Pain and depression in older people: Comorbidity and patterns of help seeking
Pain and depression in older people: Comorbidity and patterns of help seeking
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DOI：
10.1016/j.jad.2009.01.012
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发表时间：
2009-10-01
影响因子：
6.6
通讯作者：
Demyttenaere, K.
中科院分区：
文献类型：
--
作者：
Bonnewyn, A.;Katona, C.;Demyttenaere, K.
背景：慢性疼痛和情绪障碍在老年人中很常见。然而，他们的关系仍然不清楚。只有少数研究调查的作用，疼痛在精神卫生服务的使用，并收到psychopharmacological treatment.Methods：横断面研究的65+子样本从欧洲精神疾病的流行病学研究（ESEMeD）。采用第三版复合国际诊断访谈（CIDI-3.0）对4401名非住院患者进行访谈。结果：有12个月抑郁发作（MDE）的患者比无MDE的患者更容易出现疼痛性躯体症状（PPS）（OR=2.0）。情绪问题求助并不常见，但PPS是求助的显著预测因子（OR=1.7）。MDE的受访者更频繁地使用苯二氮卓类药物比抗抑郁药。没有抑郁症的受访者的PPS的存在导致在使用精神药物的显着增加。结论：PPS是强烈的，独立与抑郁症。他们的存在对寻求帮助的行为和精神药物的使用产生了影响。局限性：本研究的横截面性质不允许确定因果关系的方向。(C)2009 Elsevier B. V.保留所有权利。
Background: Chronic pain and mood disorders are common in older people. Their relationship however remains unclear. Only a few studies have investigated the role of pain in mental health service use and received psychopharmacological treatment.Methods: Cross-sectional study of the 65+ subsample from the European Study on the Epidemiology of Mental Disorders (ESEMeD). 4401 non-institutionalized individuals were interviewed using the third version of the Composite International Diagnostic Interview (CIDI-3.0).Results: Painful physical symptoms (PPS) were more likely in people with a 12-month major depressive episode (MDE) than in those without (OR=2.0). Help seeking for emotional problems was uncommon, but PPS were a significant predictor of help-seeking (OR=1.7). Respondents with MDE more frequently used benzodiazepines than antidepressants. The presence of PPS in respondents without depression resulted in a significant increase in the use of psychotropic medication.Conclusions: PPS were strongly and independently associated with major depressive disorder. Their presence had an influence on help seeking behavior and use of psychotropic medication.Limitations: The cross-sectional nature of this study does not allow determination of direction of causality. (C) 2009 Elsevier B.V. All rights reserved.