Persistent depressive symptoms and pain after cardiac surgery
| Autor: | Rebecca Cross Bodán, Belinda Chen, Anthony McGuire, Michael R. Irwin, Lynn V. Doering |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_specialty Multivariate analysis viruses Pain Comorbidity Medical and Health Sciences Article Postoperative Complications depressive symptoms Clinical Research Internal medicine medicine Hospital discharge Humans Postoperative Period Brief Pain Inventory Cardiac Surgical Procedures Applied Psychology Depressive symptoms Psychology And Cognitive Sciences Pain Measurement Aged Randomized Controlled Trials as Topic Psychiatry business.industry Depression Pain Research Beck Depression Inventory Middle Aged medicine.disease humanities Cardiac surgery Psychiatry and Mental health Mental Health Anesthesia Female Analysis of variance Chronic Pain business cardiac surgery Follow-Up Studies |
| Zdroj: | Psychosomatic medicine, vol 76, iss 6 Doering, LV; Chen, B; McGuire, A; Bodán, RC; & Irwin, MR. (2014). Persistent depressive symptoms and pain after cardiac surgery. Psychosomatic Medicine, 76(6), 437-444. doi: 10.1097/PSY.0000000000000074. UCLA: Retrieved from: http://www.escholarship.org/uc/item/465284zp |
| Popis: | Author(s): Doering, Lynn V; Chen, Belinda; McGuire, Anthony; Bodan, Rebecca Cross; Irwin, Michael R | Abstract: ObjectiveOur objectives were to describe trajectories of depressive symptoms and pain at hospital discharge and 6 weeks later and to examine the relationship of persistent depressive symptoms to pain.MethodsBefore and 6 weeks after hospital discharge, 251 patients undergoing cardiac surgery (mean [SD] age = 67.3 [9.5] years; 73% male) completed the Beck Depression Inventory and the Brief Pain Inventory (BPI). Patients were categorized into two groups based on the presence or absence of persistent depressive symptoms (Beck Depression Inventory score g10 at both times). Between-group differences in pain interference (BPI-INT) and pain severity (BPI-SEV) were evaluated using repeated-measures analysis of variance. Linear regressions were performed to determine if changes in depressive symptoms were related to BPI-INT and BPI-SEV, controlling for demographic and clinical data.ResultsPersistent (16.3%) or worsening depressive symptoms (15.3%) from hospital discharge to 6 weeks were observed; many experienced at least some persistent pain (BPI-INT 67.8%, BPI-SEV 47.8%). From discharge to 6 weeks, patients with persistent depressive symptoms sustained higher levels of BPI-INT (p l .001) and BPI-SEV (p l .003). In multivariate analysis, only changes in depressive symptoms, not clinical and demographic variables, were related to BPI-INT (p l .001) and BPI-SEV (p = .001).ConclusionsPersistent depressive symptoms are independently associated with continued pain up to 6 weeks after hospital discharge. Successful treatment of ongoing pain should include screening for depressive symptoms and initiation of appropriate treatment.Trial registratonClinicaltrials.gov Identifier: NCT00522717. |
| Databáze: | OpenAIRE |
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