Assessment and management of chronic pain in patients with depression and anxiety

Hoffelt, Charity; Zwack, Andrew

doi:10.9740/mhc.n198935

Cited by 6 publications

(4 citation statements)

References 63 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The modulation of pain through these descending pathways is disrupted, and pain sensations are allowed to ascend to the brain [ 36 ]. It is reported that patients with chronic pain and comorbid mood disorders are often more difficult to treat, because of a difference in perception of pain, negative coping skills, the risk of drug abuse, and the negative influence of comorbidity on the outcomes of diagnosis [ 37 , 38 ]. That may explain why among patients with more severe depression at baseline, it was more difficult to get relieved from their orofacial pain in the follow-up after treatment.…”

Section: Discussionmentioning

confidence: 99%

Development and internal validation of prediction models for persistence of self-reported orofacial pain in the follow-up of patients with myofascial pain

Lobbezoo

Selms

et al. 2020

Clin Oral Invest

View full text Add to dashboard Cite

Objectives To identify predictors in patient profiles, and to develop, internally validate, and calibrate prediction models for the persistence of self-reported orofacial pain at the 6-month and 12-month follow-up in patients with myofascial pain. Materials and methods A cohort of 63 adult patients with moderate to severe chronic myofascial pain was included. Patient and disease characteristics at baseline were recorded as potential predictors. Patients` presence or absence of improvement of orofacial pain at follow-up was considered the outcome. Binary logistic regression analyses were used to develop the models. The performance and clinical values of the models were determined. Results Forty-three percent and 30% of the patients had persistence of orofacial pain at 6-month and 12-month follow-up, respectively. Pain elsewhere, depression, parafunctional activities, and mandibular function impairment (MFI) were significantly associated with persistence of the pain at 6-month follow-up, whereas depression, parafunctional activities, and MFI were significantly associated with persistence of the pain at 12-month follow-up. Both of the models showed good calibration and discrimination, with shrunken area under the curve (AUC) values of 0.73 and 0.76, respectively. The clinical added predictive values for ruling in the risk of the persistence were 0.30 and 0.31, respectively, and those for ruling it out were 0.25 and 0.20, respectively. Conclusions Potential predictors for prediction of the persistence of self-reported orofacial pain at follow-up were identified. The calibration, discrimination, and clinical values of the models were acceptable. Clinical relevance The models may assist clinicians in decision-making regarding the improvement of orofacial pain of individual patients during follow-up in clinical settings.

show abstract

Section: Discussionmentioning

confidence: 99%

Development and internal validation of prediction models for persistence of self-reported orofacial pain in the follow-up of patients with myofascial pain

Lobbezoo

Selms

et al. 2020

Clin Oral Invest

View full text Add to dashboard Cite

show abstract

“…Наиболее часто в практической деятельности невро-лога встречается паническое расстройство и генерализо-ванное тревожное расстройство [14,15].…”

Section: диагностика тревожных расстройствunclassified

Anxiety Disorders Under the Guiese of Vegetovascular Dystonia

Головачева¹,

Парфенов²

2017

Med. sov.

View full text Add to dashboard Cite

В егетососудистая дистония (ВСД) -диагноз, который часто ставят пациентам молодого и зрелого возраста в терапевтической и невроло-гической практике в России [1,2]. Данная патология не внесена в настоящую Международную классификацию болезней 10-го пересмотра (МКБ-10) и не будет входить в новую Международную классификацию болезней 11-го пересмотра (МКБ-11). Термин «ВСД» не применяется в мировой медицине и используется только в России, стра-нах ближнего зарубежья. Ошибочный диагноз «ВСД» ставится пациентам, которые реально страдают другими заболеваниями. Постановка ошибочного диагноза «ВСД» приводит к назначению неэффективного лечения, фор-мированию у пациентов неправильных представлений о своем состоянии и во многих случаях -к ухудшению настоящего заболевания.В практической деятельности ошибочный диагноз «ВСД» обычно часто ставится пациентам, которые не имеют структурных повреждений нервной и сердечно-сосудистой системы и предъявляют различные жалобы -на головную боль, нарушение сна, ощущение «тяжести» в голове, снижение памяти, головокружение, повышенную утомляемость, сниженное настроение, тревогу, ощущения сердцебиения и нехватки воздуха [3][4][5]. Под маской ВСД могут обнаруживаться неврологические расстройства (первичные головные боли, вестибулопатии, инсомния, нейрогенные обмороки), психические нарушения (тре-вожные расстройства, депрессия, соматоформное рас-стройство) и ряд соматических заболеваний (нарушения ритма сердца, ишемическая болезнь сердца, заболевания щитовидной железы и др.) [4][5][6][7]. ТРЕВОЖНЫЕ РАССТРОЙСТВА ПОД МАСКОЙ ВСДТревожные расстройства -одни из самых распростра-ненных состояний, которые ошибочно расцениваются как ВСД. Пациенты с тревожными расстройствами обычно предъявляют различные соматические жалобы, поэтому могут встречаться в практической деятельности врачей многих специальностей. Большинство пациентов с тревож-ными расстройствами проходят дополнительные исследо-вания, на основании которых часто устанавливаются оши-

show abstract

“…Depression and anxiety add to pain because they may increase the likelihood of social isolation and kinesophobia, or the fear of movement due to pain ( 31 , 32 ). Additionally, the pathophysiology of depression and anxiety may use the same neurotransmitters that affect pain in the brain ( 33 ). Therefore, this relationship should be investigated further, especially in individuals with FM.…”

Section: Introductionmentioning

confidence: 99%

Distress as a mediator for pain and activities of daily living in older adults with fibromyalgia

et al. 2022

View full text Add to dashboard Cite

IntroductionPain, distress, and activities of daily living impact the lives of those with chronic pain. This study investigated distress (depressive symptoms, anxiety) on the relationship between pain (intensity and pain interference) and activities of daily living in individuals with fibromyalgia while controlling for age.MethodsThe current cross-sectional investigation focused on data from 123 men and women with fibromyalgia. Pain intensity, pain interference and anxiety were measured on 0-10 Likert type scales from the National Fibromyalgia Assessment Questionnaire. Depressive symptoms were assessed using the Beck Depression Inventory II. Activities of daily living (basic, instrumental) were measured with the Physical Activity Inventory Scale.ResultsIt was hypothesized that the relationships between pain intensity and pain interference and activities of daily living in individuals with fibromyalgia would be mediated by the construct of distress while controlling for age. Mediation significantly occurred in both models as predicted. However, those who were older reported lower levels of pain intensity and distress than their younger counterparts, which may be related to time since diagnosis or other factors.DiscussionResults of this study suggest that individuals with chronic pain conditions would benefit from treatment options which address distress, specifically depressive symptoms and anxiety.

show abstract

Assessment and management of chronic pain in patients with depression and anxiety

Abstract: This article will review the role of the pharmacist in the management of chronic pain in patients with comorbid mood disorders.

Cited by 6 publications

References 63 publications

Development and internal validation of prediction models for persistence of self-reported orofacial pain in the follow-up of patients with myofascial pain

Development and internal validation of prediction models for persistence of self-reported orofacial pain in the follow-up of patients with myofascial pain

Anxiety Disorders Under the Guiese of Vegetovascular Dystonia

Distress as a mediator for pain and activities of daily living in older adults with fibromyalgia

Contact Info

Product

Resources

About