Association between sense of coherence and depression in patients with chronic pain: A systematic review and meta-analysis.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2023
Historique:
received: 30 04 2021
accepted: 19 12 2022
entrez: 11 1 2023
pubmed: 12 1 2023
medline: 14 1 2023
Statut: epublish

Résumé

Chronic pain is a common complaint having distressing consequences for those that suffer from it. Pain and depression concur within the context of comorbidity, and both share underlying stress conditions. Sense of coherence (SOC) is a factor that determines how well an individual manages stress and stays healthy. Its relationship with depression has been frequently reported in the literature. Our objective was to assess the amount of evidence available regarding the association between SOC and depression in patients suffering from chronic pain. A systematic review and meta-analysis were performed. Searches were conducted between November 01 and December 31, 2020 in PubMed, Web of Science, Embase, PsycINFO, Psicodoc, ScienceDirect and Dialnet. There were no restrictions regarding the date of publication of the study. Evidence related to the relationship between SOC and depression in patients with chronic pain was summarized and compared. A total of 163 articles were identified. We included 9 papers in the qualitative and quantitative synthesis. The pooled correlation coefficient was -0.55 (95%: -0.70; -0.41) and was not modified after removing any study. The heterogeneity across the studies was considerable (I2 = 94.8%; p < 0.001). The random-effects meta-regression models for the association between SOC and depression showed that age (p = 0.148) and percentage of women (p = 0.307) were not related to heterogeneity across studies. No publication bias was detected (p = 0.720). At first glance, the included studies give the impression that SOC is an important factor in depression levels of patients with chronic pain. Most of the included studies revealed a moderate association between SOC and depressive symptoms.

Sections du résumé

BACKGROUND
Chronic pain is a common complaint having distressing consequences for those that suffer from it. Pain and depression concur within the context of comorbidity, and both share underlying stress conditions. Sense of coherence (SOC) is a factor that determines how well an individual manages stress and stays healthy. Its relationship with depression has been frequently reported in the literature. Our objective was to assess the amount of evidence available regarding the association between SOC and depression in patients suffering from chronic pain.
METHODS
A systematic review and meta-analysis were performed. Searches were conducted between November 01 and December 31, 2020 in PubMed, Web of Science, Embase, PsycINFO, Psicodoc, ScienceDirect and Dialnet. There were no restrictions regarding the date of publication of the study. Evidence related to the relationship between SOC and depression in patients with chronic pain was summarized and compared.
RESULTS
A total of 163 articles were identified. We included 9 papers in the qualitative and quantitative synthesis. The pooled correlation coefficient was -0.55 (95%: -0.70; -0.41) and was not modified after removing any study. The heterogeneity across the studies was considerable (I2 = 94.8%; p < 0.001). The random-effects meta-regression models for the association between SOC and depression showed that age (p = 0.148) and percentage of women (p = 0.307) were not related to heterogeneity across studies. No publication bias was detected (p = 0.720).
CONCLUSIONS
At first glance, the included studies give the impression that SOC is an important factor in depression levels of patients with chronic pain. Most of the included studies revealed a moderate association between SOC and depressive symptoms.

Identifiants

pubmed: 36630397
doi: 10.1371/journal.pone.0279959
pii: PONE-D-21-14267
pmc: PMC9833581
doi:

Types de publication

Meta-Analysis Systematic Review Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0279959

Informations de copyright

Copyright: © 2023 Aguilar-Latorre et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Alejandra Aguilar-Latorre (A)

Institute for Health Research Aragón (IIS Aragón), Zaragoza, Spain.
Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS, RD21/0016/0005), Carlos III Health Institute, Madrid, Spain.

Ángela Asensio-Martínez (Á)

Institute for Health Research Aragón (IIS Aragón), Zaragoza, Spain.
Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS, RD21/0016/0005), Carlos III Health Institute, Madrid, Spain.
Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain.

Bárbara Oliván-Blázquez (B)

Institute for Health Research Aragón (IIS Aragón), Zaragoza, Spain.
Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS, RD21/0016/0005), Carlos III Health Institute, Madrid, Spain.
Department of Psychology and Sociology, University of Zaragoza, Zaragoza, Spain.

Celia Álvarez-Bueno (C)

Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS, RD21/0016/0005), Carlos III Health Institute, Madrid, Spain.
Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain.
Universidad Politécnica y Artística del Paraguay, Asunción, Paraguay.

Iván Cavero-Redondo (I)

Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS, RD21/0016/0005), Carlos III Health Institute, Madrid, Spain.
Health and Social Research Center, Universidad de Castilla-La Mancha, Cuenca, Spain.
Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Talca, Chile.

Christos Lionis (C)

Clinic of Social and Family Medicine (CSFM), School of Medicine, University of Crete, Heraklion, Crete, Greece.

Emmanouil K Symvoulakis (EK)

Clinic of Social and Family Medicine (CSFM), School of Medicine, University of Crete, Heraklion, Crete, Greece.

Rosa Magallón-Botaya (R)

Institute for Health Research Aragón (IIS Aragón), Zaragoza, Spain.
Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS, RD21/0016/0005), Carlos III Health Institute, Madrid, Spain.
Department of Medicine, Psychiatry and Dermatology, University of Zaragoza, Zaragoza, Spain.

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