Cited by 1,157Musculoskeletal pain and rehabilitationMental Health Treatment and AccessPain Mechanisms and Treatments

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Common Chronic Pain Conditions in Developed and Developing Countries: Gender and Age Differences and Comorbidity With Depression-Anxiety Disorders

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Tsang, Adley, Von Korff, Michael, Lee, Sing, Alonso, Jordi, Karam, Elie, Angermeyer, Matthias C., Borges, Guilherme Luiz Guimaraes, Bromet, Evelyn J., de Girolamo, Giovanni, de Graaf, Ron, Gureje, Oye, Lepine, Jean-Pierre, Haro, Josep Maria, Levinson, Daphna, Oakley Browne, Mark A., Posada-Villa, Jose, Seedat, Soraya, Watanabe, Makoto·2008·The Journal of Pain

DOI 10.1016/j.jpain.2008.05.005

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Abstract

Unlabelled Although there is a growing body of research concerning the prevalence and correlates of chronic pain conditions and their association with mental disorders, cross-national research on age and gender differences is limited. The present study reports the prevalence by age and gender of common chronic pain conditions (headache, back or neck pain, arthritis or joint pain, and other chronic pain) in 10 developed and 7 developing countries and their association with the spectrum of both depressive and anxiety disorders. It draws on data from 18 general adult population surveys using a common survey questionnaire (N = 42,249). Results show that age-standardized prevalence of chronic pain conditions in the previous 12 months was 37.3% in developed countries and 41.1% in developing countries, with back pain and headache being somewhat more common in developing than developed countries. After controlling for comorbid chronic physical diseases, several findings were consistent across developing and developed countries. There was a higher prevalence of chronic pain conditions among females and older persons; and chronic pain was similarly associated with depression-anxiety spectrum disorders in developed and developing countries. However, the large majority of persons reporting chronic pain did not meet criteria for depression or anxiety disorder. We conclude that common pain conditions affect a large percentage of persons in both developed and developing countries.Perspective Chronic pain conditions are common in both developed and developing countries. Overall, the prevalence of pain is greater among females and among older persons. Although most persons reporting pain do not meet criteria for a depressive or anxiety disorder, depression/anxiety spectrum disorders are associated with pain in both developed and developing countries.

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Authors: Tsang, A., Von Korff, M., Lee, S., Alonso, J., Karam, E., Angermeyer, M. C., Borges, G. L. G., Bromet, E. J., de Girolamo, G., de Graaf, R., Gureje, O., Lepine, J.-P., Haro, J. M., Levinson, D., Oakley Browne, M. A., Posada-Villa, J., Seedat, S., & Watanabe, M.
Affiliations: Chinese University of Hong Kong (HK)
Municipal Institute for Medical Research (ES)
Saint George Hospital (LB)
Universidad Autónoma Metropolitana (MX)
Stony Brook University (US)
University College Hospital, Ibadan (NG)
Israel Ministry of Health (IL)
Jichi Medical University (JP)
Corresponding author: Tsang, Adley
ORCID: Alonso, Jordi
Karam, Elie
Borges, Guilherme Luiz Guimaraes
Bromet, Evelyn J.
Gureje, Oye
Haro, Josep Maria
Seedat, Soraya
Watanabe, Makoto
Venue: The Journal of Pain
Publisher: Elsevier BV
Published: 2008-10
Volume: 9
Issue: 10
Pages: 883-891
ISSN: 1526-5900 (ISSN-L)
DOI: 10.1016/j.jpain.2008.05.005
OpenAlex: W2054285377
Cited by: 1,157
References: 37
Citations by year: 2026: 34 · 2025: 62 · 2024: 60 · 2023: 79 · 2022: 95 · 2021: 86 · 2020: 106 · 2019: 79 · 2018: 105 · 2017: 94 · 2016: 80 · 2015: 63 · 2014: 75 · 2013: 53 · 2012: 40
FWCI: 10.27
Type: journal article
Language: en
Update notices: erratum (2009-05-01)
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 5458 d)
Locations: Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Funders: World Health Organization
National Institutes of Health (5r13mh066849-04, 5r01mh069864-04, 5r01mh070884-05)
National Institute of Mental Health (R13-MH-066849, R0 1-MH61905, R01‐MH070884, U01-MH-60220, R01MH061905, R01MH059575, U01MH060220, R01‐MH069864)
National Institute on Drug Abuse (R01DA016558)
Fogarty International Center (R01-TW006481)
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 › Physiology (medical) › Pain Mechanisms and Treatments
Keywords: chronic pain, prevalence, headache, back pain, neck pain, arthritis, gender differences, age differences, depression, anxiety disorders, comorbidities, developed and developing countries, cross-national comparison, older adults, women
MeSH terms: Adult, Age Factors, Anxiety Disorders, Back Pain, Chronic Disease, Cross-Sectional Studies, Cross-Cultural Comparison, Depressive Disorder, Developing Countries, Female, Headache, Health Surveys, Humans, Male, Middle Aged, Pain, Pain Measurement, Surveys and Questionnaires, Risk Factors, Sex Factors, Comorbidity, Prevalence, Developed Countries, Young Adult

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Common Chronic Pain Conditions in Developed and Developing Countries: Gender and Age Differences and Comorbidity With Depression-Anxiety Disorders

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