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Douleur et dépression

Evaluation de la dépression dans une clientèle de personnes frappées de douleurs chroniques et analyse des résultats du Beck Depression inventory en fonction de différentes variables

  • Published:
Douleur et Analgésie

Résumé

En postulant que la dépression est davantage dépendante de facteurs de personnalité et de contexte de vie, que de variables définissant le syndrome douloureux chronique, l'auteur a, dans une étude portant sur une population hétérogène de 200 douloureux chroniques, vus ambulatoirement, cherché à déterminer l'existence de corrélations

  • - entre la dépression et l'intensité de la douleur mesurées respectivement à l'aide du BDI et de l'EVA

  • - entre le BDI et certaines variables (données socio-démographiques, durée et localisation de la douleur), et certaines composantes cognitivo-comportementales et affectives du patient envers lui-même et son entourage

  • - entre l'EVA et les mêmes variables.

Dans sa qualité de comportement inadapté à la maladie, la douleur dépend de facteurs de personnalité et lorsque la dépression l'accompagne, elle accentue ce «coping style» et influence l'intensité de la douleur. Les résultats semblent confirmer cette hypothèse.

Summary

Postulating, that depression is more dependant upon personality and life style than specific chronic pain syndrome, the author in a study of a 200 heterogenous chronic pain outpatients population, looked at the following correlations:

  • - between depression and pain intensity as measured by the BDI and VAS respectively

  • - between the BDI and other variables that is, sociodemographic data, average duration and localisation of pain, and comportemental, affective and cognitive aspects noted in the attitudes of chronic pain patients, with regard to themselves and their entourage

  • - between the VAS and the above variables

If considered like an abnormal illness behaviour, chronic pain depends upon personality's factors and if depression is present it emphasizes this coping strategy and influences the pain intensity. The results seemed to confirm this hypothesis

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Authors and Affiliations

  1. Département de Psychiatrie, Hôpital cantonal universitaire, Universié de Genève, Genève

    C. Favre

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  1. C. Favre
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Thèse présentée à la Faculté de Médecine de l'Université de Genève (Pr A. Haynal)

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Favre, C. Douleur et dépression. Doul. et Analg. 4, 87–98 (1991). https://doi.org/10.1007/BF03004034

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