Undiagnosed Mood Disorders and Sleep Disturbances in Primary Care Patients with Chronic Musculoskeletal Pain

Objective The study aims to determine the prevalence of undiagnosed comorbid mood disorders in patients suffering chronic musculoskeletal pain in a primary care setting and to identify sleep disturbances and other associated factors in these patients, and to compare the use of health services by chr...

Full description

Saved in:
Bibliographic Details
Published in:Pain medicine (Malden, Mass.) Mass.), 2013-09, Vol.14 (9), p.1416-1425
Main Authors: Salazar, Alejandro, Dueñas, María, Mico, Juan Antonio, Ojeda, Begoña, Agüera‐Ortiz, Luis, Cervilla, Jorge A., Failde, Inmaculada
Format: Article
Language:English
Subjects:
Children & youth
Chronic Pain
Chronic Pain - complications
Chronic Pain - psychology
Comorbidity
Confidence intervals
Cross-Sectional Studies
Female
General Practice - statistics & numerical data
Health care
Humans
Male
Middle Aged
Mood
Mood Disorders - complications
Mood Disorders - epidemiology
Musculoskeletal
Musculoskeletal Pain - complications
Musculoskeletal Pain - psychology
Prevalence
Primary Care
Sleep
Sleep Wake Disorders - complications
Sleep Wake Disorders - epidemiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective The study aims to determine the prevalence of undiagnosed comorbid mood disorders in patients suffering chronic musculoskeletal pain in a primary care setting and to identify sleep disturbances and other associated factors in these patients, and to compare the use of health services by chronic musculoskeletal pain patients with and without comorbid mood disorders. Design Cross‐sectional study. Subjects A total of 1,006 patients with chronic musculoskeletal pain from a representative sample of primary care centers were evaluated. Outcome Measures Pain was measured using a visual analog scale and the Primary Care Evaluation of Mental Disorders questionnaire was used to measure mood disorders. Results We observed a high prevalence of undiagnosed mood disorders in chronic musculoskeletal pain patients (74.7%, 95% confidence interval [CI] 71.9–77.4%), with greater comorbidity in women (adjusted odds ratio [OR] = 1.91, 95% CI 1.37–2.66%) and widow(er)s (adjusted OR = 1.87, 95% CI 1.19–2.91%). Both sleep disturbances (adjusted OR = 1.60, 95% CI 1.17–2.19%) and pain intensity (adjusted OR = 1.02, 95% CI 1.01–1.02%) displayed a direct relationship with mood disorders. Moreover, we found that chronic musculoskeletal pain patients with comorbid mood disorders availed of health care services more frequently than those without (P 
ISSN:1526-2375
1526-4637
DOI:10.1111/pme.12165