Prevalence and impact of depression and pain in neurology outpatients

Williams, Linda S.; Jones, W. P.; Shen, Jianzhao; Robinson, Rebecca; Weinberger, Mark I.; Kroenke, Kurt

doi:10.1136/jnnp.74.11.1587

Cited by 111 publications

(79 citation statements)

References 15 publications

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“…130 Depression is also common after stroke. 212 Even in specialized stroke units, up to 63% of patients experience 1 or more complications after acute stroke. The most common complications during the first week in a Norwegian stroke unit were pain, fever, progressing stroke, and UTI; immobilization-related complications, such as pressure ulcers and clinical signs of DVT and pulmonary embolism, had a very low incidence in this modern stroke unit.…”

Section: General Supportive Care Of Stroke: Remembering the Basicsmentioning

confidence: 99%

Comprehensive Overview of Nursing and Interdisciplinary Care of the Acute Ischemic Stroke Patient

Summers¹,

Leonard²,

Wentworth³

et al. 2009

Stroke

219

208

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Section: General Supportive Care Of Stroke: Remembering the Basicsmentioning

confidence: 99%

Comprehensive Overview of Nursing and Interdisciplinary Care of the Acute Ischemic Stroke Patient

Summers¹,

Leonard²,

Wentworth³

et al. 2009

Stroke

219

208

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“…This 3.9 difference in scores is similar to the difference in MCS scores for patients with a new onset of neuropathic pain. 33 For depressive symptoms at baseline, women who experienced physical and verbal abuse had 5.2 symptoms compared with 2.2 for women who were not abused. A cutoff score of 5 has a sensitivity of 80% and specifi city of 84% for clinical depression.…”

mentioning

confidence: 99%

Psychosocial Effects of Physical and Verbal Abuse in Postmenopausal Women

Mouton¹,

Rodabough²,

Rovi³

et al. 2010

The Annals of Family Medicine

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PURPOSE The purpose of this study was to examine the psychological effects of physical and verbal abuse in a cohort of older women.METHODS This observational cohort study was conducted at 40 clinical sites nationwide that are part of the Women's Health Initiative (WHI) Observational Study. We surveyed 93,676 women aged 50 to 79 years using the mental health subscales and the combined mental component summary (MCS) score of the RAND Medical Outcomes Study 36-item instrument.RESULTS At baseline, women reporting exposure to physical abuse only, verbal abuse only, or both physical and verbal abuse had a greater number of depressive symptoms (1.6,1.6, and 3 more symptoms, respectively) and lower MCS scores (4.6, 5.4, and 8.1 lower scores, respectively) than women not reporting abuse. Compared with women who had no exposure to abuse, women had a greater increase in the number of depressive symptoms when they reported a 3-year incident exposure to physical abuse only (0.2; 95% confi dence interval [CI], -0.21 to 0.60), verbal abuse only (0.18; 95% CI, 0.11 to 0.24), or both physical and verbal abuse (0.15; 95% CI, -0.05 to 0.36); and they had a decrease in MCS scores when they reported a 3-year incident exposure to physical abuse only (-1.12; 95% CI, -2.45 to 0.12), verbal abuse only (-0.55; 95% CI, -0.75 to -0.34), and both physical and verbal abuse (-0.44; 95% CI, -1.11 to -0.22) even after adjustment for sociodemographic characteristics.CONCLUSION Exposure to abuse in older, functionally independent women is associated with poorer mental health. The persistence of these fi ndings suggests that clinicians need to consider abuse exposure in their older female patients who have depressive symptoms. Clinicians caring for older women should identify women at risk for physical and verbal abuse and intervene appropriately. Ann Fam Med 2010;8:206-213. doi:10.1370/afm.1095. INTRODUCTIONA buse is an ongoing concern for older women.1 Physical abuse is the infl iction of physical pain, injury, or physical coercion, and involves at least 1 act of violence. Verbal abuse is the infl iction of mental anguish through yelling, screaming, threatening, humiliating, infantilizing, or provoking intentional fear.1,2 Exposure to acts of abuse is a stressful event that has a negative effect on a woman's psychological well-being. It is known that in younger age-groups, domestic violence victims are at increased risk for psychological problems. [3][4][5] Female victims are 2 times more likely to have a psychiatric diagnosis and 1.7 to 4.6 times more likely to develop an anxiety disorder, a mood disorder, posttraumatic stress disorder, or an eating disorder.6,7 Women exposed to abuse are more than 3 times as likely to report poor overall mental health, lower SF-12 Health Survey short-form mental component summary (MCS) scores, and lower vitality.3,7-10 Abused women are 2.4 to 3 times more likely to report depression. 6,[11][12][13][14] In addition to the direct psychological effects, abuse may negatively affect the factors that improve...

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“…Various studies 13,14 have demonstrated the chronic pain is a risk factor for the development of depression. Hilderink et al 15 have reported a statistical significant correlation of severity and chronicity of pain with the onset of depression.…”

Section: Discussionmentioning

confidence: 99%

“…[16][17][18][19][20] The prevalence of depression in patients with chronic pain is reported to be between 18 and 85% depending on the conducted survey. 13,14 Longitudinal studies have also reported that depression is a risk factor for the development of chronic pain. 15 The prevalence of depression in primary care set up in India is estimated to be 21-40%.…”

Section: 3mentioning

confidence: 99%

“…5,6 The most common association of pain is with depression which has been extensively studied. [7][8][9][10][11][12][13][14][15] Studies have also being conducted utilizing the neuroimaging in order to find out the complexity of pain and depression network. [16][17][18][19][20] The prevalence of depression in patients with chronic pain is reported to be between 18 and 85% depending on the conducted survey.…”

Section: 3mentioning

confidence: 99%

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Neuropathic Pain and Depression: A Prospective Study to find out Any Association

Villano¹,

Mandal²

2016

Journal on Recent Advances in Pain

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Introduction:The effect of duration, severity, response to treatment, family and social interactions with chronic pain and depression have been studied extensively. But, none of the studies have ever reported any association of the character of chronic pain particularly neuropathic pain with depression. The aim of this study is to find out the association of neuropathic pain (using painDETECT tool) and depression [using the patient health questionnaire (PHQ-9) scale].

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Prevalence and impact of depression and pain in neurology outpatients

Cited by 111 publications

References 15 publications

Comprehensive Overview of Nursing and Interdisciplinary Care of the Acute Ischemic Stroke Patient

Comprehensive Overview of Nursing and Interdisciplinary Care of the Acute Ischemic Stroke Patient

Psychosocial Effects of Physical and Verbal Abuse in Postmenopausal Women

Neuropathic Pain and Depression: A Prospective Study to find out Any Association

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