Psychiatric Disorders in Complex Regional Pain Syndrome (CRPS): The Role of the Consultation-Liaison Psychiatrist
| Autor: | Paulina Rumpelt, Michael Brinkers, Giselher Pfau, Moritz Kretzschmar, Anke Lux |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Mental Health Services medicine.medical_specialty Article Subject Population Cohort Studies 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Humans Medicine 030212 general & internal medicine education Psychiatry Referral and Consultation Depression (differential diagnoses) Aged Psychiatric Status Rating Scales lcsh:R5-920 education.field_of_study business.industry Mental Disorders Retrospective cohort study Professional-Patient Relations Middle Aged medicine.disease Anesthesiology and Pain Medicine Complex regional pain syndrome Pain Clinics Neurology Neuropathic pain Etiology Female lcsh:Medicine (General) business Complex Regional Pain Syndromes 030217 neurology & neurosurgery Research Article Cohort study |
| Zdroj: | Pain Research and Management, Vol 2018 (2018) Pain Research & Management |
| ISSN: | 1918-1523 1203-6765 |
| DOI: | 10.1155/2018/2894360 |
| Popis: | Background. Complex regional pain syndrome (CRPS) is a multifactorial disorder with complex aetiology and pathogenesis. At the outpatient pain clinic of Magdeburg University Hospital, all patients, without exception, are subject to permanent psychiatric care delivered by a consultation-liaison psychiatrist. In CRPS, psychological stabilization and treatment of the neuropathic aspects are equally important. The aim of this single-center retrospective study was to determine mental/psychiatric defects impairing pain processing at the time of investigation and show the effects of treating mental disorders and neuropathic pain with the same psychotropic drugs.Method. On admission, the consultation-liaison psychiatrist examined the mental state of every patient in a semistructured interview according to AMDP (working group for methods and documentation in psychiatry). Due to the model of the Department of Anaesthesiology, we are able to compare the group of CRPS patients with all other outpatients treated for pain.Results. The medical treatment of psychiatric dysfunction leads to an analgesic effect. Only every second CRPS patient had an additional psychiatric diagnosis, and 15.6% were diagnosed with depressive mood disorders and show a higher prevalence of depressive symptoms than the general population and exceed the mean for all patients treated in our pain clinic.Conclusions. In neuropathies, treatment of the neuropathic pain has a modulating effect on mental disorders. As CRPS patients are frequently affected by depressions, and owing to the connection between depression and suicidal tendencies, patients should be seen by a consultation-liaison psychiatrist, and nonpsychiatrists should pay special attention to this patient group. |
| Databáze: | OpenAIRE |
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