Adult attachment variables predict depression before and after treatment for chronic pain

Meredith, P. J., Strong, J. and Feeney, J. A. (2007) Adult attachment variables predict depression before and after treatment for chronic pain. European Journal of Pain, 11 2: 164-170. doi:10.1016/j.ejpain.2006.01.004

Author Meredith, P. J.
Strong, J.
Feeney, J. A.
Title Adult attachment variables predict depression before and after treatment for chronic pain
Journal name European Journal of Pain   Check publisher's open access policy
ISSN 1090-3801
Publication date 2007
Sub-type Article (original research)
DOI 10.1016/j.ejpain.2006.01.004
Volume 11
Issue 2
Start page 164
End page 170
Total pages 7
Place of publication London
Publisher W B Saunders Co Ltd
Collection year 2008
Language eng
Subject 730303 Occupational, speech and physiotherapy
321021 Psychiatry
321024 Rehabilitation and Therapy - Occupational and Physical
Abstract The complex relationship between chronic pain and depression has long been of clinical and empirical interest. Although attachment theory has been described as a "theory of affect regulation", and has been lauded as a developmental framework for chronic pain, surprisingly little research specifically considers the links between adult attachment variables and pain-related depression. A sample of 99 participants with chronic pain of non-cancer origin was evaluated before and after pain rehabilitation. Results demonstrated that two attachment dimensions (comfort with closeness and relationship anxiety) were related to pre- and post-treatment depression. Of particular interest was the finding that comfort with closeness was the unique predictor of lower levels of post-treatment depression, usurping pain intensity and pre-treatment depression. These results are discussed in terms of clinical implications, and suggest that adult attachment theory may prove a valuable perspective in pain treatment programs. (C) 2006 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Ltd. All rights reserved.
Keyword Anesthesiology
Clinical Neurology
adult attachment theory
chronic pain
pain intensity
Anxiety-stress Scales
Insecure Attachment
Coping Strategies
Q-Index Code C1
Q-Index Status Confirmed Code

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