Pain in Depressive Disorders

نویسندگان

  • Stefan Gebhardt
  • Stefan Lautenbacher
چکیده

For ages pain complaints of patients suffering from depression belong to the everyday challenges of general practitioner. Typical diagnostic designations comprised ‘ dépression larvée ’ or ‘masked depression’ in the past. In some cases, depressive symptoms are masked by pain symptoms and therefore ignored by the physicians. Up to half of the patients suffering from acute depression are not diagnosed as such, possibly because they present with bodily or pain symptoms, respectively, rather than with symptoms classically known for depression. Pain ranks second, only yielding to insomnia, among the somatic and vegetative symptoms of depression and occurs in over 50 % of the patients with depression. Thus, one might wonder why pain carries little weight in the diagnosis of depression. In recent years, pain and somatic symptoms has been considered more and more in psychiatry and psychosomatics as concomitant of depression, and has now become the status of a common comorbidity. While there is good evidence for symptoms of depression in patients with chronic pain according to numerous studies, comparably little is known about the other ‘relation’: the role of pain in depressive disorders. To compensate for this neglect, the focus of this book chapter is laid on pain in depression. This approach appears especially worthwhile in light of the high number of affected patients and their poor prognosis compared to patients with depression but without pain. Chapter 7 Pain in Depressive Disorders

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The Frequency Distribution of Chief Complaints in Patients with Major Depressive Disorder Referring to Psychiatric Clinics in Kerman

Introduction: Physical symptoms associated with depression and common psychiatric disorders sometimes lead to the misdiagnosis of depressive disorders. The aim of this study was to determine the frequency distribution of different chief complaints in patients with major depressive disorder referring to psychiatric clinics according to their demographic characteristics and source of referral. Me...

متن کامل

Association between Chronic Pain and Depression among the Elderly of Amirkola City, Northern Iran

Introduction: Chronic pain and depression are two of common geriatric disorders. The aim of this study was to investigate the association between chronic pain and depressive symptoms in older people in Amirkola.   Methods: This cross-sectional study is part of Amirkola Health and Aging Project. It is an ongoing cohort project which was being conducted from 2011 on all people aged 60 and ...

متن کامل

بررسی اختلالات اضطرابی و افسردگی و درمان آن در کودکان مبتلا به درد قفسه سینه

Background: Chest pain is one of the most common causes of children visit in the cardiology clinic. In a significant number of pediatric patients the cause is non cardiac origin. Anxiety and depressive disorders in children are common and can be the cause of many other disorders. This study was designed to evaluate anxiety and depressive disorders in children with chest pain. Methods: In this ...

متن کامل

5-Hydroxy tryptamine transporter (5HTT) gene promoter region polymorphism in anxiety and depressive disorders

  Background :5HTTLPR polymorphism (5- Hydroxytryptamine transporter linked promoter region polymorphism) is the most widely studied genetic variant in psychiatry. The present study is a modest effort at ascertaining the role of 5HT transporter linked promoter region polymorphism (5HTTLPR) in anxiety and depressive disorders in Kashmir (India).The aim of this study was to examine 5-Hydroxy tryp...

متن کامل

روابط ساختاری میان ابعاد اختلال‌های اضطرابی و افسردگی DSM-IV و ابعاد الگوی سه‌بخشی

 AbstractObjectives: This project assessed the validity of integrative hierarchical model of anxiety and dep-ression by Brown, Chorpita, and Barlow. Through this appraisal, structural relationships were assess- ed between key features of anxiety and depressive disorders and the dimensions of tripartite model of anxiety and depression.Method: In this project, using the findings collected from 25...

متن کامل

The Mediating Role of Cognitive Control in the Relationship Between Sleep Disorders and Depressive Symptoms of Early Adolescence in the First and Second High School Students in Ardabil in 2020-2021: A Descriptive Study

Background and Objectives: Depression in early adolescence is one of the most common problems of this period. Cognitive disorders may be due to lack of control, and cognitive problems and sleep disturbances in depressed people can be due to cognitive control deficits. Therefore, this study was conducted to determine the role of sleep disturbance and cognitive control in predicting depressive sy...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2014