Stress-Related Clinical Pain and Mood in Women with Chronic Pain: Moderating Effects of Depression and Positive Mood Induction

Mary Davis, Kirti Thummala, Alex J. Zautra

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

Purpose: This study aims to compare depressed and non-depressed pain patients in mood and pain stress reactivity and recovery, and test whether a post-stress positive mood induction moderates pain recovery.

Background: Chronic pain with comorbid depression is characterized by poor mood regulation and stress-related pain.

Methods: Women with fibromyalgia and/or osteoarthritis (N = 110) underwent interpersonal stress and were then randomly assigned by pain condition and depression status, assessed via the Center for Epidemiological Studies-Depression scale, to positive versus neutral mood induction.

Results: Depression did not predict stress-related reactivity in despondency, joviality, or clinical pain. However, depression × mood condition predicted recovery in joviality and clinical pain; depressed women recovered only in the positive mood condition, whereas non-depressed women recovered in both mood conditions.

Conclusions: Depression does not alter pain and mood stress reactivity, but does impair recovery. Boosting post-stress jovial mood ameliorates pain recovery deficits in depressed patients, a finding relevant to chronic pain interventions.

Original languageEnglish (US)
Pages (from-to)61-70
Number of pages10
JournalAnnals of Behavioral Medicine
Volume48
Issue number1
DOIs
StatePublished - Aug 1 2014

Keywords

  • Chronic pain
  • Depression
  • Positive mood induction
  • Stress recovery

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

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