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The comorbidity of mental and physical disorders with self-reported chronic back or neck pain: Results from the China Mental Health Survey

•Chronic back or neck pain and physical-mental comorbidity is very common in China.•Chronic back or neck pain may increase risk of other physical and mental diseases.•Chronic back or neck pain was associated with role disability. To investigate mental and physical health comorbidity with chronic bac...

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Published in:Journal of affective disorders 2020-01, Vol.260, p.334-341
Main Authors: Xu, Yifeng, Wang, Yan, Chen, Jianhua, He, Yanling, Zeng, Qingzhi, Huang, Yueqin, Xu, Xiufeng, Lu, Jin, Wang, Zhizhong, Sun, Xian, Chen, Jing, Yan, Feng, Li, Tao, Guo, Wanjun, Xu, Guangming, Tian, Hongjun, Xu, Xiangdong, Ma, Yanjuan, Wang, Limin, Zhang, Mei, Yan, Yongping, Wang, Bo, Xiao, Shuiyuan, Zhou, Liang, Li, Lingjiang, Zhang, Yan, Chen, Hongguang, Zhang, Tingting, Yan, Jie, Ding, Hua, Yu, Yaqin, Kou, Changgui, Jia, Fujun, Liu, Jian, Chen, Zheli, Zhang, Ning, Du, Xinbai, Du, Xiangdong, Wu, Yue, Li, Guohua
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cited_by cdi_FETCH-LOGICAL-c330t-4183af13ff18d8d93832df86b676666154bd630bfda653eed1eb678185280b733
cites cdi_FETCH-LOGICAL-c330t-4183af13ff18d8d93832df86b676666154bd630bfda653eed1eb678185280b733
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container_issue
container_start_page 334
container_title Journal of affective disorders
container_volume 260
creator Xu, Yifeng
Wang, Yan
Chen, Jianhua
He, Yanling
Zeng, Qingzhi
Huang, Yueqin
Xu, Xiufeng
Lu, Jin
Wang, Zhizhong
Sun, Xian
Chen, Jing
Yan, Feng
Li, Tao
Guo, Wanjun
Xu, Guangming
Tian, Hongjun
Xu, Xiangdong
Ma, Yanjuan
Wang, Limin
Zhang, Mei
Yan, Yongping
Wang, Bo
Xiao, Shuiyuan
Zhou, Liang
Li, Lingjiang
Zhang, Yan
Chen, Hongguang
Zhang, Tingting
Yan, Jie
Ding, Hua
Yu, Yaqin
Kou, Changgui
Jia, Fujun
Liu, Jian
Chen, Zheli
Zhang, Ning
Du, Xinbai
Du, Xiangdong
Wu, Yue
Li, Guohua
description •Chronic back or neck pain and physical-mental comorbidity is very common in China.•Chronic back or neck pain may increase risk of other physical and mental diseases.•Chronic back or neck pain was associated with role disability. To investigate mental and physical health comorbidity with chronic back or neck pain in the Chinese population, and assess the level of disability associated with chronic back or neck pain. Data were derived from a large-scale and nationally representative community survey of adult respondents on mental health disorders in China (n = 28,140). Chronic back or neck pain, other chronic pain conditions and chronic physical conditions were assessed by self-report. Mental disorders were assessed by the Composite International Diagnostic Interview (CIDI). Role disability during the past 30 days was assessed with the World Health Organization Disability Assessment Schedule (WHO-DAS-II). The 12-month prevalence of chronic back or neck pain was 10.8%. Most of respondents with chronic back or neck pain (71.2%) reported at least one other comorbid condition, including other chronic pain conditions (53.4%), chronic physical conditions (37.9%), and mental disorders (23.9%). It was found by logistic regression that mood disorders (OR = 3.7, 95%CI:2.8–4.8) showed stronger association with chronic back or neck pain than anxiety disorders and substance disorders. Most common chronic pains and physical conditions were significantly associated with chronic back or neck pain. Chronic back or neck pain was associated with role disability after controlling for demographics and for comorbidities. Physical and mental comorbidities explained 0.7% of the association between chronic back or neck pain and role disability. Chronic back or neck pain and physical-mental comorbidity is very common in China and chronic back or neck pain may increase the likelihood of other physical and mental diseases. This presents a great challenge for both clinical treatment and public health education. We believe that further study needs to be conducted to improve the diagnostic and management skills for comorbidity conditions.
