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Cited by 313Musculoskeletal pain and rehabilitationMental Health Treatment and AccessPsychosomatic Disorders and Their Treatments

The DOI matches its Crossref record; 60 of the 60 references it cites were found in a registry or an index.

Prevalence, onset, and risk of psychiatric disorders in men with chronic low back pain: a controlled study

Atkinson, Hampton J., Slater, Mark A., Patterson, Thomas L., Grant, Igor, Garfin, Steven R.·1991·Pain
DOI 10.1016/0304-3959(91)90175-w
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Abstract

This study used structured diagnostic interviews and DSM-III criteria to assess lifetime prevalence and pre-morbid risk of psychiatric disorder in a sample of men with long-standing chronic back pain (CLPB) attending a primary care clinic. A control group of age and demographically matched men without history of back pain was also studied. Compared to controls, men with CLBP had significantly higher lifetime rates of major depression (32% vs. 16%), alcohol use disorder (64.9% vs. 38.8%), and a major anxiety disorder (30.9% vs. 14.3%). Almost all CLBP men ever experiencing a mood disorder reported recurrent, not single, episodes. The 6 month point prevalence of major depression, but not other disorders, was also significantly elevated for men with CLBP. In CLBP, the first episode of major depression generally (58.1%) followed pain onset. While the initial major depressive episode usually commenced within the first 2 years of established pain, late onset mood disorder was also common. By comparison in most cases (81%) onset of alcohol use disorders considerably preceded pain. When an age-matching procedure was used to gauge relative vulnerability to psychiatric illness in patients and controls, CLBP patients had significantly higher pre-pain rates of alcohol use disorder but not depression. After age of pain onset, CLBP subjects had over 9 times the risk of developing major depression, but had similar rates of developing alcoholism. We conclude that (1) alcohol use disorders rather than depression may increase risk of developing CLBP, and (2) risk of new onset and recurrent major depression remains high for men throughout their pain career. This suggests that psychological adaptation to long-standing pain may be less successful than previously thought, especially with regard to recurrent mood disorder.

Overview

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Crossref · 10.1016/0304-3959(91)90175-w

Cites

60 of 60 references verified0 citation errors · 0 not checkable

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Citations

Cites

Research works printed but not linked: 1

  1. Atkinson, 1988, Chronic pain and lifetime psychiatric disorder, Psychosom. Med., 50, 207

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Metadata

Authors
Atkinson, H. J., Slater, M. A., Patterson, T. L., Grant, I., & Garfin, S. R.
Affiliations
United States Department of Veterans Affairs (US)
Corresponding author
Atkinson, Hampton J.
ORCID
Patterson, Thomas L.
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1991-05
Volume
45
Issue
2
Pages
111-121
ISSN
0304-3959 (ISSN-L)
DOI
10.1016/0304-3959(91)90175-w
OpenAlex
W2071410402
Cited by
313
References
60
Citations by year
2026: 2 · 2025: 3 · 2024: 4 · 2023: 19 · 2022: 9 · 2021: 8 · 2020: 2 · 2019: 9 · 2018: 9 · 2017: 12 · 2016: 14 · 2015: 9 · 2014: 6 · 2013: 7 · 2012: 14
FWCI
6.29
Type
journal article
Language
en
Open access
closed
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
chronic low back pain, psychiatric comorbidity, major depressive disorder, alcoholism, anxiety disorders, mood disorders, depression onset, men
MeSH terms
Adult, Alcoholism, Back Pain, Mental Disorders, Chronic Disease, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Risk Factors, Prevalence

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