Talarowska-Bogusz Monika, Florkowski Antoni, Radomska Agata, Zboralski Krzysztof, Gałecki Piotr
Department of Adults Psychiatry, Medical University of Lodz, Poland.
Pol Merkur Lekarski. 2006 Dec;21(126):566-9.
Various pain complaints are the most frequent symptoms in depression. However neither ICD-10 nor DSM-IV do not treat the pain as an essential and vital indicator of depression. There is also lack of works which describe shown above relation.
The aim of our research determines the connection between the intensity of depression symptoms and pain perception in elderly patients who are treated for pain in arthrosis of spine and arthrosis of hip.
The research was conducted in a group of 60 patients. The whole group was divided into two subgroups: group A (30 people with arthrosis of spine: 22 women and 8 men) and group B (30 people with arthrosis of hip: 23 women and 7 men). All of them were undergone 10 physiotherapy surgeries (magnetic field and therapy laser). The appraisal of the influence of the treatment on the intensity of depression symptoms was made on the basis of Depression Scale Montgomery-Asberg (MADRAS) and the appraisal of the intensity of pain was made on the basis of Visual Analogy Scale of Pain.
The important impact of conducted surgeries on the intensity of pain complaint as well as the escalation of depression indicators were stated. Not only in the first but also in the second case presented patients' diseases were alleviated (the intensity of depression symptoms and of perceptible suffering decreased). Nevertheless, this relation was observed only when moderate and mild escalation of depression appeared.
The decrease on the intensity of pain experience reduce depression symptoms in these cases in which the escalation of the second ones is not substantial.
各种疼痛主诉是抑郁症中最常见的症状。然而,国际疾病分类第10版(ICD - 10)和精神疾病诊断与统计手册第4版(DSM - IV)都未将疼痛视为抑郁症的重要和关键指标。也缺乏描述上述关系的研究。
我们研究的目的是确定在因脊柱关节炎和髋关节炎疼痛接受治疗的老年患者中,抑郁症状强度与疼痛感知之间的联系。
研究在60名患者中进行。整个组分为两个亚组:A组(30名脊柱关节炎患者:22名女性和8名男性)和B组(30名髋关节炎患者:23名女性和7名男性)。他们全部接受了10次物理治疗手术(磁场和激光治疗)。基于蒙哥马利 - 阿斯伯格抑郁量表(MADRAS)对治疗对抑郁症状强度的影响进行评估,基于视觉模拟疼痛量表对疼痛强度进行评估。
表明所进行的手术对疼痛主诉强度以及抑郁指标的升高有重要影响。不仅在第一种情况,而且在第二种情况中,患者的疾病都得到了缓解(抑郁症状强度和可感知的痛苦减轻)。然而,这种关系仅在抑郁出现中度和轻度加重时才被观察到。
在抑郁症状加重不显著的情况下,疼痛体验强度的降低会减轻抑郁症状。