Article

Frequent Assessment of Negative Symptoms Does Not Induce Depressed Mood

Department of Psychiatry and Behavioral Science, Stony Brook University, Stony Brook, NY 11794-8790, USA.
Journal of Clinical Psychology in Medical Settings (Impact Factor: 1.49). 12/2008; 15(4):296-300. DOI: 10.1007/s10880-008-9127-6
Source: PubMed

ABSTRACT

Use of real-time data collection is rapidly expanding in the medical sciences and questions have been raised as to whether frequent ratings of disease symptoms could evoke depressed mood. This study investigated the effect of an intensive momentary assessment protocol on depressed mood. Community rheumatology patients (N = 105) were recruited to participate in a 30-day momentary assessment protocol of pain and fatigue. Patients were randomly signaled and completed approximately 6 ratings per day and at bedtime. Beck Depression Inventory-II scores were obtained prior to and at the completion of the protocol. Thirty-six percent of patients were classified initially as mild to severely depressed, and 31% percent at the end of the protocol. Depression scores were significantly lower following the protocol (p < .001). Whereas 10% of patients shifted into a more depressed category at the end of the protocol, 20% shifted into a less depressed category. These findings suggest frequent assessment of pain and fatigue may not induce depressed mood, and may in some instances be associated with a small reduction in depressed mood.

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Available from: Joan E Broderick, Mar 23, 2014
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    • "Another worry might be that the intense focus on the respondent's conditions may actually influence the examined outcome and that the constant reminding may lead to mood problems. This was tested in a study of patients with rheumatic pain and found not to be the case [11]. "
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    Full-text · Article · Oct 2013 · Best practice & research. Clinical rheumatology
  • Source
    • "Another worry might be that the intense focus on the respondent's conditions may actually influence the examined outcome and that the constant reminding may lead to mood problems. This was tested in a study of patients with rheumatic pain and found not to be the case [11]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Low back pain is not a self-limiting problem, but rather a recurrent and sometimes persistent disorder. To understand the course over time, detailed investigation, preferably using repeated measurements over extended periods of time, is needed. New knowledge concerning short-term trajectories indicates that the low back pain episode is short-lived, at least in the primary care setting, with most patients improving. Nevertheless, in the long-term, low back pain often runs persistent course with around two thirds estimated to be in pain after 12-months. Some individuals never have low back pain, but most have it on-and-off or persistently. Thus, the low back pain condition is usually a life-long experience. However, subgroups of patients with different back pain trajectories have been identified and linked to clinical parameters. Further investigation is warranted in order to understand causality, treatment effect and prognostic factors, and to study the possible association of trajectories with pathologies.
    Full-text · Article · Jan 2013
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