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Douleur et Analgésie

, Volume 4, Issue 3, pp 87–98 | Cite as

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
  • C. Favre
Article
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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

Key words

Depression chronic pain BDI-EVA abnormal illness behaviour 

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Bibliographie

  1. 1.
    Ackermann M.D. andStevens M.J.: Acute and chronic pain: pain dimensions and psychological status.J. Clin. Psychol. 45 (2), 223–228, 1989.CrossRefGoogle Scholar
  2. 2.
    Atkinson J.H. andKremer E.F.: Plasma measures of beta-endorphine/beta lipotropin-like immunoreactivity in chronic pain syndrome and psychiatric subjects.Psychiatry-Res. 9 (4), 319–327, 1983.PubMedCrossRefGoogle Scholar
  3. 3.
    Beck A.T., Rush A.J., Shaw B.F. andEmery G.:Focus on target symptoms in Cognitive Therapy of depression. The guilford Press New York, pp. 167–208, 1979.Google Scholar
  4. 4.
    Beck A.T., Ward C.H., Mendelson M., Mock J. andErbaugh: An Inventory for measuring Depression.Arch. of. Gen. Psychiatry 4, 561–571, 1961.Google Scholar
  5. 5.
    Beck A.T. andBeamesderfer A.: Assessment of Depression: The Depression Inventory Psychological Measurements in Psycho PharmacologyMod. Probl.; Pharmacopsychiat.7, ed. P. Pichot, Paris Karger, Basel 1974), 151–169.Google Scholar
  6. 6.
    Beck A.T., Steer R.A., Garbin M.G.: Psychometric properties of the Beck Depression Inventory: Twenty-fives years of evaluation.Clinical Psychology review 8, 77–100, 1988.CrossRefGoogle Scholar
  7. 7.
    Blackburn I.M. etCottraux J.: Thérapie cognitive de la dépression. Définir la dépression. Masson ed., Paris. pp. 3–8, 1988.Google Scholar
  8. 8.
    Bogin M.:Maîtriser la douleur. Ch. I L'héritage du passé; douleur aiguë douleur chronique. Le Jour éd., Québec, pp. 32–34, 1982.Google Scholar
  9. 9.
    Bolla-Wilson K., Beecker M.L.: Absence of depression in elderly adults.J. Gerontol. 44 (2), 53–55, 1989.Google Scholar
  10. 10.
    Bourreau F.: Les méthodes d'évaluation de la douleur clinique.Douleur et Analgésie1, no 2, 1988.Google Scholar
  11. 11.
    Bourreau F.:Pratique du traitement de la douleur. Du symptôme au syndrome douloureux chronique, ch. V. Ed. Paris, pp. 71-79, 1988.Google Scholar
  12. 12.
    Clark D.C., Daugherty S.R., Zeldow P.B., Gotterer G.S., Hedeker D.: The relationship between academic performance and severity of depressed mood during medical school.Compr. Psychiatry 29 (4), 409–420, 1988.PubMedCrossRefGoogle Scholar
  13. 13.
    Clark D.C. andZeldow P.B.: Vicissitudes of depressed mood during for years of medical school.JAMA 260 (17), 2521–2528, 1988.PubMedCrossRefGoogle Scholar
  14. 14.
    Cottraux J., Bouvard M. andLegeron P.:Méthodes et échelles d'évaluation du comportement. EAP ed., Issy-les-Moulineaux, pp. 145–152, 1985.Google Scholar
  15. 15.
    Craven J.L., Rodin G.M. andLittlefield C.: The Beck Depression Inventory as a screening device for major depression in renal dialysis patients.Int. J. Psychiatry. Med. 8 (4), 365–374, 1988.Google Scholar
  16. 16.
    Crisson J., Keefe F.J., Wilkins R.H., Cook W.A. andMuhlbaier L.H.: Self report of depressive symptoms in low back pain patients.J. Clin. Psychol. 42 (3), 425–430, 1986.PubMedCrossRefGoogle Scholar
  17. 17.
    Daly R.J., Duggan P.F., Bracken P.J., Doonan H.J. andKelleher N.J.: Plasma levels of beta-endorphine in depressed patients with and without pain.Br. J. Psychiatry 150, 224–227, 1987.PubMedCrossRefGoogle Scholar
  18. 18.
    Demierre B., Bongioanni F. etBerney J.: La douleur iatrogène d'origine chirurgicale.Douleur et Analgésie 2, 35–43, 1989.Google Scholar
  19. 19.
    Doan B.D., Wadden N.P.: Relationships between depressive symptoms and descriptions of chronic pain.Pain 36 (1), 75–84, 1989.PubMedCrossRefGoogle Scholar
  20. 20.
    Ducret L.: Douleur chronique: Approche du vécu personnel et relationnel de 30 patients algiques chroniques, mariés, adressés à la consultation de la douleur de l'HCU de Genève; thèse no 9008, Genève, 1988.Google Scholar
