Self-system therapy for distress associated with persistent low back pain: A randomized clinical trial.
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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.
Published Version (Please cite this version)10.1080/10503307.2015.1040485
Publication InfoWaters, Sandra J; Strauman, Timothy J; McKee, Daphne C; Campbell, Lisa C; Shelby, Rebecca A; Dixon, Kim E; ... Keefe, Francis J (2016). Self-system therapy for distress associated with persistent low back pain: A randomized clinical trial. Psychother Res, 26(4). pp. 472-483. 10.1080/10503307.2015.1040485. Retrieved from https://hdl.handle.net/10161/13839.
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Assistant Professor of Anesthesiology
Geriatric pain management, evaluating CSF levels of substance P and somatostatin in elderly vs. younger patients.
Professor in Psychiatry and Behavioral Sciences
The primary aim of our research over the past year has been to evaluate the efficacy of cognitive-behavioral treatments for arthritis pain. We are conducting two treatment outcome studies supported by grants from the National Institute of Arthritis, Musculoskeletal, and Skin Diseases. The first project, conducted with osteoarthritis patients, seeks to determine whether aerobic exercise training can enhance the effects of a cognitive behavior therapy (CBT) intervention for managing pain an
Adjunct Associate Professor in the Department of Psychiatry and Behavioral Sciences
Dr. McKee has extensive experience in the assessment and treatment of chronic pain.
Associate Professor in Psychiatry and Behavioral Sciences
Rebecca Shelby, Ph.D. is an Associate Professor with Tenure in the Department of Psychiatry and Behavioral Sciences at Duke University and the Director of Education and Training for the Duke Cancer Patient Support Program. Dr. Shelby is a member of the Duke Pain Prevention and Treatment Research Program and the Duke Cancer Control and Population Sciences Program. Dr. Shelby completed her graduate training in clinical psychology at the Ohio State University and her clinical internsh
Professor of Psychology and Neuroscience
Professor Strauman's research focuses on the psychological and neurobiological processes that enable self-regulation, conceptualized in terms of a cognitive/motivational perspective, as well as the relation between self-regulation and affect. Particular areas of emphasis include: (1) conceptualizing self-regulation in terms of brain/behavior motivational systems; (2) the role of self-regulatory cognitive processes in vulnerability to depression and other disorders; (3) the impact of tre
Alphabetical list of authors with Scholars@Duke profiles.