Pain Management in the Cancer Patient

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Abstract
Two groups of cancer patients-one group with a high degree of pain; the other with little or no pain-were compared on measures of mood disturbance. The authors found that the highpain group scored significantly higher on the Beck Depression Inventory and on subscales of the Spielberger Depression Inventory as well as on subscales of the Spielberger State-Trait Anxiety Inventory reflecting strain, fright, and worry. On the Structured Clinical Interview for the DSM-111, 28 percent of the high-pain patients had a current diagnosis of major depression, whereas none of the low-pain patients did. These findings confirm earlier reports of a link between pain and mood disturbance in cancer patients.

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