Investigating the relationship between pain and major depressive disorder in terms of depressive symptoms/Agri ve depresyon arasindaki iliskinin depresif belirtiler yonunden incelenmese

• Published in: Anadolu psikiyatri dergisi Vol. 16; no. 4; p. 231
• Main Authors: Eker, Salih Saygin, Eker, Ozlem Cetin, Kirli, Selcuk, Ozkaya, Guven, Baykal, Begum Esra, Akkaya, Cengiz
• Format: Journal Article
• Language: Turkish
• Published: Anadolu Psikiyatri Dergisi 01.08.2015
• Subjects: Health aspects; Investigations; Major depressive disorder; Medical research; Pain management
• ISSN: 1302-6631
• DOI: 10.5455/apd.172034

Objective: Pain or painful physical complaints may be the sole complaint for admission to health care units in most of the major depression disorder (MDD) patients. In this study it is aimed to investigate the association between pain and depressive symptoms in depressed patients. Methods: One hundred patients, between 18-65 years of age and diagnosed with MDD according to DSM-IV-TR diagnostic criterion, who admitted to the outpatient clinic of Psychiatry department were enrolled to the study. Patients with accompanying axis I or axis II disorders according to DSM-IV-TR, patients with alcohol or substance abuse and patients whose pain complaints are attributable to an existing organic illness are excluded. Sociodemographic Data Form, Hamilton Depression Rating Scale (HDRS) which measures depression and Visual Analogue Scale (VAS) were applied to all patients who were enrolled to the study. Results: The mean age of the patients were 37.2 [+ or -] 11.3 years, mean number of MDD episodes were 1.9 [+ or -] 1.12, duration of the recent episode were 7.2 [+ or -] 5.6 months and mean score of HDRS were 21.8 [+ or -] 4.2. 47% of the patients had pain complaint. Duration of the painful complaints were 28.7 [+ or -] 34.4 months, mean score of VAS was 55.8. The most painful complaint was headache. Mean number of painful complaint localization was 1.6 [+ or -] 0.9. The painful complaints were found to be associated with more severe depression. Discussion: It is clear that there is an association between MDD and pain. It is also known that the course of depression is poorer in MDD patients with painful complaints. Thus, for clinical practice, painful complaints should be questioned in details and treatment options should arranged in this regard for better outcome in the treatment of MDD. Key words: pain, depression, comorbidity Amac: Major depresif bozukluk (MDB) hastalarinin onemli kisminda saglik kurumlarina tek basvuru yakinmasi agri veya agrili fiziksel yakinmalar olabilmektedir. Bu calismada depresyon hastalarinda agri belirtilerinin depresyon belirtileri ile iliskisinin arastirilmasi amaclanmistir. Yontem: Ruh Sagligi ve Hastaliklari Anabilim Dali Poliklinigine basvuran ve DSM-IV-TR tani olcutlerine gore MDB tanisi alan ve calismaya alma olcutlerini karsilayan 18-65 yas arasindaki 100 hasta calismaya alinmistir. DSM-IV-TR'ye gore eslik eden I. eksen ve/veya II. eksen tanisi olanlar, alkol ve madde kotuye kullanimi ve agriyi aciklayacak organik kokenli hastaligi bulunanlar calismaya alinmamistir. Calismaya alinan tum hastalara sosyodemografik veri formu, depresyon duzeyini olcmek icin Hamilton Depresyonu Derecelendirme Olcegi (HDDO), agri siddetini olcmek icin Vizuel Analog Skala (VAS) kullanilmistir. Sonuclar: Hastalarin ortalama yasi 37.2 [+ or -] 11.3 yas, ortalama MDB atak sayisi 1.9 [+ or -] 1.12, son atak suresi 7.2 [+ or -] 5.6 ay ve ortalama HDDO puani 21.8 [+ or -] 4.2 idi. Hastalarin %47'sinde agri yakinmasi vardi. Agrili yakinmalarin ortalama suresi 28.7 [+ or -] 34.4 ay, ortalama VAS puani 55.8 idi. Hastalarin en sik yakindigi agri, bas agrisiydi. Ortalama agri lokalizasyonu sayisi 1.6 [+ or -] 0.9 olarak saptandi. Agrili yakinmalarin varligi daha siddetli depresyon ile iliskili bulundu. Tartisma: MDB ve agri arasinda bir iliskinin oldugu aciktir. Ayrica agrisi olan MDD hastalarinda depresyonun daha siddetli seyrettigi bilinmektedir. Dolayisiyla gunluk klinik pratik acisindan agri yakinmalari ayrintisi ile sorgulanmali ve tedavi secenekleri buna duzenlenmesi depresyonun tedavisinde daha iyi sonuc almak icin onemlidir. Anahtar sozcukler: Agri, depresyon, es hastalik