head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2022, vol. 28, issue3
Subject Area: Medicine
DOI: 10.5272/jimab.2022283.4439
Published online: 01 July 2022

Original article
J of IMAB. 2022 Jul-Sep;28(3):4439-4446
Tatyana Telbizova1ORCID logo Corresponding Autoremail, Ivan Aleksandrov2ORCID logo,
1) Department of psychiatry and medical psychology, Medical University, Varna, Bulgaria.
2) Department of health care, Sliven Affiliate, Medical University, Varna, Bulgaria.

Depression is a psychological factor that affects not only the pain sensation but also the pain experiences.
Purpose: The aim of the study was to analyze and summarize the specifics and dynamics of chronic pain experiences in patients with depression.
Materials and methods: A sample of 120 patients with chronic pain was studied. Sixty-one patients had clinically manifested depressive episodes, and the other fifty-nine – had no depression. The study was phased. The second stage was performed three months after the first. The patients with depression received antidepressant treatment between the two stages. The sample was evaluated with: 1) quantitative methods: HAM-D-17 for the severity of depression, Spielberger's questionnaire for state and trait anxiety degree and VAS for pain intensity; and 2) qualitative method – content-analysis of the answers to the question "What does pain mean to you?".
Results: The mean age of the sample was 51.90 (SD=11.94). Women predominate (81.7%) over men (18.3%). The group with depression had a high degree of state and trait anxiety and moderate pain intensity. The content-analysis revealed that the experience of pain as punishment was specific for patients with depression. The reduction of the mean value of the severity of depression from moderate to mild in the second stage influenced the dynamics of the pain experiences in the direction of a limitation.
Conclusion: Depression is a factor influencing the meaning of chronic pain experience. The search for depressive symptoms and specific experiences and their intervention is substantial in the management of chronic pain.

Keywords: chronic pain, depression, chronic pain experience, meaning, content-analysis,

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Please cite this article as: Telbizova T, Aleksandrov I. Specifics and dynamics of the meaning of chronic pain experiences to patients with depression. J of IMAB. 2022 Jul-Sep;28(3):4439-4446. DOI: 10.5272/jimab.2022283.4439

Corresponding AutorCorrespondence to: Tatyana Telbizova MD, PhD, Department of psychiatry and medical psychology, Medical University of Varna, MHAT "St.Marina", Varna; 1, Hr. Smirnenski Blvd., 9000 Varna, Bulgaria; E-mail: ttelbizova@gmail.com

1. Vadivelu N, Kai AM, Kodumudi G, Babayan K, Fontes M, Burg MM. Pain and Psychology-A Reciprocal Relationship. Ochsner J. 2017 Summer;17(2):173-180. [PubMed]
2. Meints SM, Edwards RR. Evaluating psychosocial contributions to chronic pain outcomes. Prog Neuropsychopharmacol Biol Psychiatry. 2018 Dec 20;87(PtB):168-182. [PubMed]
3. Eimer BN, Freeman A. Pain Management Psychotherapy: A Practical Guide. 1st Edition. Wiley. February 23, 1998. [Internet]
4. Krishnan RRK, France RD, Pelton S, McCann UD, Davidson J, Urban BJ. Chronic pain and depression. II. Symptoms of anxiety in chronic low back pain patients and their relationship to subtypes of depression. Pain.1985 July;22(3):289-294. [PubMed]
5. Giorgi A. The Descriptive Phenomenological Psychological Method. JPP. 2012 Jan;43(1):3-12. [Crossref]
6. Aleksandrov I. [Personal regulatory processes in hospital environment. Principal directions in psychological aid.] STENO, Varna. 2015; p. 38-39. [in Bulgarian]
7. Telbizova T, Arnaoudova M. The (In)Visible Site of Pain: A Review of Qualitative Research. J of IMAB. 2020 Jul-Sep;26(3):3323-3327. [Crossref]
8. Mansfield KE, Sim J, Jordan JL, Jordan KP. A systematic review and meta-analysis of the prevalence of chronic widespread pain in the general population. Pain. 2016 Jan;157(1):55-64. [PubMed]
9. Munce SE, Stewart DE. Gender differences in depression and chronic pain conditions in a national epidemiologic survey. Psychosomatics. 2007 Sep-Oct;48(5):394-9.[PubMed]
10. Vietri J, Otsubo T, Montgomery W, Tsuji T, Harada E. Association between pain severity, depression severity, and use of health care services in Japan: results of a nationwide survey. Neuropsychiatr Dis Treat. 2015 Mar 13;11:675-83. [PubMed]
11. Hallegraeff JM, Kan R, van Trijffel E, Reneman MF. State anxiety improves prediction of pain and pain-related disability after 12 weeks in patients with acute low back pain: a cohort study. J Physiother. 2020 Jan;66(1):39-44. [PubMed]
12. Knowles KA, Olatunji BO. Specificity of trait anxiety in anxiety and depression: Meta-analysis of the State-Trait Anxiety Inventory. Clinical Psychology Review. 2020 Dec;82:101928. [PubMed]
13. Tang J, Gibson SJ. A psychophysical evaluation of the relationship between trait anxiety, pain perception, and induced state anxiety. J Pain. 2005 Sep;6(9):612-9. [PubMed]
14. Stoyanov V. [Empirical psychological research: quantitative versus qualitative approach.] Varna: Steno Publishing House; 2020. [in Bulgarian]
15. Bair MJ, Matthias MS, Nyland KA, Huffman MA, Stubbs DL, Kroenke K, et al. Barriers and facilitators to chronic pain self-management: a qualitative study of primary care patients with comorbid musculoskeletal pain and depression. Pain Med. 2009 Oct;10(7):1280-90. [PubMed]
16. Bueno-Gуmez N. Conceptualizing suffering and pain. Philos Ethics Humanit Med. 2017 Sep 29;12(1):7. [PubMed]
17. Gillsjö C, Nässén K, Berglund M. Suffering in silence: a qualitative study of older adults' experiences of living with long-term musculoskeletal pain at home. Eur J Ageing. 2020 Apr 16;18(1):55-63. [PubMed]
18. Snelgrove S, Edwards S, Liossi C. A longitudinal study of patients' experiences of chronic low back pain using interpretative phenomenological analysis: changes and consistencies. Psychol Health. 2013;28(2):121-38. [PubMed]
19. Crombez G, Eccleston C, Baeyens F, van Houdenhove B, van den Broeck A. Attention to chronic pain is dependent upon pain-related fear. J Psychosom Res. 1999 Nov;47(5):403-10. [PubMed]
20. Jones S, Sheridan T. A General Pronouncing And Explanatory Dictionary Of The English Language: For The Use Of Schools, Foreigners, &c. On The Plan Of Mr. Sheridan Hardcover. 29 Sept. 2015. [Internet]
21. Engel GL. Psychogenic pain and the pain-prone patient. Am J Med. 1959 Jun;26(6):899-918.[PubMed]
22. Bush M. The role of unconscious guilt in psychopathology and psychotherapy. Bull Menninger Clin. 1989 Mar;53(2):97-107. [PubMed]
23. Kealy D, Treeby MS, Rice SM. Shame, guilt, and suicidal thoughts: The interaction matters. Br J Clin Psychol. 2021 Sep;60(3):414-423. [PubMed]

Received: 27 November 2021
Published online: 01 July 2022

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