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PAIN AND DEPRESSION: THE EGG AND THE CHICKEN STORY REVISITED
Abstract
The prevalence of pain in depressed individuals and the prevalence of depression in patients with pain are higher than when these conditions are considered individually. When pain is severe, impairs function, and/or is refractory to treatment, it is associated with more depressive symptoms and worse depression outcomes. Similarly, depression in patients with pain is associated with more complaints and greater functional impairment. Whether alleviation of pain helps depressive symptoms or, likewise, whether relief of depression improves pain, are questions still incompletely clarified. However, there is growing evidence that depression and pain share genetic factors, biological pathways and neurotransmitters. Thus, the most promising area of future research is elucidating the neurobiological alterations in pain pathways that intersect with those involved in depression.
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When depression and/or anxiety coexist with chronic musculoskeletal pain, standard orthopedic treatment is less effective.
“when this occurs, standard orthopedic treatment is less effective.”
Chronic pain and psychological impairment such as depression and anxiety are driven by shared biological pathways and neurotransmitters.
“Chronic pain and psychological impairment such as depression and anxiety are driven by shared biological pathways and neurotransmitters”
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D-CYCLOSERINE FOR THE TREATMENT OF CHRONIC PAINPreprint
Javitt, J. C., & Michael T. Sapko, M. (2023) · doi:10.22541/au.169175897.70619502/v1
D-CYCLOSERINE FOR THE TREATMENT OF CHRONIC PAINPreprint
Javitt, J. C., & Sapko, M. T. (2023) · doi:10.22541/au.169175897.70619502/v2
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Metadata
- Authors
- Gambassi, G.
- Affiliations
- Università Cattolica del Sacro Cuore (IT)
- Corresponding author
- Gambassi, G.
- Venue
- Archives of Gerontology and Geriatrics
- Publisher
- Elsevier BV
- Published
- 2009-01
- Volume
- 49
- Pages
- 103-112
- ISSN
- 0167-4943 (ISSN-L)
- OpenAlex
- W2040569989
- Cited by
- 93
- References
- 32
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 9 · 2022: 6 · 2021: 3 · 2020: 9 · 2019: 3 · 2018: 6 · 2017: 6 · 2016: 8 · 2015: 1 · 2014: 10 · 2013: 8 · 2012: 2
- FWCI
- 3.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Gerontology and Geriatrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- pain, depression, comorbidities, refractory pain, functional disability, genetic factors, neurotransmitters, neurobiological pathways, pain pathways, elderly patients
- MeSH terms
- Depression, Humans, Pain, Pain Measurement, Prognosis, Psychometrics, Prevalence
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