Al-Maharbi Sameeh, Abolkhair Abdullah Bakr, Al Ghamdi Hani, Haddara Mamdouh, Tolba Yasser, El Kabbani Ahmed, Al Sadoun Adwa, Pangilinan Evelyn, Joy Jaya, Khait Shadi Abu, Al-Khudhairy May Wathiq
Department of Anesthesia, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Saudi J Anaesth. 2018 Jul-Sep;12(3):419-425. doi: 10.4103/sja.SJA_771_17.
Mental health issues, especially depression, are common in chronic pain patients. Depression affects these patients negatively and could lead to poor control of their pain. Some risk factors for both chronic pain and depression are known and need to be targeted as part of the management in a multidisciplinary approach. This study was conducted to estimate the prevalence of depression among chronic pain patients attending a pain clinic and to explore the association between depression in chronic pain patients and other factors such as sociodemographic features, number of pain sites, severity of pain, and types of pain.
This is a cross-sectional study that carried out in a chronic pain clinic in a tertiary care hospital in Riyadh, Saudi Arabia (King Faisal Specialist Hospital and Research Centre). All chronic pain patients including cancer-related pain, apart from acute pain patients and children, were eligible to participate in the study. Association between depression and sociodemographic factors was assessed with univariate and multivariate methods. Main outcome measures were the prevalence of depression in chronic pain patients using the Patient Health Questionnaire-9 (PHQ-9) and the association with sociodemographic factors.
A total of 200 chronic pain patients (128 females [64%]) participated in the study. The prevalence of depression was 71% (95% confidence interval: 64.7-77.3) based on the PHQ-9 diagnostic criteria using a cutoff point of >5. Among those patients who were depressed, 9 (4.5%) had severe depression as compared to 31 (15.5%), 41 (20.5%), and 61 (30.5%) who had moderately severe, moderate, and mild depression, respectively. Depression (scored at the cutoff point of 5) in chronic pain patients was significantly associated with age, financial status, medical history of depression, and pain severity.
Depression is common among chronic pain patients with several risk factors aggravating its presentation. Due to their increased risk of depression, psychiatric counseling that offers mental health assistance should be prioritized and made available as a multidisciplinary approach for the treatment of chronic pain patients.
心理健康问题，尤其是抑郁症，在慢性疼痛患者中很常见。抑郁症对这些患者产生负面影响，并可能导致他们的疼痛控制不佳。慢性疼痛和抑郁症的一些风险因素是已知的，需要作为多学科管理方法的一部分加以关注。本研究旨在估计在疼痛门诊就诊的慢性疼痛患者中抑郁症的患病率，并探讨慢性疼痛患者的抑郁症与其他因素（如社会人口学特征、疼痛部位数量、疼痛严重程度和疼痛类型）之间的关联。
这是一项横断面研究，在沙特阿拉伯利雅得一家三级护理医院（法赫德国王专科医院和研究中心）的慢性疼痛诊所进行。除急性疼痛患者和儿童外，所有慢性疼痛患者（包括癌症相关疼痛患者）均有资格参与本研究。采用单变量和多变量方法评估抑郁症与社会人口学因素之间的关联。主要结局指标是使用患者健康问卷-9（PHQ-9）评估慢性疼痛患者中抑郁症的患病率以及与社会人口学因素的关联。
共有200名慢性疼痛患者（128名女性[64%]）参与了本研究。根据PHQ-9诊断标准，使用>5的临界值，抑郁症的患病率为71%（95%置信区间：64.7-77.3）。在那些抑郁的患者中，9名（4.5%）患有重度抑郁症，相比之下，分别有31名（15.5%）、41名（20.5%）和61名（30.5%）患有中度重度、中度和轻度抑郁症。慢性疼痛患者中抑郁症（临界值为5）与年龄、财务状况、抑郁症病史和疼痛严重程度显著相关。
抑郁症在慢性疼痛患者中很常见，有几个风险因素会加重其表现。由于慢性疼痛患者患抑郁症的风险增加，应优先提供提供心理健康援助的心理咨询，并将其作为治疗慢性疼痛患者的多学科方法。
