The relationship of antidepressant use, depression, depressive symptomatology and reported pain to multidisciplinary chronic pain treatment outcome measures

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dc.contributor.authorKnuppel, MarLaneen
dc.contributor.committeecochairHohenshil, Thomas H.en
dc.contributor.committeecochairSingh, Kusumen
dc.contributor.committeememberGetz, Hilda M.en
dc.contributor.committeememberProtinsky, Howard O. Jr.en
dc.contributor.committeememberHormel, Timothyen
dc.contributor.departmentCounselor Educationen
dc.date.accessioned2014-03-14T21:12:15Zen
dc.date.adate2008-06-06en
dc.date.available2014-03-14T21:12:15Zen
dc.date.issued1996-04-05en
dc.date.rdate2008-06-06en
dc.date.sdate2008-06-06en
dc.description.abstractThis study was conducted to analyze various objective measures of treatment outcome among patients that participated in a multidisciplinary chronic pain treatment program and to compare these measures to the absence or presence of antidepressant medication, the level of depression, and the quality of pain and depression reported. In addition, this study examined whether there are certain patient characteristics that are related to treatment outcome measures. Data was collected from the medical records of 232 patients who were admitted to and treated for various chronic pain syndromes at the Lewis-Gale Hospital Pain Center in Salem, Virginia. Results of the study indicate that when chronic pain patients are subdivided into groups based on antidepressant drug use, depression level, reported quality of pain, and depressive symptomatology, there are distinct and significant differences before treatment when between-group comparisons are made. Within-group comparisons revealed significant differences between pre and post test measures for most groups studied, however, those with the most significant changes in scores included those patients on antidepressant medication, those patients with greater cognitive symptoms of depression, and those patients who were non-depressed. Patient characteristics that were significantly related to outcome included age, gender, duration of pain, employment, workers compensation, and litigation status.en
dc.description.degreePh. D.en
dc.format.extentix, 156 leavesen
dc.format.mediumBTDen
dc.format.mimetypeapplication/pdfen
dc.identifier.otheretd-06062008-152042en
dc.identifier.sourceurlhttp://scholar.lib.vt.edu/theses/available/etd-06062008-152042/en
dc.identifier.urihttp://hdl.handle.net/10919/38046en
dc.language.isoenen
dc.publisherVirginia Techen
dc.relation.haspartLD5655.V856_1996.K599.pdfen
dc.relation.isformatofOCLC# 35109938en
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectantidepressantsen
dc.subjectdepressionen
dc.subjectchronic painen
dc.subjecttreatment outcomeen
dc.subject.lccLD5655.V856 1996.K599en
dc.titleThe relationship of antidepressant use, depression, depressive symptomatology and reported pain to multidisciplinary chronic pain treatment outcome measuresen
dc.typeDissertationen
dc.type.dcmitypeTexten
thesis.degree.disciplineCounselor Educationen
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen
thesis.degree.leveldoctoralen
thesis.degree.namePh. D.en

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