Association between Depression, Anxiety and Quality of Life in Patients with Pain Symptoms
Keywords:
Pain scale, Depressive disorder, Anxiety disorder, Quality of lifeAbstract
Background: Pain is a common problem in medical practice and causes suffering in many patients. It is associated with many psychiatric disorders like depression and anxiety disorders. Moreover, it is a major factor causing decreased quality of life.
Objective: To study the association between depressive disorder, anxiety disorder, and quality of life in pain patients as well as the prevalence of depressive disorder and anxiety disorder in pain patients.
Research design and method: Data were obtained from 42 pain patients at pain relief unit and outpatients psychiatric unit of Ramathibodi Hospital in 2010-2012. The patients were interviewed by researchers and research assistants. Questionnaire include demographic characteristics, Numeric Rating Scale (NRS), Thai Hospital Anxiety and Depression Scale, and SF-36 (Thai version).
Results: Pain scale was found to be associated with depression scale and anxiety scale (P = 0.005 and P = 0.001, respectively). Prevalence of depressive disorder and anxiety disorder was 12.8 and 20 percent, respectively. Moreover, depression scale and anxiety scale were associated (P = 0.000). Depression scale and anxiety scale had reciprocal effects, but they did not affect pain scale. Also, pain scale was asscociated with decresed quality of life in many dimensions.
Conclusion: Pain scale was found to be associated with depression, anxiety and decreased quality of life. It emphasized the importance of psychological assessment and treatment of pain patients.
References
Leuchter AF, Husain MM, Cook IA, et al. Painful physical symptoms and treatment outcome in major depressive disorder: a STAR*D (Sequenced Treatment Alternatives to Relieve Depression) report. Psychol Med. 2010;40(2):239-51. doi:10.1017/S0033291709006035.
Robinson MJ, Edwards SE, Iyengar S, Bymaster F, Clark M, Katon W. Depression and pain. Front Biosci (Landmark Ed). 2009;14:5031-51.
Ohayon MM, Schatzberg AF. Chronic pain and major depressive disorder in the general population. J Psychiatr Res. 2010;44(7):454-61. doi:10.1016/j.jpsychires.2009.10.013.
Castro M, Kraychete D, Daltro C, Lopes J, Menezes R, Oliveira I. Comorbid anxiety and depression disorders in patients with chronic pain. Arq Neuropsiquiatr. 2009;67(4):982-5.
Burckhardt CS, Jones KD. Effects of chronic widespread pain on the health status and quality of life of women after breast cancer surgery. Health Qual Life Outcomes. 2005;3:30.
Lin RF, Chang JJ, Lu YM, Huang MH, Lue YJ. Correlations between quality of life and psychological factors in patients with chronic neck pain. Kaohsiung J Med Sci. 2010;26(1):13-20. doi:10.1016/S1607-551X(10)70003-6.
Means-Christensen AJ, Roy-Byrne PP, Sherbourne CD, Craske MG, Stein MB. Relationships among pain, anxiety, and depression in primary care. Depress Anxiety. 2008;25(7):593-600.
Badcock LJ, Lewis M, Hay EM, McCarney R, Croft PR.Chronic shoulder pain in the community: a syndrome of disability or distress?. Ann Rheum Dis. 2002;61(2):128-31.
.png){kind=logo}
