The psychopharmacologic treatment of depression and anxiety in the context of chronic pain

Verma, Sunil K.; Gallagher, Rollin M.

doi:10.1007/s11916-002-0021-x

Cited by 24 publications

(9 citation statements)

References 87 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The prevalence of anxiety and mood disorders is not specific of migraine, but it might be related to the recurrence of chronic pain disorders [32]. An aspect to take in mind, but still poorly understood, is that different kinds of chronic pain are related to the presence of psychiatric disorders (mainly anxiety and mood disorders) [33], opening diagnostic [34], treatment [35] and etiologic [36, 37] issues.…”

Section: Discussionmentioning

confidence: 99%

Psychiatric disorders and headache familial recurrence: a study on 200 children and their parents

et al. 2009

View full text Add to dashboard Cite

The main aim of the study was to examine the relationship between headache and familial recurrence of psychiatric disorders in parents and their children. Headache history and symptomatology have been collected in a clinical sample of 200 patients and their families, using a semi-structured interview (ICHD-II criteria). Psychiatric comorbidity was assessed by DSM-IV criteria. Chi squares and a loglinear analysis were computed in order to evaluate the main effects and interactions between the following factors: frequency and headache subtypes (migraine/not-migraine) in children, headache (migraine/not-migraine-absent/present) in parents, headache (absent/present) in grandparents, and psychiatric comorbidity (absent/present) have been analyzed: 94 mothers (47%) and 51 fathers (25.5%) had at least one psychiatric disorder, mainly mood and anxiety disorders. Considering the significant prevalence of Psi-co in children (P < 0.0001), we compared it with the presence of familiarity to headache: a significant interaction has been found (P < 0.05) showing that migraineurs with high familial recurrence of headache had a higher percentage (74.65%) of psychiatric disorders, than no-migraineurs (52.17%). Absence of headache familial loading seems to be related to psi-co only in no-migraine headache (87.5 vs. 45.5%). The occurrence of psychiatric disorders is high in children with headache, but a very different pattern seems to characterize migraine (familial co-transmission of migraine and Psi-Co?) if compared with non-migraine headache.

show abstract

Section: Discussionmentioning

confidence: 99%

Psychiatric disorders and headache familial recurrence: a study on 200 children and their parents

et al. 2009

View full text Add to dashboard Cite

show abstract

“…In general, chronic pain is related to the co-occurrence of depression and anxiety, opening the door to diagnostic [68], treatment [69], and etiologic [70,71] issues.…”

Section: Chronic Daily Headache and Psychiatric Comorbiditymentioning

confidence: 99%

Psychiatric comorbidity in chronic daily headache: Pathophysiology, etiology, and diagnosis

Guidetti¹,

Galli²

2002

Current Science Inc

View full text Add to dashboard Cite

Chronic daily headache is a challenge for clinical practitioners and researchers. Etiology, pathophysiology, diagnosis, treatment, and prognosis of chronic daily headache present many questions that need answers. A chance occurrence of psychiatric disorders (mostly anxiety and mood disorders) in patients with chronic daily headache should not be excluded. This results in the need to understand the involved mechanisms, which requires us to draw new insights into the etiology, diagnosis, treatment, and prognosis of chronic daily headache. Psychiatric comorbidity seems to be cross-related to each of these dimensions, although the meanings need to be drawn. Each domain is discussed, considering the status of knowledge and stressing the future lines of research.

show abstract

“…This association is supported by evidence that effective and well coordinated medical interventions can significantly improve the psychological outcomes for pain sufferers 6 . Treating co‐morbid depression in sufferers of pain can also reduce morbidity and improve quality of life 7–9 …”

mentioning

confidence: 99%

“…6 Treating co-morbid depression in sufferers of pain can also reduce morbidity and improve quality of life. [7][8][9] Unfortunately, epidemiological evidence suggests that pain sufferers often do not access appropriate treatments, 10 and therefore often receive suboptimal care. An essential aspect of effective interventions is therefore access and attendance to appropriate medical treatment.…”

mentioning

confidence: 99%

Health service utilization in patients with major depression and co‐morbid pain

Alvarenga

Caniato

Mauritz

et al. 2009

Psychiatry Clin Neurosci

View full text Add to dashboard Cite

Aims: Patients with depression often have co-morbid pain symptoms. However, rates of service utilization by psychiatric in-patients with co-morbid pain symptoms are unknown. The purpose of this study is to estimate whether patients with major depression and co-morbid pain access medical treatment for their pain as much as their counterparts with psychiatric diagnoses other than major depression.Methods: A total of 103 patients (62 female; 41 male) were assessed for a diagnosis of major depression applying a psychiatric clinical interview followed by a self-report pain questionnaire, which assessed physical pain in psychiatric patients. Results:Patients with major depression reported higher rates of pain symptoms in the past 6 and 12 months than their counterparts with a psychiatric diagnosis other than major depression. Analysis of variance showed that patients with depression were less likely to attend medical and specialist services for their pain symptoms than their counterparts. On the contrary, depressed patients with pain attended more frequently general in-patient services than nondepressed patients with pain. Conclusions:Patients with depression suffer high rates of pain symptoms, but are at higher risk of not accessing appropriate services suggesting inadequate service utilization. The results have implications for screening and health care delivery for psychiatric patients with pain.

show abstract

The psychopharmacologic treatment of depression and anxiety in the context of chronic pain

Cited by 24 publications

References 87 publications

Psychiatric disorders and headache familial recurrence: a study on 200 children and their parents

Psychiatric disorders and headache familial recurrence: a study on 200 children and their parents

Psychiatric comorbidity in chronic daily headache: Pathophysiology, etiology, and diagnosis

Health service utilization in patients with major depression and co‐morbid pain

Contact Info

Product

Resources

About