction than did RA patients with either only one episode or no history of depression. Such findings provide new insight in the dynamic relationships between depression, stress, and pain.
ISSN:0160-7715
1573-3521
DOI:10.1007/s10865-007-9097-4