doi_str_mv 10.1016/j.jad.2019.08.089
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To investigate mental and physical health comorbidity with chronic back or neck pain in the Chinese population, and assess the level of disability associated with chronic back or neck pain. Data were derived from a large-scale and nationally representative community survey of adult respondents on mental health disorders in China (n = 28,140). Chronic back or neck pain, other chronic pain conditions and chronic physical conditions were assessed by self-report. Mental disorders were assessed by the Composite International Diagnostic Interview (CIDI). Role disability during the past 30 days was assessed with the World Health Organization Disability Assessment Schedule (WHO-DAS-II). The 12-month prevalence of chronic back or neck pain was 10.8%. Most of respondents with chronic back or neck pain (71.2%) reported at least one other comorbid condition, including other chronic pain conditions (53.4%), chronic physical conditions (37.9%), and mental disorders (23.9%). It was found by logistic regression that mood disorders (OR = 3.7, 95%CI:2.8–4.8) showed stronger association with chronic back or neck pain than anxiety disorders and substance disorders. Most common chronic pains and physical conditions were significantly associated with chronic back or neck pain. Chronic back or neck pain was associated with role disability after controlling for demographics and for comorbidities. Physical and mental comorbidities explained 0.7% of the association between chronic back or neck pain and role disability. Chronic back or neck pain and physical-mental comorbidity is very common in China and chronic back or neck pain may increase the likelihood of other physical and mental diseases. This presents a great challenge for both clinical treatment and public health education. 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To investigate mental and physical health comorbidity with chronic back or neck pain in the Chinese population, and assess the level of disability associated with chronic back or neck pain. Data were derived from a large-scale and nationally representative community survey of adult respondents on mental health disorders in China (n = 28,140). Chronic back or neck pain, other chronic pain conditions and chronic physical conditions were assessed by self-report. Mental disorders were assessed by the Composite International Diagnostic Interview (CIDI). Role disability during the past 30 days was assessed with the World Health Organization Disability Assessment Schedule (WHO-DAS-II). The 12-month prevalence of chronic back or neck pain was 10.8%. Most of respondents with chronic back or neck pain (71.2%) reported at least one other comorbid condition, including other chronic pain conditions (53.4%), chronic physical conditions (37.9%), and mental disorders (23.9%). It was found by logistic regression that mood disorders (OR = 3.7, 95%CI:2.8–4.8) showed stronger association with chronic back or neck pain than anxiety disorders and substance disorders. Most common chronic pains and physical conditions were significantly associated with chronic back or neck pain. Chronic back or neck pain was associated with role disability after controlling for demographics and for comorbidities. Physical and mental comorbidities explained 0.7% of the association between chronic back or neck pain and role disability. Chronic back or neck pain and physical-mental comorbidity is very common in China and chronic back or neck pain may increase the likelihood of other physical and mental diseases. This presents a great challenge for both clinical treatment and public health education. 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To investigate mental and physical health comorbidity with chronic back or neck pain in the Chinese population, and assess the level of disability associated with chronic back or neck pain. Data were derived from a large-scale and nationally representative community survey of adult respondents on mental health disorders in China (n = 28,140). Chronic back or neck pain, other chronic pain conditions and chronic physical conditions were assessed by self-report. Mental disorders were assessed by the Composite International Diagnostic Interview (CIDI). Role disability during the past 30 days was assessed with the World Health Organization Disability Assessment Schedule (WHO-DAS-II). The 12-month prevalence of chronic back or neck pain was 10.8%. Most of respondents with chronic back or neck pain (71.2%) reported at least one other comorbid condition, including other chronic pain conditions (53.4%), chronic physical conditions (37.9%), and mental disorders (23.9%). It was found by logistic regression that mood disorders (OR = 3.7, 95%CI:2.8–4.8) showed stronger association with chronic back or neck pain than anxiety disorders and substance disorders. Most common chronic pains and physical conditions were significantly associated with chronic back or neck pain. Chronic back or neck pain was associated with role disability after controlling for demographics and for comorbidities. Physical and mental comorbidities explained 0.7% of the association between chronic back or neck pain and role disability. Chronic back or neck pain and physical-mental comorbidity is very common in China and chronic back or neck pain may increase the likelihood of other physical and mental diseases. This presents a great challenge for both clinical treatment and public health education. We believe that further study needs to be conducted to improve the diagnostic and management skills for comorbidity conditions.</abstract><pub>Elsevier B.V</pub><doi>10.1016/j.jad.2019.08.089</doi><tpages>8</tpages></addata></record>
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subjects China mental health survey
Chronic back or neck pain
Comorbidity
Mental disorder
Physical disorder
title The comorbidity of mental and physical disorders with self-reported chronic back or neck pain: Results from the China Mental Health Survey
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