東華大學圖書館 |

Language: English

Help

回圖書館首頁

手機版館藏查詢

Back

Switch To: Labeled | MARC Mode | ISBD

Depressive symptoms in patients with...

Queen's University (Canada).

Linked to FindBook

Google Book

Amazon

博客來

Depressive symptoms in patients with chronic pain: Delineation and empirical investigation of cognitive-behavioural mediation models.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Depressive symptoms in patients with chronic pain: Delineation and empirical investigation of cognitive-behavioural mediation models./
Author:	Cannon, Colleen Kathleen.
Description:	185 p.
Notes:	Advisers: M. Condra; P. Minnes.
Contained By:	Dissertation Abstracts International60-02B.
Subject:	Canadian Studies. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NQ35954
ISBN:	9780612359543

Depressive symptoms in patients with chronic pain: Delineation and empirical investigation of cognitive-behavioural mediation models.
Cannon, Colleen Kathleen.

Depressive symptoms in patients with chronic pain: Delineation and empirical investigation of cognitive-behavioural mediation models. - 185 p.

Advisers: M. Condra; P. Minnes.

Thesis (Ph.D.)--Queen's University (Canada), 1998.

The present study used archival data from 333 patients with chronic pain to compare the goodness-of-fit of four covariance structure models of causes for depressive symptoms. In accordance with predictions from a cognitive-behavioural approach, all four models proposed that pain severity was mediated by avoidance behaviours and cognitions of personal mastery. Model A hypothesized unidirectional pathways between pain severity, avoidance behaviours, and personal mastery cognitions, leading to depressive symptoms. Model B was identical, except for the addition of a bidirectional pathway between avoidance behaviours and personal mastery cognitions. Models C and D were the same as Models A and B, respectively, except for the addition of the exogenous latent variable Pain Duration, which was hypothesized to influence both avoidance behaviours and personal mastery. Each model was evaluated on two independent samples of patients with chronic pain. None of the models achieved an appropriate over-all goodness of fit to the data, and none of the nested model comparisons were significant upon replication. However, a number of meaningful results were obtained. Although all models accounted for at least 73% of the variance in depression scores, the link between pain severity and depressive symptoms was repeatedly non-significant, suggesting the involvement of other factors. Furthermore, the pathways between pain severity and avoidance behaviours, and between avoidance behaviours, and depressive symptoms, were not consistently significant, indicating that targeting avoidance behaviours in chronic pain treatment programs is not necessarily effective in affecting other areas of the pain experience. In both samples, personal mastery cognitions demonstrated a significant inverse relationship with both pain severity and depression scores, suggesting that cognitions concerning self-efficacy and perceived control may be a focus for intervention. This pattern was also demonstrated in a post hoc exploration of the models, which produced one model with a marginal fit to the data that replicated over both samples. This model accounted for at least 77% of the variance in depressive symptoms scores over both samples. The analysis indicated that neither pain seventy, avoidance behaviours, personal mastery cognitions, nor depressive symptoms varied significantly with the length of time patients had been experiencing painful symptoms. These findings are examined in relation to current models of depression in patients with chronic pain.

ISBN: 9780612359543Subjects--Topical Terms:

1020605
Canadian Studies.

Depressive symptoms in patients with chronic pain: Delineation and empirical investigation of cognitive-behavioural mediation models.
LDR:03613nmm 2200337 a 45 001 865133
005 20100728
008 100728s1998 ||||||||||||||||| ||eng d
020 $a 9780612359543
035 $a (UMI)AAINQ35954
035 $a AAINQ35954
040 $a UMI $c UMI
100 1 $a Cannon, Colleen Kathleen. $3 1033546
245 1 0 $a Depressive symptoms in patients with chronic pain: Delineation and empirical investigation of cognitive-behavioural mediation models.
300 $a 185 p.
500 $a Advisers: M. Condra; P. Minnes.
500 $a Source: Dissertation Abstracts International, Volume: 60-02, Section: B, page: 0821.
502 $a Thesis (Ph.D.)--Queen's University (Canada), 1998.
520 $a The present study used archival data from 333 patients with chronic pain to compare the goodness-of-fit of four covariance structure models of causes for depressive symptoms. In accordance with predictions from a cognitive-behavioural approach, all four models proposed that pain severity was mediated by avoidance behaviours and cognitions of personal mastery. Model A hypothesized unidirectional pathways between pain severity, avoidance behaviours, and personal mastery cognitions, leading to depressive symptoms. Model B was identical, except for the addition of a bidirectional pathway between avoidance behaviours and personal mastery cognitions. Models C and D were the same as Models A and B, respectively, except for the addition of the exogenous latent variable Pain Duration, which was hypothesized to influence both avoidance behaviours and personal mastery. Each model was evaluated on two independent samples of patients with chronic pain. None of the models achieved an appropriate over-all goodness of fit to the data, and none of the nested model comparisons were significant upon replication. However, a number of meaningful results were obtained. Although all models accounted for at least 73% of the variance in depression scores, the link between pain severity and depressive symptoms was repeatedly non-significant, suggesting the involvement of other factors. Furthermore, the pathways between pain severity and avoidance behaviours, and between avoidance behaviours, and depressive symptoms, were not consistently significant, indicating that targeting avoidance behaviours in chronic pain treatment programs is not necessarily effective in affecting other areas of the pain experience. In both samples, personal mastery cognitions demonstrated a significant inverse relationship with both pain severity and depression scores, suggesting that cognitions concerning self-efficacy and perceived control may be a focus for intervention. This pattern was also demonstrated in a post hoc exploration of the models, which produced one model with a marginal fit to the data that replicated over both samples. This model accounted for at least 77% of the variance in depressive symptoms scores over both samples. The analysis indicated that neither pain seventy, avoidance behaviours, personal mastery cognitions, nor depressive symptoms varied significantly with the length of time patients had been experiencing painful symptoms. These findings are examined in relation to current models of depression in patients with chronic pain.
590 $a School code: 0283.
650 4 $a Canadian Studies. $3 1020605
650 4 $a Psychology, Behavioral. $3 1017677
650 4 $a Psychology, Clinical. $3 524864
650 4 $a Psychology, Cognitive. $3 1017810
650 4 $a Psychology, Personality. $3 1017585
650 4 $a Psychology, Psychobiology. $3 1017821
690 $a 0349
690 $a 0384
690 $a 0385
690 $a 0622
690 $a 0625
690 $a 0633
710 2 $a Queen's University (Canada). $3 1017786
773 0 $t Dissertation Abstracts International $g 60-02B.
790 $a 0283
790 1 0 $a Condra, M., $e advisor
790 1 0 $a Minnes, P., $e advisor
791 $a Ph.D.
792 $a 1998
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=NQ35954