Sintomas depressivos e ansiedade em pacientes com cefaléia do tipo tensional crônica e episódica

Batista-Neves²,

Kraychete³

et al. 2006

Rev. Bras. Anestesiol.

Section: Discussionmentioning

confidence: 99%

Section: Introductionunclassified

Validade da escala hospitalar de ansiedade e depressão em pacientes com dor crônica

Batista-Neves²,

Kraychete³

et al. 2006

Rev. Bras. Anestesiol.

“…However, when the cause of painful phenomenon is not overcome, and it becomes a chronic process, feelings of hopelessness, impotence, and despair can turn into other depressive symptoms or the depression itself [25][26] . In this study, we observed an improvement in depressive symptoms in the group undergoing CBT.…”

Section: Discussionmentioning

confidence: 99%

The cognitive behavioral therapy causes an improvement in quality of life in patients with chronic musculoskeletal pain

Daltro

Kraychete

et al. 2012

Arq. Neuro-Psiquiatr.

Chronic pain causes functional incapacity and compromises an individual's affective, social, and economic life. OBJECTIVE: To study the cognitive behavioral therapy (CBT) effectiveness in a group of patients with chronic pain. METHODS: A randomized clinical trial with two parallel groups comprising 93 patients with chronic pain was carried out. Forty-eight patients were submitted to CBT and 45 continued the standard treatment. The visual analogue, hospital anxiety and depression, and quality of life SF-36 scales were applied. Patients were evaluated before and after ten weeks of treatment. RESULTS: When the Control Group and CBT were compared, the latter presented reduction of depressive symptoms (p=0.031) and improvement in the domains 'physical limitations' (p=0.012), 'general state of health' (p=0.045), and 'limitations by emotional aspects' (p=0.025). CONCLUSIONS: The CBT was effective and it has caused an improvement in more domains of quality of life when compared to the Control Group, after ten weeks of treatment.

“…Analysis of the responses obtained with the use of the HAD scale suggests that the high percentage of anxious and depressed patients may be due to the concomitance of these symptoms in patients with chronic pain 13 .…”

Section: Discussionmentioning

confidence: 99%

Sleep patterns and symptoms of anxiety and depression in patients with chronic pain

Daltro

2009

Arq. Neuro-Psiquiatr.

-Background: Sleep disturbances and symptoms of anxiety and depression have been shown to be involved in the genesis and perpetuation of chronic pain. Objective: To evaluate sleep patterns and the prevalence of symptoms of anxiety and depression in patients with chronic pain. Method: Four hundred consecutive patients referred to a chronic pain outpatient clinic were investigated using patient charts, the numerical Visual Analogue Scale for the evaluation of pain, the Hospital Anxiety and Depression scale and the Mini-Sleep Questionnaire. Results: The mean age of patients was 45.6±11.4 years. The most frequent medical diagnosis was myofascial pain followed by neuropathic pain. The prevalence of symptoms of anxiety was 72.8%, depression 93% and altered sleep patterns 93%. Conclusion: This study revealed a high prevalence of symptoms of depression and anxiety and alterations in sleep patterns in patients with chronic pain, justifying investigation into these disturbances in this group of patients.Key worDS: chronic pain, sleep, depression, anxiety. padrão do sono e sintomas de ansiedade e depressão em pacientes com dor crônicaResumo -Contexto: Distúrbios do sono e sintomas de ansiedade e depressão tem sido vistos no envolvimento da origem e perpetuação da dor crônica. Objetivo: Avaliação do padrão do sono e da prevalência de sintomas de ansiedade e depressão em pacientes com dor crônica. Método: Quatrocentos pacientes de dor crônica atendidos consecutivamente na clínica foram investigados usando os seguintes instrumentos a escala Visual Analógica para a avalição da dor, a escala Hospitalar de Ansiedade e Depressão e o Mini-Sleep Questionnaire. Resultados: A média de idade dos pacientes foi 45,6±11,4 anos. o diagnóstico mais frequente foi de dor miofascial seguido de dor neuropática. A prevalência de sintomas de ansiedade foi 72,8%, de depressão foi 61,5% e de alteração do sono 93%. Conclusão: este estudo revela uma alta prevalência de sintomas de depressão e ansiedade e alterações no padrão do sono em pacientes com dor crônica, justificando a investigação destes distúrbios neste grupo de pacientes.PAlAVrAS-cHAVe: dor crônica, sono, depressão, ansiedade.