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Positive, but not negative, treatment outcome expectancies mediate the relation between depressive symptoms and treatment-related pain reduction.

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Title: Positive, but not negative, treatment outcome expectancies mediate the relation between depressive symptoms and treatment-related pain reduction.
Authors: Paré, Catherine, Thibault, Pascal, Carriere, Junie S., Sullivan, Michael J.L.
Source: Journal of Behavioral Medicine. Jun2023, Vol. 46 Issue 3, p489-498. 10p. 2 Diagrams, 4 Charts.
Subjects: Prevention of mental depression, Back injuries, Therapeutics, Positive psychology, Pain, Pain measurement, Work-related injuries, Physical therapy, Attitude (Psychology), Self-evaluation, Convalescence, Treatment effectiveness, Patients' attitudes, Severity of illness index, Pre-tests & post-tests, Comparative studies, Neck injuries, Factor analysis, Descriptive statistics, Research funding, Pain management
Abstract: Previous research has shown that depression is associated with adverse recovery outcomes following work-related musculoskeletal injury. Treatment outcome expectancies have also been shown to predict recovery trajectories following musculoskeletal injury. The present study examined the role of positive and negative treatment outcome expectancies as mediators of the relation between depressive symptoms and treatment outcome for individuals receiving physical therapy for a musculoskeletal injury. The study sample consisted of 153 individuals who had sustained a work-related musculoskeletal injury to the back or neck within 6 months of enrolment. Participants completed self-report measures of depressive symptom severity, pain severity, and treatment outcome expectancies prior to treatment; pain severity was assessed again after 4 weeks of treatment. The results of this study were consistent with previous research showing significant relations between depressive symptom severity, pain severity and treatment outcome expectancies. Bootstrapping mediation analyses separately assessed the mediating roles of positive and negative treatment outcome expectancies on the relation between depressive symptoms and pain severity. Findings revealed that positive treatment outcome expectancies mediated the relation between depressive symptoms and pain severity, whereas negative treatment outcome expectancies did not. Discussion addresses potential pathways through which positive treatment outcome expectancies might influence pain outcomes. The findings suggest that intervention techniques aimed at increasing positive treatment outcome expectancies, rather than decreasing negative treatment outcome expectancies, might contribute to better recovery outcomes for individuals experiencing pain and depressive symptoms following a work-related musculoskeletal injury. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Positive, but not negative, treatment outcome expectancies mediate the relation between depressive symptoms and treatment-related pain reduction.
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  Data: <searchLink fieldCode="AR" term="%22Paré%2C+Catherine%22">Paré, Catherine</searchLink><br /><searchLink fieldCode="AR" term="%22Thibault%2C+Pascal%22">Thibault, Pascal</searchLink><br /><searchLink fieldCode="AR" term="%22Carriere%2C+Junie+S%2E%22">Carriere, Junie S.</searchLink><br /><searchLink fieldCode="AR" term="%22Sullivan%2C+Michael+J%2EL%2E%22">Sullivan, Michael J.L.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Medicine%22">Journal of Behavioral Medicine</searchLink>. Jun2023, Vol. 46 Issue 3, p489-498. 10p. 2 Diagrams, 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Prevention+of+mental+depression%22">Prevention of mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Back+injuries%22">Back injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Therapeutics%22">Therapeutics</searchLink><br /><searchLink fieldCode="DE" term="%22Positive+psychology%22">Positive psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Pain%22">Pain</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+measurement%22">Pain measurement</searchLink><br /><searchLink fieldCode="DE" term="%22Work-related+injuries%22">Work-related injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Physical+therapy%22">Physical therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Attitude+%28Psychology%29%22">Attitude (Psychology)</searchLink><br /><searchLink fieldCode="DE" term="%22Self-evaluation%22">Self-evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Neck+injuries%22">Neck injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Factor+analysis%22">Factor analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink>
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  Data: Previous research has shown that depression is associated with adverse recovery outcomes following work-related musculoskeletal injury. Treatment outcome expectancies have also been shown to predict recovery trajectories following musculoskeletal injury. The present study examined the role of positive and negative treatment outcome expectancies as mediators of the relation between depressive symptoms and treatment outcome for individuals receiving physical therapy for a musculoskeletal injury. The study sample consisted of 153 individuals who had sustained a work-related musculoskeletal injury to the back or neck within 6 months of enrolment. Participants completed self-report measures of depressive symptom severity, pain severity, and treatment outcome expectancies prior to treatment; pain severity was assessed again after 4 weeks of treatment. The results of this study were consistent with previous research showing significant relations between depressive symptom severity, pain severity and treatment outcome expectancies. Bootstrapping mediation analyses separately assessed the mediating roles of positive and negative treatment outcome expectancies on the relation between depressive symptoms and pain severity. Findings revealed that positive treatment outcome expectancies mediated the relation between depressive symptoms and pain severity, whereas negative treatment outcome expectancies did not. Discussion addresses potential pathways through which positive treatment outcome expectancies might influence pain outcomes. The findings suggest that intervention techniques aimed at increasing positive treatment outcome expectancies, rather than decreasing negative treatment outcome expectancies, might contribute to better recovery outcomes for individuals experiencing pain and depressive symptoms following a work-related musculoskeletal injury. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Behavioral Medicine is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=164263906
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s10865-022-00380-9
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 489
    Subjects:
      – SubjectFull: Prevention of mental depression
        Type: general
      – SubjectFull: Back injuries
        Type: general
      – SubjectFull: Therapeutics
        Type: general
      – SubjectFull: Positive psychology
        Type: general
      – SubjectFull: Pain
        Type: general
      – SubjectFull: Pain measurement
        Type: general
      – SubjectFull: Work-related injuries
        Type: general
      – SubjectFull: Physical therapy
        Type: general
      – SubjectFull: Attitude (Psychology)
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Convalescence
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Patients' attitudes
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Pre-tests & post-tests
        Type: general
      – SubjectFull: Comparative studies
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      – SubjectFull: Neck injuries
        Type: general
      – SubjectFull: Factor analysis
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      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Pain management
        Type: general
    Titles:
      – TitleFull: Positive, but not negative, treatment outcome expectancies mediate the relation between depressive symptoms and treatment-related pain reduction.
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            NameFull: Paré, Catherine
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            NameFull: Thibault, Pascal
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              Text: Jun2023
              Type: published
              Y: 2023
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