Lee Sing, Tsang Adley
Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, China.
Pain Med. 2009 Jan;10(1):155-63. doi: 10.1111/j.1526-4637.2008.00541.x.
To investigate the relationship between three frequent pain conditions and depression among Chinese adults in Hong Kong.
A cross-sectional telephone-based survey examined the prevalence and correlates of three kinds of frequent pain and their association with Diagnostic and Statistical Manual of Mental Disorders major depression in a random sample of 5,004 adults (2,371 males and 2,634 females).
The 1-year prevalence rates of frequent spinal pain, headache, and joint pain were 37.2%, 26.7% and 19.9%, respectively. Although all three kinds of pain were more common in females and the unemployed, the sociodemographic profile of risk correlates and association with depression varied across each kind of pain. Spinal pain was more strongly associated with headache and joint pain than headache was associated with joint pain. In logistic regression, the relative risk of depression with the three kinds of pain as predictors varied between 1.6 and 3.4.
Depression is strongly associated with pain in Hong Kong, though the pattern of association varies across specific pain conditions. Comprehensive evaluation of pain complaints may improve the recognition of depression as well as the outcome of pain management.
调查香港成年华人中三种常见疼痛状况与抑郁症之间的关系。
一项基于电话的横断面调查，对5004名成年人（2371名男性和2634名女性）的随机样本进行了三种常见疼痛的患病率及相关因素调查，以及它们与《精神疾病诊断与统计手册》中重度抑郁症的关联调查。
脊柱疼痛、头痛和关节疼痛的1年患病率分别为37.2%、26.7%和19.9%。尽管这三种疼痛在女性和失业者中更为常见，但每种疼痛的风险相关因素的社会人口学特征以及与抑郁症的关联各不相同。脊柱疼痛与头痛和关节疼痛的关联比头痛与关节疼痛的关联更强。在逻辑回归中，以这三种疼痛为预测因素时，抑郁症的相对风险在1.6至3.4之间。
在香港，抑郁症与疼痛密切相关，尽管关联模式因特定疼痛状况而异。对疼痛主诉进行综合评估可能会提高对抑郁症的识别以及疼痛管理的效果。
