Prevalence of and factors associated with psychiatric morbidity in chronic pain patients
| Autor: | Pui Tat Ho, C.F. Li, Kwok F. J. Ng, Siu Lun Tsui, Yin Kwok Ng |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Pain Comorbidity Severity of Illness Index Prevalence of mental disorders Epidemiology of child psychiatric disorders Interview Psychological medicine Prevalence Humans Psychiatry Depression (differential diagnoses) Aged business.industry Mental Disorders Chronic pain Middle Aged medicine.disease Diagnostic and Statistical Manual of Mental Disorders Psychiatry and Mental health Clinical Psychology Cross-Sectional Studies Chronic Disease Major depressive disorder Anxiety Female medicine.symptom business |
| Zdroj: | Journal of psychosomatic research. 70(6) |
| ISSN: | 1879-1360 |
| Popis: | Objective The reported prevalence of psychiatric morbidity in chronic pain patients (CCPs) was high, although it varied tremendously since structured diagnostic instruments were seldom used for diagnosis in previous studies. Study in this area after the launching of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) was scarce. This study serves to estimate the prevalence of psychiatric morbidity in patients attending a chronic pain clinic by using the Structured Clinical Interview for DSM-IV (SCID) Axis I disorders and to identify factors highly associated with psychiatric disorders, particularly depression, which is treatable. Method Consecutive patients attending a chronic pain clinic were recruited during a 6-month period. Psychiatric diagnoses were made by using the SCID. Logistic regression was used to identify factors predicting overall psychiatric morbidity and depression. Results Prevalence of psychiatric disorders in this 89-patient sample was 62.9%. Current major depressive disorder was present in 31.5% and somatoform disorders in 33.7%. Anxiety disorders and current substance use disorders each constituted 18. “Younger age of onset of pain” (odds ratio [OR]=0.956, P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect