Comorbid Chronic Pain and Depression: Who Is at Risk?
Comorbid Chronic Pain and Depression: Who Is at Risk?
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DOI：
10.1016/j.jpain.2008.12.007
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发表时间：
2009-06-01
期刊：
影响因子：
4
通讯作者：
Cano, Annmarie
中科院分区：
文献类型：
--
作者：
Miller, Lisa Renee;Cano, Annmarie
本研究的目的是调查慢性疼痛的患病率和人口危险因素及其与抑郁症的合并症。利用计算机辅助电话访谈获得密歇根州具有代表性的社区样本（n = 1179）。由任何原因引起的慢性疼痛患病率为21.9%。大约35%的慢性疼痛患者同时患有抑郁症（占整个样本的7.7%）。抑郁与疼痛类型或部位无关。多项回归分析揭示了慢性疼痛和抑郁症的几个人口学相关性。与没有这两种情况的人相比，患有慢性疼痛或共病性疼痛和抑郁症的参与者更可能是年龄较大、女性、受雇时间少于全职、受教育程度较低。逻辑回归分析显示，年轻的参与者更有可能有合并症的疼痛和抑郁比慢性疼痛。在非裔美国人参与者中也发现了类似但不太显著的影响，与抑郁组相比，共病组的参与者更有可能是女性和中年人。这些发现为社区中共病疼痛和抑郁的患病率提供了额外的证据，并表明某些患有慢性疼痛的人群可能特别受益于抑郁症筛查。观点：这篇文章报道了在一个有代表性的社区样本中慢性疼痛和并发抑郁症的患病率。疼痛和共病抑郁症的高患病率指出了在慢性疼痛样本中评估抑郁的临床重要性。(C) 2009年由美国疼痛学会出版
The purpose of this study was to investigate the prevalence and demographic risk factors of chronic pain and its comorbidity with depression. Computer-assisted telephone interviewing was utilized to obtain a representative community sample in the state of Michigan (n = 1,179). The prevalence of chronic pain due to any cause was 21.9%. Approximately 35% of participants with chronic pain also had comorbid depression (7.7% of the entire sample). Depression was not associated with pain types or sites. A multinomial-regression analysis revealed several demographic correlates of chronic pain and depression. Participants with chronic pain or comorbid pain and depression were more likely to be older, female, employed less than full-time, and have less education than persons without either condition. Logistic regression analyses showed that younger participants were more likely to have comorbid pain and depression than chronic pain only. A similar but marginally significant effect was found for African American participants, Compared to the depression-only group, those in the comorbid group were more likely to be women and middle-aged. These findings provide additional evidence on the prevalence of comorbid pain and depression in the community and suggest that certain demographic groups with chronic pain may especially benefit from depression screenings.Perspective: This article reports on the prevalence of chronic pain and co-occurring depression in a representative community sample. The high prevalence rates of pain and comorbid depression point to the clinical importance of assessing depression in chronic pain samples. (C) 2009 by the American Pain Society