Cited by 3,463Musculoskeletal pain and rehabilitationPsychosomatic Disorders and Their TreatmentsTreatment of Major Depression

Depression and Pain Comorbidity: A Literature Review

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Bair, Matthew J., Robinson, Rebecca L., Katon, Wayne, Kroenke, Kurt·2003·Archives of Internal Medicine

Abstract

Because depression and painful symptoms commonly occur together, we conducted a literature review to determine the prevalence of both conditions and the effects of comorbidity on diagnosis, clinical outcomes, and treatment. The prevalences of pain in depressed cohorts and depression in pain cohorts are higher than when these conditions are individually examined. The presence of pain negatively affects the recognition and treatment of depression. When pain is moderate to severe, impairs function, and/or is refractory to treatment, it is associated with more depressive symptoms and worse depression outcomes (eg, lower quality of life, decreased work function, and increased health care utilization). Similarly, depression in patients with pain is associated with more pain complaints and greater impairment. Depression and pain share biological pathways and neurotransmitters, which has implications for the treatment of both concurrently. A model that incorporates assessment and treatment of depression and pain simultaneously is necessary for improved outcomes.

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Authors
Bair, M. J., Robinson, R. L., Katon, W., & Kroenke, K.
Affiliations
Indiana University Indianapolis (US)
Corresponding author
Bair, Matthew J.
Venue
Archives of Internal Medicine
Published
2003-11-10
Volume
163
Issue
20
Pages
2433
ISSN
0003-9926 (ISSN-L)
OpenAlex
W2148694444
Cited by
3,463
References
178
Citations by year
2026: 191 · 2025: 202 · 2024: 208 · 2023: 206 · 2022: 189 · 2021: 219 · 2020: 216 · 2019: 197 · 2018: 176 · 2017: 178 · 2016: 161 · 2015: 168 · 2014: 171 · 2013: 169 · 2012: 154
FWCI
3.73
Type
journal article
Language
en
Open access
Locations
  • Archives of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Bristol-Myers Squibb
  • Eli Lilly and Company
  • Pfizer
  • GlaxoSmithKline
  • University of Washington
  • School of Medicine, Indiana University
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
Keywords
depression, chronic pain, comorbidities, prevalence, diagnosis, clinical outcomes, quality of life, work impairment, health care utilization, refractory pain, neurotransmitters
MeSH terms
Antidepressive Agents, Chronic Disease, Depression, Depressive Disorder, Humans, Pain, Comorbidity, Prevalence, Treatment Outcome

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