Depression and Its Correlation with in Patients Pain in the Rheumatology Service of a Mexican Teaching Hospital

Overview

Journal Rheumatol Int

Specialty Rheumatology

Date 2008 Dec 30

PMID 19112564

Citations 3

Authors

Antonio Kobayashi-Gutierrez

Gloria Martinez-Bonilla

Ana Guillaisne Bernard-Medina

Rogelio Troyo-Sanroman

Veronica Gonzalez-Diaz

Esteban Castro-Contreras

Eduardo Vazquez-Valls

Blanca Miriam Torres-Mendoza

Affiliations

Soon will be listed here.

Abstract

The depressive symptoms are associated with chronic pain in this study. A cross-sectional study was performed. A visual analog scale was used to register pain intensity. Depressive symptoms were measured using the Center of Epidemiological Studies (CES-Dr) scale as modified by Eaton and reviewed for use in the Mexican population. The study included 245 patients, with a mean age of 46 years, 86.1% of whom were female. The prevalence of some degree of depression was 55.1%. Patients with fibromyalgia had the highest prevalence of symptoms of depression (78.38%) and major depression (29.73%). Stepwise multiple regressions indicated that the best model (r2 = 0.26) to predict the CES-Dr score included the global pain score (P < 0.0001) and education level (P < 0.004). The Cronbach's alpha of the CES-Dr was high (alpha = 0.888). There was moderate correlation (r = 0.442), P < 0.0001 of the CES-Dr numeric score with the intensity of global pain.

Citing Articles

Association of Depression With Risk of Incident Systemic Lupus Erythematosus in Women Assessed Across 2 Decades.

Roberts A, Kubzansky L, Malspeis S, Feldman C, Costenbader K JAMA Psychiatry. 2018; 75(12):1225-1233.

PMID: 30208373 PMC: 6583686. DOI: 10.1001/jamapsychiatry.2018.2462.

Healthcare burden of depression in adults with arthritis.

Sambamoorthi U, Shah D, Zhao X Expert Rev Pharmacoecon Outcomes Res. 2017; 17(1):53-65.

PMID: 28092207 PMC: 5512931. DOI: 10.1080/14737167.2017.1281744.

Sequential analyses of daily symptoms in women with fibromyalgia syndrome.

Okifuji A, Bradshaw D, Donaldson G, Turk D J Pain. 2010; 12(1):84-93.

PMID: 20591745 PMC: 2980792. DOI: 10.1016/j.jpain.2010.05.003.

References

Slone L, Norris F, Murphy A, Baker C, Perilla J, Diaz D . Epidemiology of major depression in four cities in Mexico. Depress Anxiety. 2006; 23(3):158-67. DOI: 10.1002/da.20137. View

Melzack R . Pain: past, present and future. Can J Exp Psychol. 1993; 47(4):615-29. DOI: 10.1037/h0078871. View

Fleck M, Simon G, Herrman H, Bushnell D, Martin M, Patrick D . Major depression and its correlates in primary care settings in six countries. 9-month follow-up study. Br J Psychiatry. 2005; 186:41-7. DOI: 10.1192/bjp.186.1.41. View

Lorant V, Croux C, Weich S, Deliege D, Mackenbach J, Ansseau M . Depression and socio-economic risk factors: 7-year longitudinal population study. Br J Psychiatry. 2007; 190:293-8. DOI: 10.1192/bjp.bp.105.020040. View

Ramasubbu R, Patten S . Effect of depression on stroke morbidity and mortality. Can J Psychiatry. 2003; 48(4):250-7. DOI: 10.1177/070674370304800409. View

Carney R, Freedland K, Miller G, Jaffe A . Depression as a risk factor for cardiac mortality and morbidity: a review of potential mechanisms. J Psychosom Res. 2002; 53(4):897-902. DOI: 10.1016/s0022-3999(02)00311-2. View

Waheed A, Hameed K, Khan A, Syed J, Mirza A . The burden of anxiety and depression among patients with chronic rheumatologic disorders at a tertiary care hospital clinic in Karachi, Pakistan. J Pak Med Assoc. 2006; 56(5):243-7. View

Ohayon M, Schatzberg A . Using chronic pain to predict depressive morbidity in the general population. Arch Gen Psychiatry. 2003; 60(1):39-47. DOI: 10.1001/archpsyc.60.1.39. View

Judd L, Paulus M, Wells K, Rapaport M . Socioeconomic burden of subsyndromal depressive symptoms and major depression in a sample of the general population. Am J Psychiatry. 1996; 153(11):1411-7. DOI: 10.1176/ajp.153.11.1411. View

10.

Iosifescu D, Bankier B, Fava M . Impact of medical comorbid disease on antidepressant treatment of major depressive disorder. Curr Psychiatry Rep. 2004; 6(3):193-201. DOI: 10.1007/s11920-004-0064-2. View

11.

OMalley P, Jackson J, Kroenke K, Yoon K, Hornstein E, Dennis G . The value of screening for psychiatric disorders in rheumatology referrals. Arch Intern Med. 1998; 158(21):2357-62. DOI: 10.1001/archinte.158.21.2357. View

12.

Maiden N, Hurst N, Lochhead A, Carson A, Sharpe M . Quantifying the burden of emotional ill-health amongst patients referred to a specialist rheumatology service. Rheumatology (Oxford). 2003; 42(6):750-7. DOI: 10.1093/rheumatology/keg211. View

13.

Li X, Gignac M, Anis A . Workplace, psychosocial factors, and depressive symptoms among working people with arthritis: a longitudinal study. J Rheumatol. 2006; 33(9):1849-55. View

14.

Katon W, Sullivan M . Depression and chronic medical illness. J Clin Psychiatry. 1990; 51 Suppl:3-11; discussion 12-4. View

15.

Bair M, Robinson R, Katon W, Kroenke K . Depression and pain comorbidity: a literature review. Arch Intern Med. 2003; 163(20):2433-45. DOI: 10.1001/archinte.163.20.2433. View

16.

Katon W . Depression: relationship to somatization and chronic medical illness. J Clin Psychiatry. 1984; 45(3 Pt 2):4-12. View

17.

Campbell L, Clauw D, Keefe F . Persistent pain and depression: a biopsychosocial perspective. Biol Psychiatry. 2003; 54(3):399-409. DOI: 10.1016/s0006-3223(03)00545-6. View

18.

Muller N, Schwarz M . The immune-mediated alteration of serotonin and glutamate: towards an integrated view of depression. Mol Psychiatry. 2007; 12(11):988-1000. DOI: 10.1038/sj.mp.4002006. View

19.

Zautra A, Smith B . Depression and reactivity to stress in older women with rheumatoid arthritis and osteoarthritis. Psychosom Med. 2001; 63(4):687-96. DOI: 10.1097/00006842-200107000-00022. View

20.

Afzal N, Ali N, Shakoor A, Mahmud T, Jahan S . An index of depression in patients with chronic nonspecific musculoskeletal pain. J Ayub Med Coll Abbottabad. 2005; 17(2):29-32. View