Relationship of Psychiatric History to Pain Reports in Rheumatoid Arthritis
| Autor: | Jerry C. Parker, Bin Ge, Karen L. Smarr, Sara E. Walker, John E. Hewett, Catherine G. Frantom, James E. Hewett, Kathleen Donovan Hanson, James R. Slaughter |
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| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Coping (psychology) Pain Comorbidity Arthritis Rheumatoid Psychiatric history 0504 sociology Internal medicine Adaptation Psychological medicine Humans Psychiatry Randomized Controlled Trials as Topic Analysis of Variance Depressive Disorder Major business.industry 05 social sciences 050401 social sciences methods 050301 education Social environment Middle Aged medicine.disease Mental health Antidepressive Agents Psychiatry and Mental health Regimen Treatment Outcome Concomitant Rheumatoid arthritis Cohort Female business 0503 education Stress Psychological |
| Zdroj: | The International Journal of Psychiatry in Medicine. 36:53-67 |
| ISSN: | 1541-3527 0091-2174 |
| DOI: | 10.2190/2qgp-wwgj-67px-lf0w |
| Popis: | Objective:The purpose was to examine the relationship of pre-existing psychiatric history to pain reports in a cohort of persons with RA and concomitant major depression who were receiving a trial of antidepressant medication.Method:RA patients ( n = 41) with a current episode of major depression were divided into two subgroups comprised of those with a previous psychiatric history (PSY+) ( n = 20) and those without a previous psychiatric history (PSY-) ( n = 21). The groups were compared with regard to their responsiveness to a regimen of antidepressive medication on measures of depression, pain, coping, and life stress over a period of 15 months.Results:Although depression scores for both the PSY+ and the PSY- groups decreased significantly from baseline to 15-month follow-up, the composite pain score was found to be significantly decreased only for the PSY- group.Conclusion:Psychiatric history appears to predispose persons with concomitant RA and major depression to report less pain reduction following antidepressive treatment than those persons without a psychiatric history. |
| Databáze: | OpenAIRE |
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