It is a painful somatic symptom, not the history of cancer/malignancy that is associated with depression: findings from multiple national surveys
Autor: | Jian Zhang, Dustin T. Duncan, Krystina Johnson, Lindsey E. McKenzie, Andrew R. Hansen, Maria D. Politis |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty National Health and Nutrition Examination Survey Population Pain Young Adult 03 medical and health sciences Age Distribution Sex Factors 0302 clinical medicine Internal medicine Prevalence medicine Humans 030212 general & internal medicine Psychiatry education Depression (differential diagnoses) Aged Retrospective Studies Aged 80 and over education.field_of_study Depression business.industry Chronic pain Retrospective cohort study Odds ratio Middle Aged medicine.disease Health Surveys Comorbidity United States 030227 psychiatry Patient Health Questionnaire Medically Unexplained Symptoms Anesthesiology and Pain Medicine Neurology Female Neurology (clinical) business |
Zdroj: | Pain. 158:740-746 |
ISSN: | 1872-6623 0304-3959 |
Popis: | Medical case management has improved in the past few decades, changing the dynamic interaction between depression and prevalent medical diseases. It is relevant to describe the comorbidity between depression and medical diseases to further improve the effectiveness of case management. We analyzed the data of adults aged 20 years and older, who completed depression screening as a part of the National Health and Nutrition Examination Survey, 2005 to 2012. Depression was ascertained using the Patient Health Questionnaire, a 9-item screening instrument asking about the frequency of depression symptoms over the past 2 weeks. Comorbid diseases were assessed in a self-reported personal interview on doctor-diagnosed health conditions. The associations between depression and medical diseases were limited to the diseases with painful somatic symptoms. Reported from 19.78% of men and 27.84% of women, arthritis was the most prevalent chronic disease, and was the only one consistently associated with depression. The odds ratio of moderate to severe depression was 1.65 (95% confidence interval = 1.12-2.44) for men and 2.11 (1.63-2.99) for women with arthritis compared with their counterparts free of arthritis. Moderate/severe depression was associated with a history of heart disease among men (2.45 [1.19-5.06]) and angina/angina pectoris among women (2.13 [1.07-4.26]). No associations were found between depression and cancer/malignancy, either among men or women. The potential impact of pain management on depression prevention among general population is substantial; more efforts are needed to assess chronic pain to facilitate timely prevention and treatment of depression and comorbid medical conditions. |
Databáze: | OpenAIRE |
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