Mental disorders among persons with chronic back or neck pain: Results from the world mental health surveys

Abstract

This paper reports cross-national data concerning back or neck pain comorbidity with mental disorders. We assessed (a) the prevalence of chronic back/neck pain, (b) the prevalence of mental disorders among people with chronic back/neck pain, (c) which mental disorder had strongest associations with chronic back/neck pain, and (d) whether these associations are consistent across countries. Population surveys of community-dwelling adults were carried out in 17 countries in Europe, the Americas, the Middle East, Africa, Asia, and the South Pacific (N=85,088). Mental disorders were assessed with the Composite International Diagnostic Interview, third version (CIDI 3.0): anxiety disorders (generalized anxiety disorder, panic disorder/agoraphobia, posttraumatic stress disorder, and social anxiety disorder), mood disorders (major depression and dysthymia), and alcohol abuse or dependence. Back/neck pain was ascertained by self-report. Between 10% and 42% reported chronic back/neck pain in the previous 12 months. After adjusting for age and sex, mental disorders were more common among persons with back/neck pain than among persons without. The pooled odds ratios were 2.3 [95% CI=2.1-2.5] for mood disorders, 2.2 [95% CI=2.1-2.4] for anxiety disorders, and 1.6 [95% CI=1.4-1.9] for alcohol abuse/dependence in people with versus without chronic back/neck pain. Although prevalence rates of back/neck pain were generally lower than in previous reports, mental disorders were associated with chronic back/neck pain. The strength of association was stronger for mood and anxiety disorders than for alcohol abuse/dependence. The association of mental disorders with back/neck pain showed a consistent pattern across both developed and developing countries.

Chronic pain among public safety personnel in Canada

“…Fourth, the PSP category groupings were based on previous research 29,42,43 but could not account for potentially important differences within some categories (e.g., paramedics verses emergency medical technicians). Fifth, future research should simultaneously assess the interactive effects of mental health and chronic pain, given the substantial evidence of comorbidity [44][45][46][47] and potentially increased risk from mutually maintaining factors.…”

Depression and pain: primary data and meta-analysis among 237 952 people across 47 low- and middle-income countries

“…Such data would be valuable as depression is highly pervasive among people in LMICs (Andreasen et al, 2014, Guerra et al, 2016, Prina et al, 2011. To date, three large-scale studies have investigated pain and depression comorbidity across multiple countries including a small number of LMICs (Demyttenaere et al, 2007, Gureje et al, 2008, Tsang et al, 2008. These studies found that across 18 countries (8 in LMICs), people with multisite pain (Gureje et al, 2008) and chronic pain (Tsang et al, 2008) are at increased risk of mood disorders.…”

Comorbidade de sintomas ansiosos e depressivos em pacientes com dor crônica e o impacto sobre a qualidade de vida

“…Given the suggestion that the association between somatic symptoms, including pain conditions, and psychiatric illness may be influenced by cultural factors 8 however the generalizability of these findings to non-Western populations is an important question 9 . Recently, a worldwide study examining a population-based sample from 18 developed and developing countries, has carefully examined the relationship between chronic pain and mental disorders 9,10 .…”