Prevalence of psychiatric disorders in sick listed chronic low back pain patients

Reme, Silje Endresen; Tangen, Tone; Moe, Trygve; Eriksen, Hege Randi

doi:10.1016/j.ejpain.2011.04.012

Cited by 104Musculoskeletal pain and rehabilitationPsychosomatic Disorders and Their TreatmentsFibromyalgia and Chronic Fatigue Syndrome Research

Prevalence of psychiatric disorders in sick listed chronic low back pain patients

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Reme, Silje Endresen, Tangen, Tone, Moe, Trygve, Eriksen, Hege Randi·2011·European Journal of Pain

DOI 10.1016/j.ejpain.2011.04.012

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Abstract

Background: Previous findings have shown a high degree of comorbid psychopathology in chronic low back pain (CLBP), but less is known about the broad range of comorbid psychiatric disorders. The prevalence is reported to be between 40% and 100% depending on methods being used, sample or setting. Aims: To assess the prevalence of psychiatric comorbidity in a population of CLBP patients, using a psychiatric diagnostic interview. Methods: 565 patients sick listed between 2 and 10 months for unspecific LBP were included in the study. All were recruited as part of an ongoing trial in secondary care, and were assessed with the Mini‐International Neuropsychiatric Interview (MINI), which is a short structured diagnostic interview for DSM‐IV and ICD‐10 psychiatric disorders. Results: The prevalence of current psychiatric disorders was 31%. The diagnoses included 19 Axis I disorders, with the most common being somatoform disorders (18%) and anxiety disorders (12%). Major depressive disorders were reported in 4%. There were no gender differences in prevalence of psychiatric disorders. Conclusions: In a large population of CLBP patients, 31% fulfilled the criteria for at least one current psychiatric disorder when measured with a diagnostic interview. The diagnoses included a wide range of psychiatric disorders, with the most common being somatoform disorders (18%) and anxiety disorders (12%). The results imply that screening CLBP patients for psychiatric comorbidity in secondary care is important since psychopathology may have serious consequences for prognosis, outcome and health care utilization.

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A substantial degree of overlap in symptoms is common in these patients, and diagnostic labelling by the general practitioner may be somewhat arbitrary.
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Comparison of the frequency of psychiatric disorders among patients with chronic low back pain and control group
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Neuropsychiatric diseases among chronic low back pain patients
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Authors: Reme, S. E., Tangen, T., Moe, T., & Eriksen, H. R.
Affiliations: Harvard University (US)
Haukeland University Hospital (NO)
Uni Research (Norway) (NO)
Corresponding author: Reme, Silje Endresen
ORCID: Tangen, Tone
Eriksen, Hege Randi
Venue: European Journal of Pain
Publisher: Wiley
Published: 2011-11
Volume: 15
Issue: 10
Pages: 1075-1080
ISSN: 1090-3801 (ISSN-L)
1532-2149
DOI: 10.1016/j.ejpain.2011.04.012
OpenAlex: W2011110269
Cited by: 104
References: 55
Citations by year: 2026: 3 · 2025: 5 · 2024: 6 · 2023: 3 · 2022: 6 · 2021: 4 · 2020: 6 · 2019: 6 · 2018: 15 · 2017: 13 · 2016: 11 · 2015: 7 · 2014: 6 · 2013: 5 · 2012: 4
FWCI: 4.45
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: other-oa
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 70 d)
Locations: European Journal of Pain (publishedVersion)
PubMed (publishedVersion)
NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Keywords: chronic low back pain, psychiatric comorbidity, prevalence of mental disorders, sick leave, somatoform disorders, anxiety disorders, major depressive disorder, secondary care, psychosocial screening
MeSH terms: Adult, Anxiety Disorders, Feeding and Eating Disorders, Mental Disorders, Depressive Disorder, Female, Humans, Male, Middle Aged, Psychotic Disorders, Somatoform Disorders, Comorbidity, Prevalence, Low Back Pain, Substance-Related Disorders, Young Adult, Chronic Pain

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Prevalence of psychiatric disorders in sick listed chronic low back pain patients

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