Depressed Mood Differentially Mediates the Relationship between Pain Intensity and Pain Disability Depending on Pain Duration: A Moderated Mediation Analysis in Chronic Pain Patients
Research has shown that pain is associated with disability and that depressed mood mediates the relationship between pain and disability. The question of whether duration of pain moderates these effects was addressed in this cross-sectional study with 356 chronic pain patients. A simple mediation mo...
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Series: | Pain Research and Management |
Online Access: | http://dx.doi.org/10.1155/2016/3204914 |
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doaj-de8a7393b1a9417e9964fdd3220efaea2020-11-24T21:33:23ZengHindawi LimitedPain Research and Management1203-67651918-15232016-01-01201610.1155/2016/32049143204914Depressed Mood Differentially Mediates the Relationship between Pain Intensity and Pain Disability Depending on Pain Duration: A Moderated Mediation Analysis in Chronic Pain PatientsThomas Probst0Susanne Neumeier1Jürgen Altmeppen2Michael Angerer3Thomas Loew4Christoph Pieh5Department of Psychology, University of Regensburg, 93053 Regensburg, GermanyInterdisciplinary Pain Clinic, Weiden Hospital, 92637 Weiden, GermanyDepartment of Anesthesiology, Weiden Hospital, 92637 Weiden, GermanyDepartment of Neurology, Weiden Hospital, 92637 Weiden, GermanyDepartment of Psychosomatic Medicine, University Hospital Regensburg, 93053 Regensburg, GermanyDepartment of Psychosomatic Medicine, University Hospital Regensburg, 93053 Regensburg, GermanyResearch has shown that pain is associated with disability and that depressed mood mediates the relationship between pain and disability. The question of whether duration of pain moderates these effects was addressed in this cross-sectional study with 356 chronic pain patients. A simple mediation model replicated the notion that depressed mood explains a significant proportion of the relationship between pain and disability (in the study at hand: 12%). A moderated mediation model revealed that the indirect effect of pain on disability through depressed mood is moderated by pain duration: while depressed mood did not mediate the effect of pain on disability in chronic pain patients with shorter pain duration, depressed mood significantly mediated the effect pain exerts on disability in chronic pain patients with longer pain duration. Pain duration did not moderate the direct effect of pain on disability. Implications of these findings for the treatment of chronic pain might be that targeting depressed mood is especially relevant in chronic pain patients with longer pain duration to reduce the effect of pain on disability.http://dx.doi.org/10.1155/2016/3204914 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Thomas Probst Susanne Neumeier Jürgen Altmeppen Michael Angerer Thomas Loew Christoph Pieh |
spellingShingle |
Thomas Probst Susanne Neumeier Jürgen Altmeppen Michael Angerer Thomas Loew Christoph Pieh Depressed Mood Differentially Mediates the Relationship between Pain Intensity and Pain Disability Depending on Pain Duration: A Moderated Mediation Analysis in Chronic Pain Patients Pain Research and Management |
author_facet |
Thomas Probst Susanne Neumeier Jürgen Altmeppen Michael Angerer Thomas Loew Christoph Pieh |
author_sort |
Thomas Probst |
title |
Depressed Mood Differentially Mediates the Relationship between Pain Intensity and Pain Disability Depending on Pain Duration: A Moderated Mediation Analysis in Chronic Pain Patients |
title_short |
Depressed Mood Differentially Mediates the Relationship between Pain Intensity and Pain Disability Depending on Pain Duration: A Moderated Mediation Analysis in Chronic Pain Patients |
title_full |
Depressed Mood Differentially Mediates the Relationship between Pain Intensity and Pain Disability Depending on Pain Duration: A Moderated Mediation Analysis in Chronic Pain Patients |
title_fullStr |
Depressed Mood Differentially Mediates the Relationship between Pain Intensity and Pain Disability Depending on Pain Duration: A Moderated Mediation Analysis in Chronic Pain Patients |
title_full_unstemmed |
Depressed Mood Differentially Mediates the Relationship between Pain Intensity and Pain Disability Depending on Pain Duration: A Moderated Mediation Analysis in Chronic Pain Patients |
title_sort |
depressed mood differentially mediates the relationship between pain intensity and pain disability depending on pain duration: a moderated mediation analysis in chronic pain patients |
publisher |
Hindawi Limited |
series |
Pain Research and Management |
issn |
1203-6765 1918-1523 |
publishDate |
2016-01-01 |
description |
Research has shown that pain is associated with disability and that depressed mood mediates the relationship between pain and disability. The question of whether duration of pain moderates these effects was addressed in this cross-sectional study with 356 chronic pain patients. A simple mediation model replicated the notion that depressed mood explains a significant proportion of the relationship between pain and disability (in the study at hand: 12%). A moderated mediation model revealed that the indirect effect of pain on disability through depressed mood is moderated by pain duration: while depressed mood did not mediate the effect of pain on disability in chronic pain patients with shorter pain duration, depressed mood significantly mediated the effect pain exerts on disability in chronic pain patients with longer pain duration. Pain duration did not moderate the direct effect of pain on disability. Implications of these findings for the treatment of chronic pain might be that targeting depressed mood is especially relevant in chronic pain patients with longer pain duration to reduce the effect of pain on disability. |
url |
http://dx.doi.org/10.1155/2016/3204914 |
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