Prevalence and clinical profile of chronic pain and its association with mental disorders

Dados Bibliográficos

ID16780481
AutoresFlaviane G Pereira (0000-0003-0197-511X, Universidade Federal do Espírito Santo), Flavia Garcia Pereira, Mariane Henriques França (0000-0003-4805-5839, Universidade Federal do Espírito Santo), Maria Cristina Alochio De Paiva (Universidade Federal do Espírito Santo), Laura Helena Andrade (0000-0002-2362-3521, Universidade de São Paulo), Maria Carmen Viana (0000-0002-0464-4845, Universidade Federal do Espírito Santo)
Ano2017
Volume51
Páginas96
Data de publicação2017-11-24
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoRevista de Saúde Pública (JOURNAL)
Identificadores do periódicoISSN: 0034-8910 • E-ISSN: 0034-8910
EditoraUniversidade de Sao Paulo, Agencia USP de Gestao da Informacao Academica (AGUIA) (PUBLISHER)
DOI10.11606/s1518-8787.2017051007025
PMID29166447
OpenAlexW2769292281
IdiomaEN
Citações recebidas9
Referências citadas4

OBJECTIVE: To identify the prevalence of 12-month self-reported pain and chronic pain in a general population and to describe their clinical profile to assess if chronic pain is associated with 12-month mental disorders. METHODS: The data used comes from the São Paulo Megacity Mental Health Survey, a population-based study assessing adult (≥ 18 years) residents of the São Paulo metropolitan area, Brazil. We have assessed the respondents (n = 5,037) using the Composite International Diagnostic Interview (CIDI 3.0), with a global response rate of 81.3%. Descriptive analyses have been performed, and crude and adjusted odds ratios (OR) have been calculated with logistic and multinomial regression and presented with respective 95% confidence intervals (95%CI). RESULTS: The prevalence of pain and chronic pain in the past 12 months were 52.6% (95%CI 50.3–54.8) and 31.0% (95%CI 29.2–32.7), respectively. Joints (16.5%, 95%CI 15.4–17.5) and back or neck (15.5%, 95%CI 14.2–16.9) were the most frequently reported anatomical sites of chronic pain. On a 10-point analogue scale, the mean intensity of the worst pain was 7.7 (95%CI 7.4–7.8), and the mean average pain was 5.5 (95%CI 5.2–5.6); the mean treatment response was 6.3 (95%CI 6.0–6.6). Mean pain duration was 16.1 (95%CI 15.6–17.0) days a month and 132 (95%CI 126–144) minutes a day. Chronic pain was associated with 12-month DSM-IV mental disorders (OR = 2.7, 95%CI 2.3–3.3), anxiety disorders (OR = 2.1, 95%CI 1.9–3.0), and mood disorders (OR = 3.3, 95%CI 2.4–4.1). CONCLUSIONS: A high prevalence of chronic pain in multiple sites is observed among the general adult population, and associations between chronic pain and mental disorders are frequent

Chronic pain · CIDI · Comorbidity · Confidence interval · Depression (economics) · Logistic regression · National Comorbidity Survey · Odds ratio · Physical therapy · Population · Fibromyalgia and Chronic Fatigue Syndrome Research · Internal Medicine · Medicine · Musculoskeletal pain and rehabilitation · Pediatric Pain Management Techniques