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

Journal Article (Journal Article)

OBJECTIVE: 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). METHOD: 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. RESULTS: Patients receiving SST showed significantly greater improvement in depressive symptoms. Reduction in self-discrepancy predicted reduction in depressive symptoms only within the SST condition. CONCLUSIONS: 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

Pubmed Central ID

  • PMC4681700

Electronic International Standard Serial Number (EISSN)

  • 1468-4381

Digital Object Identifier (DOI)

  • 10.1080/10503307.2015.1040485


  • eng

Conference Location

  • England