Literature DB >> 26079438

Self-system therapy for distress associated with persistent low back pain: A randomized clinical trial.

Sandra J Waters1,2, Timothy J Strauman3, Daphne C McKee1, Lisa C Campbell1,4, Rebecca A Shelby1, Kim E Dixon1,5,6, Anne Marie Fras3, Francis J Keefe1.   

Abstract

OBJECTIVE: Persistent low back pain (PLBP) is associated with vulnerability to depression. PLBP frequently requires major changes in occupation and lifestyle, which can lead to a sense of failing to attain one's personal goals (self-discrepancy).
METHOD: We conducted a clinical trial to examine the efficacy of self-system therapy (SST), a brief structured therapy for depression based on self-discrepancy theory. A total of 101 patients with PLBP and clinically significant depressive symptoms were randomized either to SST, pain education, or standard care.
RESULTS: Patients receiving SST showed significantly greater improvement in depressive symptoms. Reduction in self-discrepancy predicted reduction in depressive symptoms only within the SST condition.
CONCLUSIONS: Findings support the utility of SST for individuals facing persistent pain and associated depression.

Entities:  

Keywords:  depression; persistent pain; self-discrepancy; self-regulation; self-system therapy

Mesh：

Year:  2015        PMID： 26079438      PMCID： PMC4681700          DOI： 10.1080/10503307.2015.1040485

Source DB:  PubMed          Journal:  Psychother Res        ISSN： 1050-3307


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