Publications [#273587] of Francis J. Keefe

Journal Articles

1. Waters, SJ; Strauman, TJ; McKee, DC; Campbell, LC; Shelby, RA; Dixon, KE; Fras, AM; Keefe, FJ (2016). Self-system therapy for distress associated with persistent low back pain: A randomized clinical trial.. Psychother Res, 26(4), 472-483. [doi]
   (last updated on 2024/04/19)

   Abstract:
   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.