Schafer, G; (2015) Healthcare providers’ judgements in chronic pain: the influence of depression, trustworthiness and gender. Doctoral thesis (D.Clin.Psy), UCL (University College London).

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Text Thesis final Grainne Schafer 1.pdf Available under License : See the attached licence file. Download (3MB)

Abstract

Part one of this volume is a review of the literature on the association between chronic pain and depression. It presents the results of 15 prospective studies, divided into three categories: studies investigating outcomes of chronic pain in patients with depression, studies investigating outcomes of depression in patients with chronic pain, and studies investigating variables associated with chronic pain and depression. The review highlights problems with the measures of depression used in the majority of the studies. The clinical implications are discussed, and suggestions for how future research can overcome methodological limitations are made. Part two presents an empirical study which investigates the influence of history of depression, perceived trustworthiness and gender of the patient; and training level of the clinician on judgements and treatment decisions in patients with chronic pain. The results showed that participants were affected by patient gender and trustworthiness in their pain judgements and management decisions. Implications for reducing bias in training clinicians are discussed. Part three is a critical appraisal of the research process as a whole. It contains some personal reflections on the different stages of research: designing the study, recruiting participants and analysing data. It also reflects further on the research findings.

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