  21. 21.
    Emmons C.A., Fetting J.H., Zonderman A.B.: A comparison of the symptoms of medical and psychiatric patients matched on the Beck Depression Inventory.Gen. Hops. Psychiatry 9 (6), 398–404, 1987.CrossRefGoogle Scholar
  22. 22.
    Fitzgibbon M.L., Cella D.F. andSweeney J.A.: Redundancy in measures of depression.J. Clin. Psychol. 44 (3), 372–374, 1988.PubMedCrossRefGoogle Scholar
  23. 23.
    France R.D., Houpt J.L., Skott A., Krishnan K.R. andVaria J.M.: Depression as a psychopathological disorder in chronic low back pain patients.J. Psychosom. Res. 30 (2), 127–133, 1986.PubMedCrossRefGoogle Scholar
  24. 24.
    Grandy T.G., Westerman G.H., Lupo J.V. andCombs C.G.: Stress symptoms among third year dental students.J. Dent. Educ. 52, (5), 245–249, 1988.PubMedGoogle Scholar
  25. 25.
    Griffin P.T. andKogut D.: Validity of orally administered Beck and Zung Depression Scales in a state hospital setting.J. Clin. Psychol. 44 (5), 756–759, 1988.PubMedCrossRefGoogle Scholar
  26. 26.
    Hall E.M. andJohnson J.V.: Depression in unemployed Sewdish women.Soc. Sci. Med. 27 (12), 1349–1355, 1988.PubMedCrossRefGoogle Scholar
  27. 27.
    Haynal A.: Dépression et Créativité. L'affect dépressif et sa naissance. Cesura Lyon ed., pp. 39–64, 1987.Google Scholar
  28. 28.
    Hengeveld M.W., Ancion F.A., Rooijmans H.G.: Prevalence and recognition of depressive disorders in general medical inpatients.Int. J. Psychiatry Med. 17 (4), 341–349, 1987.PubMedGoogle Scholar
  29. 29.
    Hyer L., Gouveia I., Harrison W.R., Warsaw J., Coutsouridis D.: Depression, anxiety, paranoid reactions, hypochondriasis, and cognilive decline of later life in patients.J. Gerontol. 42 (1), 92–94, 1987.PubMedGoogle Scholar
  30. 30.
    Kleinke C.L. andSpangler A.S. Jr: Predicting Treatment outcome of chronic back pain patients in a multidisciplinary pain clinic: methodological issues and treatment implications.Pain 33 (1), pp. 41–48, 1988.PubMedCrossRefGoogle Scholar
  31. 31.
    Kleinke C.L.: The Depression Coping Questionnaire.J. Clin. Psychol. 44 (4), 515–526, 1988.CrossRefGoogle Scholar
  32. 32.
    Kopp M. andGruzelier J.: Electrodermally differentiated subgroups of anxiety patients and controls. II Relationships with auditory somatosensory and pain thresholds, agoraphobic fear, depression and cerebral laterality.Int. J. Psychophysiol. 7 (1), 65–75, 1989.PubMedCrossRefGoogle Scholar
  33. 33.
    Kutcher S.P. andMarton P.: Utility of the Beck Depression Inventory with psychiatrically disturbed adolescent outpatients.Can. J. Psychiatry 34 (2), 107–109, 1989.PubMedGoogle Scholar
  34. 34.
    Lambert M.J., Master K.S. andAstle D.: An effect-size comparison of the Beck, Zung and Hamilton rating scales for depression: a three week and twelve week analysis.Psycho. Rep. 63 (2), 467–470, 1988.Google Scholar
  35. 35.
    Levin B.E., Llabre M.M. andWeiner W.J.: Parkinson's disease and depression psychometric properties of the Beck Depression Inventory.J. Neurol. Neurochir. Psychiatry 51 (II), 1401–1404, 1988.Google Scholar
  36. 36.
    Louks J., Hayne C. andSmith J.: Replicated factor structure of the Beck Depression Inventory.J. Nerv. Ment. Dis. 177 (8), 473–479, 1989.PubMedCrossRefGoogle Scholar
  37. 37.
    Love A.W.: Depression in chronic low back pain patients: diagnostic efficiency of three self-report questionnaires.J. Clin. Psychol. 43 (1), 84–89, 1987.PubMedGoogle Scholar
  38. 38.
    Lustman P.J., Clouse R.E. andCarney R.M.: Depression and the reporting diabetes symptoms.Int. J. Psychiatry. Med. 18 (4), 295–303, 1988.PubMedGoogle Scholar
  39. 39.
    Lykouras E., Loannidis C., Voulgari A., Jemos J. andTzonou A.: Depression among general hospital patients in Greece.Acta Psychiatr. Scand. 2, 148–152, 1989.CrossRefGoogle Scholar
  40. 40.
    Mazars G.: Domaines et langages de la douleur, 1re partie.Panorama des douleurs. L'homme sans douleurs. Calmann-Levy ed., pp. 18–28, 1988.Google Scholar
  41. 41.
