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Article: Prevalence of and factors associated with psychiatric morbidity in chronic pain patients

TitlePrevalence of and factors associated with psychiatric morbidity in chronic pain patients
Authors
Issue Date2011
PublisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jpsychores
Citation
Journal Of Psychosomatic Research, 2011, v. 70 n. 6, p. 541-547 How to Cite?
AbstractObjective: 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<.05) and higher pain intensity (OR=1.544, P<.001) were independently associated with presence of psychiatric disorders. Higher pain intensity (OR=13.7, P<.05), negative pain cognition (OR=0.967, P<.05) and problems with social and leisure activities (OR=38.5, P<.05) were associated with depression. Conclusion: Prevalence of psychiatric disorders in this Chinese chronic pain clinic sample with reference to the DSM-IV was similar to that reported in previous studies. Specific factors were identified to alert pain physicians to underlying psychiatric disorders. © 2010 Elsevier Inc.
Persistent Identifierhttp://hdl.handle.net/10722/138922
ISSN
2015 Impact Factor: 2.84
2015 SCImago Journal Rankings: 1.357
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorHo, PTen_HK
dc.contributor.authorLi, CFen_HK
dc.contributor.authorNg, YKen_HK
dc.contributor.authorTsui, SLen_HK
dc.contributor.authorNg, KFJen_HK
dc.date.accessioned2011-09-23T05:42:05Z-
dc.date.available2011-09-23T05:42:05Z-
dc.date.issued2011en_HK
dc.identifier.citationJournal Of Psychosomatic Research, 2011, v. 70 n. 6, p. 541-547en_HK
dc.identifier.issn0022-3999en_HK
dc.identifier.urihttp://hdl.handle.net/10722/138922-
dc.description.abstractObjective: 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<.05) and higher pain intensity (OR=1.544, P<.001) were independently associated with presence of psychiatric disorders. Higher pain intensity (OR=13.7, P<.05), negative pain cognition (OR=0.967, P<.05) and problems with social and leisure activities (OR=38.5, P<.05) were associated with depression. Conclusion: Prevalence of psychiatric disorders in this Chinese chronic pain clinic sample with reference to the DSM-IV was similar to that reported in previous studies. Specific factors were identified to alert pain physicians to underlying psychiatric disorders. © 2010 Elsevier Inc.en_HK
dc.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/jpsychoresen_HK
dc.relation.ispartofJournal of Psychosomatic Researchen_HK
dc.subject.meshAdulten_HK
dc.subject.meshAgeden_HK
dc.subject.meshChronic Diseaseen_HK
dc.subject.meshComorbidityen_HK
dc.subject.meshCross-Sectional Studiesen_HK
dc.subject.meshDiagnostic and Statistical Manual of Mental Disordersen_HK
dc.subject.meshFemaleen_HK
dc.subject.meshHumansen_HK
dc.subject.meshInterview, Psychologicalen_HK
dc.subject.meshMaleen_HK
dc.subject.meshMental Disorders - diagnosis - epidemiology - psychologyen_HK
dc.subject.meshMiddle Ageden_HK
dc.subject.meshPain - epidemiology - psychologyen_HK
dc.subject.meshPrevalenceen_HK
dc.subject.meshSeverity of Illness Indexen_HK
dc.titlePrevalence of and factors associated with psychiatric morbidity in chronic pain patientsen_HK
dc.typeArticleen_HK
dc.identifier.emailNg, KFJ:jkfng@hkucc.hku.hken_HK
dc.identifier.authorityNg, KFJ=rp00544en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.jpsychores.2010.10.006en_HK
dc.identifier.pmid21624577-
dc.identifier.scopuseid_2-s2.0-79957664142en_HK
dc.identifier.hkuros192021en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79957664142&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume70en_HK
dc.identifier.issue6en_HK
dc.identifier.spage541en_HK
dc.identifier.epage547en_HK
dc.identifier.isiWOS:000291459300008-
dc.publisher.placeUnited Statesen_HK
dc.identifier.citeulike8465894-

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