Chapter 7 Pain , not chronic disease , is associated with the recurrence of depressive and anxiety disorders
نویسندگان
چکیده
Pain, not chronic disease, is associated with the recurrence of depressive and anxiety disorders ABSTRACT Objective To determine whether specific chronic diseases and pain characteristics are associated with depression and anxiety recurrence and to examine whether these associations were mediated by subthreshold depressive or anxiety symptoms. Method 1,122 individuals with remitted depressive or anxiety disorder (Netherlands Study of Depression and Anxiety) were followed up till four years. The impact of specific chronic diseases and pain characteristics on recurrence was assessed using Cox regression and mediation analyses. Results Chronic diseases were not associated with recurrence. pain severity (HR 1.18, p=.01) were associated with an increased hazard of depression recurrence but not anxiety. Subthreshold depressive symptoms largely mediated the associations between pain and depression recurrence. Conclusion Pain, not chronic disease, increases the likelihood of depression recurrence, largely through its association with increased subthreshold depressive symptoms. These findings support the idea of a reinforcing mechanism between pain and depression and stress the importance of elucidating the neurobiological links to optimize pain and depression management.
منابع مشابه
Pain, not chronic disease, is associated with the recurrence of depressive and anxiety disorders
BACKGROUND Studies suggest that poor physical health might be associated with increased depression and anxiety recurrence. The objectives of this study were to determine whether specific chronic diseases and pain characteristics are associated with depression and anxiety recurrence and to examine whether such associations are mediated by subthreshold depressive or anxiety symptoms. METHODS 11...
متن کاملAuthor's response to reviews Title:Pain, not chronic disease, is associated with the recurrence of depressive and anxiety disorders Authors:
متن کامل
Evaluation of Depression, Anxiety and Suicidal Ideation Among Patients With Chronic Kidney Disease Undergoing Hemodialysis
Background: Patients undergoing hemodialysis are susceptible to psychiatric symptoms due to considerable changes in their individual, social and occupational life; this fact can influence the course and prognosis of renal diseases. Objective: The aim of the present study is to evaluate the prevalence of depression, anxiety, and suicidal ideation among patients with chronic kidney disease under...
متن کاملRace and Ethnic Differences in the Associations between Cardiovascular Diseases, Anxiety, and Depression in the United States
Introduction: Although cardiovascular diseases and psychiatric disorders are linked, it is not yet known if such links are independent of comorbid medical diseases and if these associations depend on race and ethnicity. This study aimed to determine if the associations between cardiovascular diseases with general anxiety disorder (GAD) and major depressive episode (MDE) are ind...
متن کاملRelationship between Pain-Related Beliefs and Pain Anxiety with Depression in Patients with Rheumatoid Arthritis
Aims and background: Chronic pain has many emotional and psychological pressures and is a complex psychological experience. The purpose of the study was to investigate the relationship of pain-related beliefs and pain anxiety with depression in patients with rheumatoid arthritis. Materials and methods: It was a descriptive-correlational study thus, among patients with rheumatoid arthritis in E...
متن کامل