Mental Disorders in Chronic Pain Patients Seeking Treatment at a Tertiary Pain Hospital

IF 1.3 4区心理学 Q3 PSYCHOLOGY, CLINICAL

European Journal of Health Psychology Pub Date : 2024-01-01 DOI:10.1027/2512-8442/a000142

Mirjam V. Thomas, Dimitri M. L. van Ryckeghem, A. Schulz, Ruta Müller, Kai Lambracht, Jens Adermann, C. Vögele

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引用次数: 0

Abstract

Abstract: Background: The high co-occurrence of chronic pain and mental disorders is well-established. Yet, an up-to-date account of the prevalence of mental disorders according to revised diagnostic criteria is lacking. Aims: The present study investigated the point and lifetime prevalence of a broad range of mental disorders according to DSM-5 in patients with chronic pain and examined associations of current mental health comorbidity with pain catastrophizing and health-related quality of life (HRQoL). Method: In this cross-sectional, observational study, patients with self-reported chronic pain receiving inpatient treatment at a specialized tertiary hospital were recruited for participation. Structured clinical interviews were conducted to assess current and lifetime diagnoses of mental disorders. Pain catastrophizing and HRQoL were assessed via questionnaires. Results: 145 patients (63.5% female; Mage = 54.9 years) participated in the study. 57.2% of the sample met the criteria for any current and 77.9% for any lifetime mental disorder. The most prevalent diagnostic groups of current mental disorders were substance-related and addictive disorders (26.2%), somatic symptom and related disorders (17.9%), depressive disorders (17.2%), and anxiety disorders (15.9%). Current mental health comorbidity was significantly associated with increased levels of pain catastrophizing and poorer HRQoL outcomes. Limitations: Chronic pain was only assessed by self-report, and no data regarding the exact medical diagnoses of the participants were collected. Conclusion: Comorbid mental disorders are highly prevalent in patients with chronic pain. Given the adverse effects of this comorbidity, the findings emphasize the need for addressing comorbid mental disorders in the management of chronic pain.

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在一家三级疼痛医院接受治疗的慢性疼痛患者的精神障碍

摘要：背景：慢性疼痛和精神障碍的高并发率已得到公认。然而，目前还缺乏根据修订后的诊断标准对精神障碍患病率的最新描述。目的：本研究根据 DSM-5 调查了慢性疼痛患者中各种精神障碍的时点和终生患病率，并研究了当前精神健康合并症与疼痛灾难化和健康相关生活质量（HRQoL）之间的关联。研究方法在这项横断面观察性研究中，招募了在一家专科三级医院接受住院治疗的自述慢性疼痛患者。研究人员进行了结构化临床访谈，以评估当前和终生的精神障碍诊断。通过问卷对疼痛灾难化和 HRQoL 进行了评估。研究结果145名患者（63.5%为女性；年龄=54.9岁）参与了研究。57.2%的样本符合任何当前精神障碍的标准，77.9%符合任何终生精神障碍的标准。当前精神障碍最常见的诊断类别是药物相关和成瘾性障碍（26.2%）、躯体症状和相关障碍（17.9%）、抑郁障碍（17.2%）和焦虑障碍（15.9%）。目前的精神健康合并症与疼痛灾难化程度的增加和较差的 HRQoL 结果显著相关。局限性：慢性疼痛仅通过自我报告进行评估，且未收集有关参与者确切医疗诊断的数据。结论合并精神障碍在慢性疼痛患者中非常普遍。鉴于这种合并症的不良影响，研究结果强调了在慢性疼痛管理中解决合并精神障碍问题的必要性。

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来源期刊

European Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

3.00

自引率

0.00%

发文量

期刊介绍： Die "Zeitschrift für Gesundheitspsychologie" wurde gegründet, um dem raschen Anwachsen gesundheitspsychologischer Forschung sowie deren Relevanz für verschiedene Anwendungsfelder gerecht zu werden. Gesundheitspsychologie versteht sich als wissenschaftlicher Beitrag der Psychologie zur Förderung und Erhaltung von Gesundheit, zur Verhütung und Behandlung von Krankheiten, zur Bestimmung von Risikoverhaltensweisen, zur Diagnose und Ursachenbestimmung von gesundheitlichen Störungen sowie zur Verbessung des Systems gesundheitlicher Vorsorge.