Self-system therapy for distress associated with persistent low back pain: A randomized clinical trial.

Journal Article

Persistent low back pain (PLBP) is associated with vulnerability to depression. PLBP frequently requires major changes in occupation and lifestyle, which can lead to a sense of failing to attain one's personal goals (self-discrepancy).We conducted a clinical trial to examine the efficacy of self-system therapy (SST), a brief structured therapy for depression based on self-discrepancy theory. A total of 101 patients with PLBP and clinically significant depressive symptoms were randomized either to SST, pain education, or standard care.Patients receiving SST showed significantly greater improvement in depressive symptoms. Reduction in self-discrepancy predicted reduction in depressive symptoms only within the SST condition.Findings support the utility of SST for individuals facing persistent pain and associated depression.

Full Text

Duke Authors

Cited Authors

  • Waters, SJ; Strauman, TJ; McKee, DC; Campbell, LC; Shelby, RA; Dixon, KE; Fras, AM; Keefe, FJ

Published Date

  • July 2016

Published In

Volume / Issue

  • 26 / 4

Start / End Page

  • 472 - 483

PubMed ID

  • 26079438

Electronic International Standard Serial Number (EISSN)

  • 1468-4381

International Standard Serial Number (ISSN)

  • 1050-3307

Digital Object Identifier (DOI)

  • 10.1080/10503307.2015.1040485


  • eng