Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases
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Background: We aimed to investigate the prevalence of unrecognized depression in patients with chronic pain, but with no history of psychiatric diseases.Methods: Patients with chronic pain who did not have a history of psychiatric disease were selected for this study. The Beck Depression Index (BDI) was used to evaluate depression. Participants’ socio-demographic characteristics and pain-related characteristics were also recorded. Results: The study included 94 consecutive patients with chronic pain (28 men and 66 women). Based on the BDI scores, 33/94 (35.1%) patients with chronic pain had comorbid depression. The prevalence of depression was significantly higher in our cohort than it was in the general population (P < 0.001). The standardized incidence ratio, adjusted for age and sex, was 2.77 in men and 2.60 in women. Patients who were unmarried (odds ratio [OR] = 3.714, P = 0.044), and who had subjective sleep disturbance (OR = 8.885, P < 0.001), were more likely to have moderate to severe depression. Patients with high education levels (OR = 0.244, P = 0.016), and who were economically active (OR = 0.284, P = 0.023), were less likely to have moderate to severe depression.Conclusions: Our results indicate that unrecognized depression in patients with chronic pain is common. Therefore, pain physicians should actively seek to identify these problems rather than relying on the patient to volunteer such information. (Korean J Pain 2018; 31: 116-24)
Abstract
Background: We aimed to investigate the prevalence of unrecognized depression in patients with chronic pain, but with no history of psychiatric diseases.Methods: Patients with chronic pain who did not have a history of psychiatric disease were selected for this study. The Beck Depression Index (BDI) was used to evaluate depression. Participants’ socio-demographic characteristics and pain-related characteristics were also recorded. Results: The study included 94 consecutive patients with chronic pain (28 men and 66 women). Based on the BDI scores, 33/94 (35.1%) patients with chronic pain had comorbid depression. The prevalence of depression was significantly higher in our cohort than it was in the general population (P < 0.001). The standardized incidence ratio, adjusted for age and sex, was 2.77 in men and 2.60 in women. Patients who were unmarried (odds ratio [OR] = 3.714, P = 0.044), and who had subjective sleep disturbance (OR = 8.885, P < 0.001), were more likely to have moderate to severe depression. Patients with high education levels (OR = 0.244, P = 0.016), and who were economically active (OR = 0.284, P = 0.023), were less likely to have moderate to severe depression.Conclusions: Our results indicate that unrecognized depression in patients with chronic pain is common. Therefore, pain physicians should actively seek to identify these problems rather than relying on the patient to volunteer such information. (Korean J Pain 2018; 31: 116-24)
참고문헌 (37)
- "Pain terms: a list with definitions and notes on usage. Recommended by the IASP Subcommittee on Taxonomy", Pain, 6, pp.249~ (1979)
- Keogh E, "Anxiety sensitivity, cognitive biases, and the experience of pain", J Pain, 3, pp.320~329 (2002)[DOI]
- Gatchel RJ, "Psychosocial factors in pain: critical perspectives" (1999), Guilford Press
- Gaskin ME, "Negative affect and the experience of chronic pain", J Psychosom Res, 36, pp.707~713 (1992)[DOI]
- Benjamin S, "The association between chronic widespread pain and mental disorder: a population-based study", Arthritis Rheum, 43, pp.561~567 (2000)[DOI]
- Gureje O, "A cross-national study of the course of persistent pain in primary care", Pain, 92, pp.195~200 (2001)[DOI]
- Bair MJ, "Depression and pain comorbidity: a literature review", Arch Intern Med, 163, pp.2433~2445 (2003)[DOI]
- 김애라, "주관협착증 환자의 Beck Depression Inventory 점수와 이와 관련된 요인들의 분석", The Korean Journal of Pain, 20(2), pp.9~9 (2007), 대한통증학회
- Boakye PA, "A critical review of neurobiological factors involved in the interactions between chronic pain, depression, and sleep disruption", Clin J Pain, 32, pp.327~336 (2016)[DOI]
