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

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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

DOI 10.1016/j.genhosppsych.2011.09.004

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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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Authors: Knaster, P., Karlsson, H., Estlander, A.-M., & Kalso, E.
Affiliations: Helsinki University Hospital (FI)
Corresponding author: Knaster, Peter
ORCID: Karlsson, Hasse
Kalso, Eija
Venue: General Hospital Psychiatry
Publisher: Elsevier BV
Published: 2012-01
Volume: 34
Issue: 1
Pages: 46-52
ISSN: 0163-8343 (ISSN-L)
DOI: 10.1016/j.genhosppsych.2011.09.004
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: General Hospital Psychiatry (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 › 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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Psychiatric disorders as assessed with SCID in chronic pain patients: the anxiety disorders precede the onset of pain

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