Pain, mood, and suicidal behavior among injured working adults in Chile

BMC Psychiatry

Research

Juan Carlos Vélez¹  Lauren E. Friedman²  Michelle A. Williams²  Diana L. Juvinao-Quintero²  Bizu Gelaye³  Michele Demi Collado⁴  Michael Kovasala⁴  Jessica Castillo⁵  Lisette Araya⁵ 

[1] Departamento de Rehabilitación, Hospital del Trabajador, Santiago, Chile;Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Ave Room 505F, 02115, Boston, MA, USA;Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Ave Room 505F, 02115, Boston, MA, USA;The Chester M. Pierce, MD Division of Global Psychiatry, Massachusetts General Hospital, Boston, MA, USA;Department of Psychiatry, Harvard Medical School, Boston, MA, USA;Multidisciplinary International Research Training (MIRT) Program, Harvard T.H. Chan School of Public Health, Boston, MA, USA;Servicio de Psiquiatría y Psicología, Hospital del Trabajador, Santiago, Chile;

关键词: Pain;    Chronic pain;    Depression;    Anxiety;    Suicidal ideation;    Suicidal behavior;    Injured working adults;   

DOI  :  10.1186/s12888-022-04391-3

 received in 2022-06-27, accepted in 2022-11-14,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundChronic pain is comorbid with psychiatric disorders, but information on the association of chronic pain with depressive symptoms, generalized anxiety, and suicidal behavior among occupational cohorts is inadequate. We investigated these associations among employed Chilean adults.MethodsA total of 1946 working adults were interviewed during their outpatient visit. Pain was assessed using the Short Form McGill Pain questionnaire (SF-MPG) while depression and generalized anxiety were examined using the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7), respectively. The Columbia–Suicide Severity Rating Scale was used to assess suicidal behavior and suicidal ideation. Multivariable logistic regression models were used to estimate adjusted odds ratios (aORs) and 95% confidence intervals (95%CI) for the association of chronic pain with mood disorders, as well as suicidal behavior.ResultsHigh chronic pain (SF-MPG > 11) was reported by 46% of participants. Approximately two-fifths of the study participants (38.2%) had depression, 23.8% generalized anxiety, 13.4% suicidal ideation, and 2.4% suicidal behavior. Compared to those with low pain (SF-MPG ≤11), participants with high chronic pain (SF-MPG > 11) had increased odds of experiencing depression only (aOR = 2.87; 95% CI: 2.21–3.73), generalized anxiety only (aOR = 2.38; 95% CI: 1.42–3.99), and comorbid depression and generalized anxiety (aOR = 6.91; 95% CI: 5.20–9.19). The corresponding aOR (95%CI) for suicidal ideation and suicidal behavior were (aOR = 2.20; 95% CI: 1.58–3.07) and (aOR = 2.18 = 95% CI: 0.99–4.79), respectively.ConclusionsChronic pain is associated with increased odds of depression, generalized anxiety, and suicidal behavior. Mental health support and appropriate management of patients experiencing chronic pain are critical.

【 授权许可】

CC BY   
© The Author(s) 2022