CLINICAL ASPECTS OF DEPRESSION IN CHRONIC PAIN PATIENTS

被引:170
作者
DWORKIN, RH
GITLIN, MJ
机构
[1] COLUMBIA UNIV COLL PHYS & SURG, DEPT ANESTHESIOL, NEW YORK, NY 10032 USA
[2] COLUMBIA UNIV COLL PHYS & SURG, DEPT PSYCHIAT, NEW YORK, NY 10032 USA
[3] UNIV CALIF LOS ANGELES, DEPT PSYCHIAT, LOS ANGELES, CA 90024 USA
关键词
CHRONIC PAIN; DEPRESSION; MOOD DISORDERS;
D O I
10.1097/00002508-199106000-00004
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
It has been widely recognized that an appreciable proportion of chronic pain patients have depressive disorders. Although numerous studies and several literature reviews have examined the relationship between chronic pain and depression, disorders of mood come in many forms, and little attention has been paid to the different types of depressive disorders found among patients with chronic pain. In this article, the different ways in which a chronic pain patient may manifest depression are discussed. Diagnostic criteria for major depression, dysthymia, and atypical depression are described, and the relevance of these disorders and of masked depression to chronic pain is discussed. The medical illnesses and medications that can cause symptoms of depressive disorders are also briefly described. Depressive disorders and their concomitants are an integral part of the experience of chronic pain and are important in developing an optimal treatment plan. For these reasons, they should be carefully evaluated in all patients with chronic pain.
引用
收藏
页码:79 / 94
页数:16
相关论文
共 121 条
  • [81] PAIN MANAGEMENT AS AN ANTIDEPRESSANT - LONG-TERM RESOLUTION OF PAIN-ASSOCIATED DEPRESSION
    MARUTA, T
    VATTEROTT, MK
    MCHARDY, MJ
    [J]. PAIN, 1989, 36 (03) : 335 - 337
  • [82] AMITRIPTYLINE RELIEVES DIABETIC NEUROPATHY PAIN IN PATIENTS WITH NORMAL OR DEPRESSED MOOD
    MAX, MB
    CULNANE, M
    SCHAFER, SC
    GRACELY, RH
    WALTHER, DJ
    SMOLLER, B
    DUBNER, R
    [J]. NEUROLOGY, 1987, 37 (04) : 589 - 596
  • [83] ALEXITHYMIA AND CHRONIC PAIN - PREVALENCE, CORRELATES AND TREATMENT RESULTS
    MENDELSON, G
    [J]. PSYCHOTHERAPY AND PSYCHOSOMATICS, 1982, 37 (03) : 154 - 164
  • [84] SCREENING FOR PSYCHIATRIC MORBIDITY - THE PATTERN OF PSYCHOLOGICAL ILLNESS AND PREMORBID CHARACTERISTICS IN 4 CHRONIC PAIN POPULATIONS
    MERSKEY, H
    LAU, CL
    RUSSELL, ES
    BROOKE, RI
    JAMES, M
    LAPPANO, S
    NEILSEN, J
    TILSWORTH, RH
    [J]. PAIN, 1987, 30 (02) : 141 - 157
  • [85] MONKS R, 1989, TXB PAIN, P702
  • [86] MURPHY GE, 1984, ARCH GEN PSYCHIAT, V41, P33
  • [88] HOW TO EVALUATE A DIAGNOSTIC MARKER TEST - LESSONS FROM THE RISE AND FALL OF DEXAMETHASONE SUPPRESSION TEST
    NIERENBERG, AA
    FEINSTEIN, AR
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1988, 259 (11): : 1699 - 1702
  • [89] PAYKEL ES, 1982, ARCH GEN PSYCHIAT, V39, P1041
  • [90] NOSOLOGY OF ATYPICAL DEPRESSION
    PAYKEL, ES
    PARKER, RR
    ROWAN, PR
    RAO, BM
    TAYLOR, CN
    [J]. PSYCHOLOGICAL MEDICINE, 1983, 13 (01) : 131 - 139