Assessment of pain symptoms experienced in major depressive disorder and anxiety disorder

Ramazan Koksal, Eda Aslan, M. Yazıcı
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Abstract

Objective: Ever since the important role serotonin plays in the mechanism of pain emergence became known, there has been a heightened interest in examining the pain that accompanies psychiatric disorders. However, the relationship between pain and psychiatric disorders remains unclear. In this study, we aimed to obtain information about the frequency and characteristics of pain seen in patients diagnosed with major depressive disorder (MDD) and anxiety disorder (AD). Method: The Hamilton Rating Scale for Depression (HAM-D), the Hamilton Anxiety Rating Scale (HAM-A), and the “Brief Pain Inventory” (BPI) were administered to 94 patients diagnosed with MDD and 94 patients diagnosed with AD, respectively. Comparisons between the diagnosed groups, pain characteristics and socio-demographic variables were examined using the Chi-square and Mann-Whitney U tests in the statistical software package SPSS 11.0. Spearman’s rho test was utilized in order to examine correlation. Results: Pain complaints in the MDD group were found in 55.3% (n=52), while this figure was 52.1% (n=49) in the AD group. There was no difference in the frequency of experiencing pain between the two groups (p>0.05). Variations of age, gender, and employment status did not correlate to differences in the presence of pain in MDD (p>0.05). In the AD group however, while there were no differences in age and gender regarding the presence of pain, complaints were more frequent in patients who did not work (p
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重度抑郁症和焦虑症患者疼痛症状的评估
目的:自从5 -羟色胺在疼痛出现机制中的重要作用为人所知以来,人们对检查伴随精神疾病的疼痛产生了浓厚的兴趣。然而,疼痛和精神疾病之间的关系尚不清楚。在这项研究中,我们旨在获得诊断为重度抑郁症(MDD)和焦虑症(AD)的患者疼痛的频率和特征的信息。方法:对94例重度抑郁症患者和94例AD患者分别采用汉密尔顿抑郁量表(HAM-D)、汉密尔顿焦虑量表(HAM-A)和“简短疼痛量表”(BPI)。诊断组、疼痛特征和社会人口学变量之间的比较采用统计学软件包SPSS 11.0中的卡方检验和Mann-Whitney U检验。使用Spearman 's rho检验来检验相关性。结果:MDD组疼痛主诉发生率为55.3% (n=52), AD组为52.1% (n=49)。两组患者疼痛频次比较差异无统计学意义(p>0.05)。年龄、性别和就业状况的变化与MDD中疼痛存在的差异无关(p>0.05)。然而,在AD组中,虽然疼痛的存在在年龄和性别上没有差异,但不工作的患者的抱怨更频繁
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