The principal investigator (PI) is requesting five years of funding through the Scientist Development Award for New Minority Faculty (K01). The career development goals described in this application include testing an integrative model of depression and chronic pain developed by the applicant and training in theoretical and conceptual issues, advanced longitudinal statistical methods, objective interview assessment of life events, observational research methods with couples, and the responsible conduct of research with ethnic minorities. These activities are expected to build on the Pl's strong research and clinical background in marriage and enhance her ability to produce sophisticated scholarly work. Major depression and chronic pain are costly public health problems in the United States that are highly comorbid with each other. Although research suggests that marital variables may contribute to depression, researchers have yet to integrate existing theory and empirical findings into a comprehensive model that accounts for the interrelationships between marital functioning, chronic pain, and depression. Building on the career development activities described in the application, the PI will test an integrative model of the comorbidity of chronic pain and depression in which marital functioning plays a key role. The long-term objective of the study is to develop marital treatments for individuals experiencing both depression and chronic pain.
The specific aims of the study include examining how changes in general marital functioning (e.g., marital satisfaction, affect expressed in a marital interaction, marital stressors), pain-specific marital functioning (e.g., spouse responses to pain, affect expressed in a marital interaction related to the impact of pain on the couple), and pain factors (e.g., pain severity, disability) relate to changes in depression over time. Participants will be 160 married couples in the community in which one spouse has a chronic musculoskeletal pain problem. Participant couples will complete surveys, a diagnostic interview for major depression, a life events interview, and two videotaped marital interactions. Participants will also take part in 6- and 12-month follow-ups in which they will complete the same instruments. Participants will be paid upon completion of each phase of the study. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01MH066975-02
Application #
6757912
Study Section
Special Emphasis Panel (ZMH1-BRB-S (07))
Program Officer
Mayo, Donna J
Project Start
2003-08-01
Project End
2008-07-31
Budget Start
2004-08-01
Budget End
2005-07-31
Support Year
2
Fiscal Year
2004
Total Cost
$133,124
Indirect Cost
Name
Wayne State University
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
001962224
City
Detroit
State
MI
Country
United States
Zip Code
48202
Williams, Amy M; Cano, Annmarie (2014) Spousal mindfulness and social support in couples with chronic pain. Clin J Pain 30:528-35
Leonard, Michelle T; Issner, Jaclyn Heller; Cano, Annmarie et al. (2013) Correlates of spousal empathic accuracy for pain-related thoughts and feelings. Clin J Pain 29:324-33
Issner, Jaclyn B; Cano, Annmarie; Leonard, Michelle T et al. (2012) How do I empathize with you? Let me count the ways: relations between facets of pain-related empathy. J Pain 13:167-75
Cano, Annmarie; Leong, Laura E M; Williams, Amy M et al. (2012) Correlates and consequences of the disclosure of pain-related distress to one's spouse. Pain 153:2441-7
Cano, Annmarie; Williams, Amanda C de C (2010) Social interaction in pain: reinforcing pain behaviors or building intimacy? Pain 149:9-11
Miller, Lisa Renee; Cano, Annmarie (2009) Comorbid chronic pain and depression: who is at risk? J Pain 10:619-27
Cano, Annmarie; Leong, Laura; Heller, Jaclyn B et al. (2009) Perceived entitlement to pain-related support and pain catastrophizing: associations with perceived and observed support. Pain 147:249-54
Cano, Annmarie; Miller, Lisa Renee; Loree, Amy (2009) Spouse beliefs about partner chronic pain. J Pain 10:486-92
Cano, Annmarie; Barterian, Justin A; Heller, Jaclyn B (2008) Empathic and nonempathic interaction in chronic pain couples. Clin J Pain 24:678-84
Johansen, Ayna Beate; Cano, Annmarie (2007) A preliminary investigation of affective interaction in chronic pain couples. Pain 132 Suppl 1:S86-95

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