    Melzack R.: Douleur et lésion corporelle: une relation fluctuante. Le défi de la douleur. Edisem ed., pp. 5–12, 1989.Google Scholar
  42. 42.
    Moss R.A. andAdams H.E.: The assessment of personality, anxiety and depression in mandibular pain dysfonction subjects.J. Oral. Rehabil 3, 233–235, 1984.CrossRefGoogle Scholar
  43. 43.
    Parker J.C., Doerfler L.A., Tatten H.A. andHewett J.E.: Psychological factors that influence self reported pain.J. Clin. Psychol. 39 (1), 22–25, 1983.PubMedCrossRefGoogle Scholar
  44. 44.
    Parker J.C., Singsen B.H., Hewett J.E., Walker S.E., Hazelwood S.E., Hall P.J., Holsten D.J. andRodon C.M.: Educating patients with rheumatoid arthritis: a prospective analysis.Arch. Phys. Med. Rehabil, 65 (2), 771–774, 1984.PubMedGoogle Scholar
  45. 45.
    Peck J.R., Smith T.W. andMilano R.: Disability and depression in rheumatoid arthritis. A multi-trait, multi-method investigation.Arthritis Rheuma. 32 (9), 1100–1106, 1989.CrossRefGoogle Scholar
  46. 46.
    Pilowsky I. andSpence N.D.: Pain and Illness behaviour: a comparative study.J. Psychosom. Research 20, Pergamon Press, 131–134, 1976.CrossRefGoogle Scholar
  47. 47.
    Pilowsky I., Richard Chapman C. andBonica J.J.: Pain, Depression, and Illness behaviour in a pain clinic population.Pain 4, Elsevier, North Holland Biomedical Press, 183–192, 1977.Google Scholar
  48. 48.
    Pilowsky I. andSpence N.D.: Pattern of illness behaviour in patients with intractable pain.J. Psychosom. Research 19, Pergamon Press, 279–287, 1975.CrossRefGoogle Scholar
  49. 49.
    Pilowsky I., Murrel T.G.C. andGordon A.: The development of a screening method for abnormal illness behaviour.J. Psychosom. Research 23, 203–207, 1979.CrossRefGoogle Scholar
  50. 50.
    Pilowsky I. andBasset D.L.: Pain and Depression.Brit. J. Psychiatr. 141, 30–36, 1982.CrossRefGoogle Scholar
  51. 51.
    Prezant D.W. andNeimeyer R.A.: Cognitive predictors of depression and suicide ideation.Suicide Life Threat Behav. 18 (3), Fall, 259–264, 1988.PubMedGoogle Scholar
  52. 52.
    Rosatti P.: Thérapeutique de la douleur.Neurologie/Hospitalis 12, 702–707, 1984.Google Scholar
  53. 53.
    Rosatti P. andBovier Ph.: Douleur chronique et dépression I. Les problèmes de méthodologie.Douleur et Analgésie 2, 87–91, 1988.CrossRefGoogle Scholar
  54. 54.
    Rose J.D., Troughton A.H., Harvey J.S. andSmith P.M.: Depression and functional bowel disorders in gastro-intestinal outpatients.Gut 27 (9), 1025–1028, 1986.PubMedCrossRefGoogle Scholar
  55. 55.
    Rosenthal M.P., Goldfarb N.I., Carlson B.L., Sagi P.C. andBalaban D.J.: Assessment of depression in a family practice center.J. Fam. Pract. 25 (2), 143–149, 1987.PubMedGoogle Scholar
  56. 56.
    Scogin F., Beutler L., Corbishley A. andHamblin D.: Reliability and validity of the short form Beck Depression Inventory with older adults.J. Clin. Psychol. 44 (6), 853–857, 1988.PubMedCrossRefGoogle Scholar
  57. 57.
    Steer R.A., Beck A.T. andGarrison B.: Chapter 13Applications of the Beck Depression Inventory. Sartorius N. Ban TA eds. Assessment of Depression New-York Springer Verlag, pp. 123–142, 1986.Google Scholar
  58. 58.
    Tebbi C.K., Bromberg C. andMallon J.C.: Self reported depression in adolescent cancer patients.Am. J. Pediatr. Hématol. Oncol. 10 (3), Fall, 185–190, 1988.PubMedCrossRefGoogle Scholar
  59. 59.
    Turner J.A. andRomano J.M.: Self report screening measures for depression in chronic pain patients.J. Clin. Psychol. 40 (4), 909–913, 1984.PubMedCrossRefGoogle Scholar
  60. 60.
    Tyrer S.P., Capon M., Peterson D.M., Charlton J.E. andThompson J.W.: The detection of psychiatric illness and psychological handicaps in a British pain clinic population.Pain 36 (1), 63–74, 1989.PubMedCrossRefGoogle Scholar
  61. 61.
    Yang L.L., Zuo C.Y., Su L.Y. andEaton M.T.: Depression in Chinese medical inpatients.Am. H. Psychiatry 144 (2), 226–228, 1987.Google Scholar

Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • C. Favre
    • 1
  1. 1.Département de Psychiatrie, Hôpital cantonal universitaireUniversié de GenèveGenève

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