Ten‐year prevalence of mental disorders in patients presenting with chronic pain in secondary care: A register linkage cohort study

S. Søndergård; H.B. Vaegter; A. Erlangsen; E. Stenager

doi:10.1002/ejp.1124

journal article Oct 03, 2017

Ten‐year prevalence of mental disorders in patients presenting with chronic pain in secondary care: A register linkage cohort study

S. Søndergård H.B. Vaegter A. Erlangsen E. Stenager

European Journal of Pain Vol. 22 No. 2 pp. 346-354 · Wiley

View at Publisher Save 10.1002/ejp.1124

Abstract

AbstractBackgroundPrevalence rates of mental disorders in patients with chronic pain vary and may be overestimated when assessed by screening instruments only. Objectives were to estimate the 10‐year prevalence of different mental disorders diagnosed by psychiatrists in patients with chronic pain compared with the Danish general population.MethodsPatients (n = 7197) consulted in the interdisciplinary Pain Clinic South at Odense University Hospital, Denmark, from 2005 to 2015 were included. Data from the Pain Clinic were linked to the Danish National Patient Register‐Psychiatry and the Danish Civil Registration System. Age and gender standardized prevalence ratios (SPR) were calculated.ResultsIn all, 17.8% of patients with chronic pain had been diagnosed with a mental disorder. The most frequent diagnoses were adjustment disorders (subcategory of anxiety disorders) (8.9%), depression (6.1%), personality disorders (3.8%), and substance abuse disorders (3.5%). Women and men with chronic pain had higher rates of anxiety disorders (SPR 3.1; 95% CI 2.9–3.4) and depression (SPR 2.5; 95% CI 2.3–2.8), whereas men had higher rates of substance abuse disorders (SPR 1.6; 95% CI 1.3–1.9) than found for the general population.ConclusionsAlthough depression and anxiety were noted more frequently among patients with chronic pain than the general population, prevalence rates were lower than previously reported. The most frequent diagnoses were adjustment disorders.SignificancePrevalence rates of anxiety and depression diagnosed by psychiatrists in patients with chronic pain were found to be lower than previous findings using screening instruments. Adjustment disorders were the most frequent disorders diagnosed, as this study is the first to investigate.

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Details

Published: Oct 03, 2017
Vol/Issue: 22(2)
Pages: 346-354
License: View

Authors

S

S. Søndergård

Research Unit in Mental Health Institute for Regional Health Services University of Southern Denmark Aabenraa Denmark

H

H.B. Vaegter

Pain Research Group Pain Centre South Odense University Hospital Denmark; Department of Clinical Research Faculty of Health Science University of Southern Denmark Odense Denmark

A

A. Erlangsen

Research Unit in Mental Health Institute for Regional Health Services University of Southern Denmark Aabenraa Denmark; Danish Research Institute for Suicide Prevention Mental Health Centre Copenhagen Denmark; Department of Mental Health Bloomberg Johns Hopkins School of Public Health Baltimore MD USA

E

E. Stenager

Research Unit in Mental Health Institute for Regional Health Services University of Southern Denmark Aabenraa Denmark

Cite This Article

S. Søndergård, H.B. Vaegter, A. Erlangsen, et al. (2017). Ten‐year prevalence of mental disorders in patients presenting with chronic pain in secondary care: A register linkage cohort study. European Journal of Pain, 22(2), 346-354. https://doi.org/10.1002/ejp.1124

Ten‐year prevalence of mental disorders in patients presenting with chronic pain in secondary care: A register linkage cohort study

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