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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
The relation between multiple pains and mental disorders: Results from the World Mental Health Surveys
Pain, Volume 135, No. 1-2, Year 2008
Notification
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Description
It is unclear whether differences exist in the prevalence of mood, anxiety and alcohol use disorders among persons with multiple pain conditions compared with those with single pain problems. We conducted population surveys in 17 countries in Europe, the Americas, the Middle East, Africa, Asia, and the South Pacific. Participants were community-dwelling adults (N = 85,088). Mental disorders were assessed with the Composite International Diagnostic Interview. Pain was assessed by self-report. Both multiple and single site pain problems were associated with mood and anxiety disorders, but not with alcohol abuse or dependence. In general, the prevalence of specific mood and anxiety disorders followed a linear pattern with the lowest rates found among persons with no pain, intermediate rates among those with one pain, and highest rates among those with multi-site pain problems. Relative to persons not reporting pain, the pooled estimates of the age-sex adjusted odds ratios were 1.8 (1.7-2.0) for mood disorders and 1.9 (1.8-2.1) for anxiety disorders for persons with single site pain; 3.7 (3.3-4.1) for mood disorders and 3.6 (3.3-4.0) for anxiety disorders among those with multi-site pain. Our results indicate that the presence of multiple pain conditions was strongly and comparably associated with mood and anxiety disorders in diverse cultures. This consistent pattern of associations suggests that diffuse pain and psychiatric disorders are generally associated, rather than diffuse pain representing an idiom for expressing distress that is specific to particular cultural settings or diffuse pain solely representing a form of masked depression. © 2007 International Association for the Study of Pain.
Authors & Co-Authors
Gureje, Oye
Nigeria, Ibadan
University of Ibadan
von Korff, Michael R.
United States, Seattle
Group Health Cooperative
Kola, Lola
Nigeria, Ibadan
University College Hospital, Ibadan
Demyttenaere, Koen
Belgium, Brussels
University Hospital
He, Yanling
China, Shanghai
Shanghai Mental Health Center
Posada-Villa, J. A.
Colombia, Fusagasuga
Universidad de Cundinamarca
Lépine, Jean Pierre
France, Paris
Hôpital Fernand-widal
Angermeyer, Matthias Claus
Germany, Leipzig
Universität Leipzig
Levinson, Daphna
Israel, Jerusalem
Ministry of Health
de Girolamo, Giovanni
Italy, Bologna
Azienda Usl Di Bologna
Iwata, Noboru
Japan, Hiroshima
Hiroshima International University
Karam, Aimée Nasser
Lebanon, Beirut
Saint George Hospital University Medical Center
Borges, Guilherme Luiz Guimaraes
Mexico, Mexico
Instituto Nacional de Psiquiatría Ramon de la Fuente
de Graaf, Ron
Netherlands, Utrecht
Trimbos Institute, Netherlands Institute of Mental Health and Addiction
Oakley-Browne, Mark A.
Australia, Clayton
Monash University
Stein, Dan J.
South Africa, Cape Town
University of Cape Town
Haro, Josep Maria
Spain, Sant Boi de Llobregat
Parc Sanitari Sant Joan de Déu
Bromet, Evelyn J.
United States, Stony Brook
Stony Brook University
Kessler, Ronald C.
United States, Boston
Harvard Medical School
Alonso Caballero, J. L.
Spain, Barcelona
Institut Municipal D'investigacio Medica
Statistics
Citations: 307
Authors: 20
Affiliations: 20
Identifiers
Doi:
10.1016/j.pain.2007.05.005
ISSN:
03043959
Research Areas
Mental Health
Substance Abuse
Study Design
Cross Sectional Study