慢性疼痛患者的共病焦虑和抑郁障碍
Comorbid anxiety and depression disorders in patients with chronic pain.
作者信息
Castro Martha, Kraychete Durval, Daltro Carla, Lopes Josiane, Menezes Rafael, Oliveira Irismar
机构信息
Pain Clinic, Professor Edgard Santos University Hospital, Federal University of Bahia, Salvador, BA, Brazil.
出版信息
Arq Neuropsiquiatr. 2009 Dec;67(4):982-5. doi: 10.1590/s0004-282x2009000600004.
OBJECTIVE
To evaluate the frequency of anxiety and depression disorders in patients with chronic pain.
METHOD
Patients receiving care at the pain clinic of the Federal University of Bahia between February 2003 and November 2006. The MINI PLUS--Mini International Neuropsychiatric Interview was used to evaluate the patients and establish psychiatric diagnoses.
RESULTS
400 patients were evaluated mean age was 45.6+/-11.37 years; 82.8% were female, 17.3% male; 48.5% were married; 55.1% were Catholics; and 40.5% had only high school education. Of these 29.9% reported intense pain and 70.8% reported suffering pain daily. The most frequent medical diagnosis was herniated disc (24.5%), and 48.5% of patients had been undergoing treatment at the pain clinic for less than 3 months. Comorbidities found were depressive episodes (42%), dysthymia (54%), social phobia (36.5%), agoraphobia (8.5%) and panic disorder (7.3%).
CONCLUSION
Psychiatric comorbidities are prevalent in patients suffering chronic pain.
目的
评估慢性疼痛患者中焦虑症和抑郁症的发生率。
方法
选取2003年2月至2006年11月期间在巴伊亚联邦大学疼痛诊所接受治疗的患者。采用MINI PLUS——迷你国际神经精神病学访谈对患者进行评估并确立精神科诊断。
结果
共评估了400例患者，平均年龄为45.6±11.37岁；女性占82.8%，男性占17.3%；48.5%已婚；55.1%为天主教徒；40.5%仅接受过高中教育。其中，29.9%报告有剧烈疼痛，70.8%报告每天都遭受疼痛。最常见的医学诊断是椎间盘突出（24.5%），48.5%的患者在疼痛诊所接受治疗的时间不到3个月。发现的共病有抑郁发作（42%）、心境恶劣（54%）、社交恐惧症（36.5%）、广场恐惧症（8.5%）和惊恐障碍（7.3%）。
结论
慢性疼痛患者中精神科共病很常见。
Zotero 插件