Self-system therapy for distress associated with persistent low back pain: A randomized clinical trial.
| dc.contributor.author | Waters, Sandra J | |
| dc.contributor.author | Strauman, Timothy J | |
| dc.contributor.author | McKee, Daphne C | |
| dc.contributor.author | Campbell, Lisa C | |
| dc.contributor.author | Shelby, Rebecca A | |
| dc.contributor.author | Dixon, Kim E | |
| dc.contributor.author | Fras, Anne Marie | |
| dc.contributor.author | Keefe, Francis J | |
| dc.coverage.spatial | England | |
| dc.date.accessioned | 2017-03-16T22:19:57Z | |
| dc.date.available | 2017-03-16T22:19:57Z | |
| dc.date.issued | 2016-07 | |
| dc.description.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. | |
| dc.identifier | ||
| dc.identifier.eissn | 1468-4381 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Informa UK Limited | |
| dc.relation.ispartof | Psychother Res | |
| dc.relation.isversionof | 10.1080/10503307.2015.1040485 | |
| dc.subject | depression | |
| dc.subject | persistent pain | |
| dc.subject | self-discrepancy | |
| dc.subject | self-regulation | |
| dc.subject | self-system therapy | |
| dc.title | Self-system therapy for distress associated with persistent low back pain: A randomized clinical trial. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Strauman, Timothy J|0000-0002-0310-4505 | |
| duke.contributor.orcid | Keefe, Francis J|0000-0003-0583-9326 | |
| pubs.author-url | ||
| pubs.begin-page | 472 | |
| pubs.end-page | 483 | |
| pubs.issue | 4 | |
| pubs.organisational-group | Anesthesiology | |
| pubs.organisational-group | Anesthesiology, Pain Management | |
| pubs.organisational-group | Center for Child and Family Policy | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | Duke Cancer Institute | |
| pubs.organisational-group | Duke Institute for Brain Sciences | |
| pubs.organisational-group | Duke Science & Society | |
| pubs.organisational-group | Duke-UNC Center for Brain Imaging and Analysis | |
| pubs.organisational-group | Initiatives | |
| pubs.organisational-group | Institutes and Centers | |
| pubs.organisational-group | Institutes and Provost's Academic Units | |
| pubs.organisational-group | Medicine | |
| pubs.organisational-group | Medicine, Rheumatology and Immunology | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences | |
| pubs.organisational-group | Psychiatry & Behavioral Sciences, Behavioral Medicine | |
| pubs.organisational-group | Psychology and Neuroscience | |
| pubs.organisational-group | Sanford School of Public Policy | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Trinity College of Arts & Sciences | |
| pubs.organisational-group | University Institutes and Centers | |
| pubs.publication-status | Published | |
| pubs.volume | 26 |
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