The relation between multiple pains and mental disorders: Results from the World Mental Health Surveys
- 1 March 2008
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Pain
- Vol. 135 (1), 82-91
- https://doi.org/10.1016/j.pain.2007.05.005
Abstract
Nd the South Pacific. Participants were community-dwelling adults (N = 85,088). Mental disorders were assessed with the Composite International Diagnostic Interview. Pain was assessed by self-report. Both multiple and single site pain problems were associated with mood and anxiety disorders, but not with alcohol abuse or dependence. In general, the prevalence of specific mood and anxiety disorders followed a linear pattern with the lowest rates found among persons with no pain, intermediate rates among those with one pain, and highest rates among those with multi-site pain problems. Relative to persons not reporting pain, the pooled estimates of the age-sex adjusted odds ratios were 1.8 (1.7–2.0) for mood disorders and 1.9 (1.8–2.1) for anxiety disorders for persons with single site pain; 3.7 (3.3–4.1) for mood disorders and 3.6 (3.3–4.0) for anxiety disorders among those with multi-site pain. Our results indicate that the presence of multiple pain conditions was strongly and comparably associated with mood and anxiety disorders in diverse cultures. This consistent pattern of associations suggests that diffuse pain and psychiatric disorders are generally associated, rather than diffuse pain representing an idiom for expressing distress that is specific to particular cultural settings or diffuse pain solely representing a form of masked depression....This publication has 31 references indexed in Scilit:
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