Cited by 136Musculoskeletal pain and rehabilitationPsychosomatic Disorders and Their TreatmentsPain Management and Treatment

Psychiatric disorders as assessed with SCID in chronic pain patients: the anxiety disorders precede the onset of pain

Knaster, Peter, Karlsson, Hasse, Estlander, Ann-Mari, Kalso, Eija·2012·General Hospital Psychiatry

Abstract

Objective The aim of the study was to determine the prevalence of psychiatric disorders in patients referred to a tertiary pain clinic. The temporal relationship between the onset of pain and depression and anxiety and the association of psychiatric disorders with pain intensity were also analyzed.Method One hundred consecutive outpatients underwent a psychiatric assessment using the Structured Clinical Interview and Statistical Manual of Mental Disorders Axis I.Results The psychiatric disorders diagnosed for the past 12 months included major depressive (37%), anxiety (25%) and substance use disorder (12%). The prevalence of any lifetime psychiatric disorder was 75%. Most anxiety disorders (77%) had been present before pain onset, whereas 63% of the depressive disorders appeared after the onset of pain. Psychiatric morbidity was associated with increased pain intensity.Conclusions Chronic pain patients have a remarkable psychiatric morbidity. A structured diagnostic interview, covering a large range of psychiatric diagnoses, allows a more comprehensive approach to the assessment of the patient. This should improve the management of chronic pain. However, prospective studies are needed to show this.

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Crossref · 10.1016/j.genhosppsych.2011.09.004

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Authors
Knaster, P., Karlsson, H., Estlander, A.-M., & Kalso, E.
Affiliations
Helsinki University Hospital (FI)
Corresponding author
Knaster, Peter
Venue
General Hospital Psychiatry
Publisher
Elsevier BV
Published
2012-01
Volume
34
Issue
1
Pages
46-52
ISSN
0163-8343 (ISSN-L)
OpenAlex
W2005618492
Cited by
136
References
38
Citations by year
2026: 3 · 2025: 11 · 2024: 7 · 2023: 7 · 2022: 8 · 2021: 9 · 2020: 13 · 2019: 10 · 2018: 9 · 2017: 11 · 2016: 11 · 2015: 11 · 2014: 12 · 2013: 12 · 2012: 1
FWCI
6.09
Type
journal article
Language
en
Open access
closed
Locations
  • General Hospital Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords
chronic pain, psychiatric comorbidity, anxiety disorders, depression, substance use disorders, pain onset, pain intensity, prevalence of mental disorders, pain clinic patients
MeSH terms
Adult, Aged, Anxiety Disorders, Mental Disorders, Female, Finland, Humans, Interview, Psychological, Male, Middle Aged, Regression Analysis, Comorbidity, Chronic Pain

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