- Lamb SE, "Factors that modify the association between knee pain and mobility limitation in older women: the Women's Health and Aging Study", Ann Rheum Dis, 59, pp.331~337 (2000)[DOI]
- Croft PR, "Psychologic distress and low back pain. Evidence from a prospective study in the general population", Spine (Phila Pa 1976), 20, pp.2731~2737 (1995)[DOI]
- Burton AK, "Psychosocial predictors of outcome in acute and subchronic low back trouble", Spine (Phila Pa 1976), 20, pp.722~728 (1995)[DOI]
- Arnow BA, "Comorbid depression, chronic pain, and disability in primary care", Psychosom Med, 68, pp.262~268 (2006)[DOI]
- Cepoiu M, "Recognition of depression by non-psychiatric physicians: a systematic literature review and meta-analysis", J Gen Intern Med, 23, pp.25~36 (2008)[DOI]
- Wancata J, "Recognition of psychiatric disorders in nonpsychiatric hospital wards", J Psychosom Res, 48, pp.149~155 (2000)[DOI]
- Kohli C, "Prevalence of unrecognised depression among outpatient department attendees of a rural hospital in delhi, India", J Clin Diagn Res, 7, pp.1921~1925 (2013)
- Barney LJ, "Stigma about depression and its impact on help-seeking intentions", Aust N Z J Psychiatry, 40, pp.51~54 (2006)[DOI]
- Roeloffs C, "Stigma and depression among primary care patients", Gen Hosp Psychiatry, 25, pp.311~315 (2003)[DOI]
- Rhee M, "A standardization study of beck depression inventory I-Korean version (K-BDI): reliability and factor analysis", Korean J Psychopathol, 4, pp.77~95 (1995)
- Love AW, "Depression in chronic low back pain patients: diagnostic efficiency of three self-report questionnaires", J Clin Psychol, 43, pp.84~89 (1987)
- Geisser ME, "Assessing depression among persons with chronic pain using the Center for Epidemiological Studies-Depression Scale and the Beck Depression Inventory: a comparative analysis", Clin J Pain, 13, pp.163~170 (1997)[DOI]
- Aragon T, "EpiTools: R package for epidemiologic data and graphics" (2010), Comprehensive R Archive Network
- Korea Health Statistics 2013: Korea National Health and Nutrition Examination Survey (KNHANES VI-1), "Ministry of Health and Welfare", Korea Centers for Disease Control and Prevention, ~ (2014)
- Cho M, "The epidemiological survey of mental disorders in Korea" (2011), Ministry of Health and Welfare
- Goldman LS, "Awareness, diagnosis, and treatment of depression", J Gen Intern Med, 14, pp.569~580 (1999)[DOI]
- O'Connor DW, "Depression in primary care. 1: elderly patients' disclosure of depressive symptoms to their doctors", Int Psychogeriatr, 13, pp.359~365 (2001)[DOI]
- Cho SJ, "Mental health service use in a nationwide sample of Korean adults", Soc Psychiatry Psychiatr Epidemiol, 44, pp.943~951 (2009)[DOI]
- Jang Y, "Attitudes of older Korean Americans toward mental health services", J Am Geriatr Soc, 55, pp.616~620 (2007)[DOI]
- Menchetti M, "Recognition and treatment of depression in primary care: effect of patients' presentation and frequency of consultation", J Psychosom Res, 66, pp.335~341 (2009)[DOI]
- Bertakis KD, "Patient pain: its influence on primary care physician-patient interaction", Fam Med, 35, pp.119~123 (2003)
- Whooley MA, "Screening for depression--A tale of two questions", JAMA Intern Med, 176, pp.436~438 (2016)[DOI]
- Whooley MA, "Case-finding instruments for depression. Two questions are as good as many", J Gen Intern Med, 12, pp.439~445 (1997)[DOI]
- Hahm BJ, "Prevalence, incidence, and risk factors of dementia and depressive disorders of the elderly residing in the community: a two stage one-year follow-up study", J Korean Geriatr Psychiatry, 3, pp.140~148 (1999)
- Wilson KG, "Major depression and insomnia in chronic pain", Clin J Pain, 18, pp.77~83 (2002)
- Gerrits MM, "Pain and the onset of depressive and anxiety disorders", Pain, 155, pp.53~59 (2014)[DOI]
- Nicassio PM, "Longitudinal relationships among pain, sleep problems, and depression in rheumatoid arthritis", J Abnorm Psychol, 101, pp.514~520 (1992)[DOI]
- Fishbain DA, "Chronic pain-associated depression: antecedent or consequence of chronic pain? A review", Clin J Pain, 13, pp.116~137 (1997)[DOI]
