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Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases

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...

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Autores principales: Lee, Ho-Jin, Choi, Eun Joo, Nahm, Francis Sahngun, Yoon, In Young, Lee, Pyung Bok
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Pain Society 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904346/
https://www.ncbi.nlm.nih.gov/pubmed/29686810
http://dx.doi.org/10.3344/kjp.2018.31.2.116
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author Lee, Ho-Jin
Choi, Eun Joo
Nahm, Francis Sahngun
Yoon, In Young
Lee, Pyung Bok
author_facet Lee, Ho-Jin
Choi, Eun Joo
Nahm, Francis Sahngun
Yoon, In Young
Lee, Pyung Bok
author_sort Lee, Ho-Jin
collection PubMed
description 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.
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spelling pubmed-59043462018-04-23 Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases Lee, Ho-Jin Choi, Eun Joo Nahm, Francis Sahngun Yoon, In Young Lee, Pyung Bok Korean J Pain Original Article 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. The Korean Pain Society 2018-04 2018-04-02 /pmc/articles/PMC5904346/ /pubmed/29686810 http://dx.doi.org/10.3344/kjp.2018.31.2.116 Text en Copyright © The Korean Pain Society, 2018 http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Ho-Jin
Choi, Eun Joo
Nahm, Francis Sahngun
Yoon, In Young
Lee, Pyung Bok
Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases
title Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases
title_full Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases
title_fullStr Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases
title_full_unstemmed Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases
title_short Prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases
title_sort prevalence of unrecognized depression in patients with chronic pain without a history of psychiatric diseases
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5904346/
https://www.ncbi.nlm.nih.gov/pubmed/29686810
http://dx.doi.org/10.3344/kjp.2018.31.2.116
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