Gender Differences in Depression and Chronic Pain Conditions in a National Epidemiologic Survey

Munce, Sarah; Stewart, Donna E.

doi:10.1176/appi.psy.48.5.394

Cited by 187 publications

(146 citation statements)

References 32 publications

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“…The findings on gender as a correlate of comorbid depression are mixed. Women with pain may be at a higher risk for depression [29] while other research fails to show an association [2]. Furthermore, in a study of depressed outpatients, younger, African American, Hispanic, or less educated people were more likely to report pain [20].…”

Section: Introductionmentioning

confidence: 90%

“…Participants were deemed as having chronic pain if they answered in the affirmative to the first question and reported that the pain lasted for at least six months. The six month criterion was chosen to be consistent with previous studies of chronic pain prevalence [2,11,28,29]. Participants were asked to identify the types of chronic pain as well as the locations where they experienced chronic pain.…”

Section: Methodsmentioning

confidence: 99%

“…Prevalence estimates for chronic pain (i.e., pain lasting 3-6 months or longer) range from 9% to 33% [2,6,11,17,28,29]. A review of the literature revealed that depression is present in 31% to 100% of people with pain [31].…”

Section: Introductionmentioning

confidence: 99%

“…A review of the literature revealed that depression is present in 31% to 100% of people with pain [31]. Other studies have shown that the prevalence of depression in pain ranges from 4% to 66% across retirement community [27], primary care [2], pain clinic [7], and community samples [11,12,17,23,24,26,29]. However, the research suffers from various limitations.…”

Section: Introductionmentioning

confidence: 99%

“…Two community studies of Canadian samples, one on back pain 11 and the other on various conditions [29], addressed these various methodological issues and found that the prevalence of depression in a community sample of persons with chronic pain is approximately 11% to 20%.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Comorbid Chronic Pain and Depression: Who Is at Risk?

Miller

Caño

2009

The Journal of Pain

268

155

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The purpose of this study was to investigate the prevalence and demographic risk factors of chronic pain and its comorbidity with depression. Computer-assisted telephone interviewing was utilized to obtain a representative community sample in the state of Michigan (N = 1,179). The prevalence of chronic pain due to any cause was 21.9%.Approximately 35% of participants with chronic pain also had comorbid depression (7.7% of the entire sample). Depression was not associated with pain types or sites. A multinomial regression analysis revealed several demographic correlates of chronic pain and depression.Participants with chronic pain or comorbid pain and depression were more likely to be older, female, employed less than full-time, and have less education than persons without either condition. Logistic regression analyses showed that younger participants were more likely to have comorbid pain and depression than chronic pain only. A similar but marginally significant effect was found for African-American participants. Compared to the depression only group, those in the comorbid group were more likely to be women and middle-aged. These findings provide additional evidence on the prevalence of comorbid pain and depression in the community and suggest that certain demographic groups with chronic pain may especially benefit from depression screenings.Perspective. This article reports on the prevalence of chronic pain and co-occurring depression in a representative community sample. The high prevalence rates of pain and comorbid depression point to the clinical importance of assessing depression in chronic pain samples.

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Section: Introductionmentioning

confidence: 90%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comorbid Chronic Pain and Depression: Who Is at Risk?

Miller

Caño

2009

The Journal of Pain

268

155

View full text Add to dashboard Cite

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Sex Differences in Pain and Quantitative Sensory Testing in Patients With Rheumatoid Arthritis

Vogel

Muhammad

Song

et al. 2023

Arthritis Care & Research

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ObjectiveWomen with rheumatoid arthritis (RA) have higher pain and worse functional outcomes compared to men, even when treated with similar medications. The objective of this study was to identify sex differences in pain intensity, pain interference, and quantitative sensory tests (QST), which are independent of inflammation, in patients with RA.MethodsThis study is a post hoc analysis of participants in the Central Pain in Rheumatoid Arthritis cohort. Pain intensity was assessed using a 0–10 numeric rating scale. Pain interference was measured using a Patient‐Reported Outcomes Measurement Information System computerized adaptive test. QST included pressure pain detection thresholds, temporal summation, and conditioned pain modulation. Women and men were compared using multiple linear regression, adjusted for age, education, race, research site, depression, obesity, RA disease duration, swollen joint count, and C‐reactive protein.ResultsMean ± SD pain intensity was 5.32 ± 2.29 among women with RA, compared to 4.60 ± 2.23 among men with RA (adjusted difference 0.83 [95% confidence interval (95% CI) 0.14, 1.53]). Women with RA had lower pressure pain detection thresholds at the trapezius (adjusted difference –1.22 [95% CI –1.73, –0.72]), wrist (adjusted difference –0.57 [95% CI –1.07, –0.06]), and knee (adjusted difference –1.10 [95% CI –2.00, –0.21]). No statistically significant differences in pain interference, temporal summation, and conditioned pain modulation were observed.ConclusionWomen reported higher pain intensity and lower pressure pain detection thresholds (higher pain sensitivity) than men. However, pain interference, temporal summation, and conditioned pain modulation did not differ between men and women.image

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Patterns of Depressive Symptoms Before and After Surgery for Osteoarthritis: A Descriptive Study

Power

Kudesia

Nadeem

et al. 2019

ACR Open Rheumatology

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ObjectiveTo examine patterns of depressive symptoms before and over the year following osteoarthritis (OA) surgery, stratified by joint and postsurgical outcome.MethodsParticipants were hip (n = 287), knee (n = 360), and lumbar spine (n = 100) OA patients scheduled for joint replacement or decompression surgery with or without fusion. One pre‐ and 4 postsurgery questionnaires were completed. Depressive symptoms were quantified using the Hospital Anxiety and Depression Scale (HADS). One‐year outcomes were based on Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain scores for hip and knee patients and Oswestry Disability Index (ODI) scores for spine patients and were categorized as “worse” (top score tertile) vs. “better” outcomes (first, second tertiles). Plots over time were generated by joint and outcome: 1) mean pain/disability and depression scores and 2) percentage of patients meeting HADS cut‐off for depression “caseness,” reporting depression diagnosis and treatment.ResultsThere were notable decreases in depression scores for patients with better outcomes. For those with worse outcomes, decreases were smaller for hip patients and were not significant for knee and spine patients. Among those with poorer outcomes, 25% of spine and knee patients were depression “cases” pre‐ and postsurgery; an additional 16% of spine and 10% of knee patients developed new “caseness” postsurgery. The proportion of these patients deemed depression cases by score was much higher than the proportion reporting diagnosis/treatment.ConclusionAlthough depressive symptoms decrease overall in OA patients postsurgery, degrees of change vary by joint and surgical outcome. Greater attention to mental health postsurgery is warranted and may lead to improved surgical outcomes, particularly among knee and spine patients.

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Gender Differences in Depression and Chronic Pain Conditions in a National Epidemiologic Survey

Cited by 187 publications

References 32 publications

Comorbid Chronic Pain and Depression: Who Is at Risk?

Comorbid Chronic Pain and Depression: Who Is at Risk?

Sex Differences in Pain and Quantitative Sensory Testing in Patients With Rheumatoid Arthritis

Patterns of Depressive Symptoms Before and After Surgery for Osteoarthritis: A Descriptive Study

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