Comorbid Pain, Depression, and Anxiety: Multifaceted Pathology Allows for Multifaceted Treatment

被引：47
作者：
Nicolson, Stephen E. [2 ]
Caplan, Jason P. [1 ,3 ]
Williams, Deldre E. [4 ]
Stern, Theodore A. [5 ,6 ]
机构：
[1] St Josephs Hosp, Dept Psychiat, Phoenix, AZ 85013 USA
[2] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Psychiat, Bronx, NY USA
[3] Creighton Univ, Sch Med, Omaha, NE USA
[4] Baylor Coll Med, Houston, TX 77030 USA
[5] Massachusetts Gen Hosp, Boston, MA 02114 USA
[6] Harvard Univ, Sch Med, Cambridge, MA 02138 USA
来源：
HARVARD REVIEW OF PSYCHIATRY | 2009年 / 17卷 / 06期
关键词：
analgesics; anxiety; depression; geriatrics; pain; psychiatry; psychosomatic medicine; psychotherapy; selective serotonin reuptake inhibitors; NEUROPATHIC PAIN; PLACEBO-RESPONSE; DOUBLE-BLIND; PHARMACOLOGICAL MANAGEMENT; PROPHYLACTIC TREATMENT; SUICIDAL IDEATION; PHYSICAL SYMPTOMS; PERSISTENT PAIN; PRIMARY-CARE; DISORDERS;
D O I：
10.3109/10673220903463226
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
The care of patients who suffer from physical pain and a psychiatric illness is typically challenging because of the complex interplay of affective, behavioral, cognitive, and physical aspects of pain. Psychiatrists are often asked to evaluate patients with pain because of a concern for comorbid depression and anxiety, and fears of suicidality as a result of pain. This article reviews the pathophysiology of comorbid pain, anxiety, and depression, along with the treatment modalities (pharmacologic, psychotherapeutic, and "alternative") that may benefit all three conditions. (HARV REV PSYCHIATRY 2009;17:407-420.)
引用
收藏
页码：407 / 420
页数：14
相关论文
共 50 条
  • [41] Lurasidone in the treatment of comorbid anxiety symptoms in bipolar depression
    Tocco, M.
    Siu, C.
    Pikalov, A.
    Goldberg, J.
    EUROPEAN NEUROPSYCHOPHARMACOLOGY, 2021, 53 : S48 - S49
  • [42] Beyond Pain Relief: Unveiling the Multifaceted Impact of Anti-CGRP/R mAbs on Comorbid Symptoms in Resistant Migraine Patients
    Della Vecchia, Alessandra
    De Luca, Ciro
    Becattini, Lucrezia
    Curto, Letizia
    Ferrari, Elena
    Siciliano, Gabriele
    Gori, Sara
    Baldacci, Filippo
    BIOMEDICINES, 2024, 12 (03)
  • [43] Relationships among pain, anxiety, and depression in primary care
    Means-Christensen, Adrienne J.
    Roy-Byrne, Peter P.
    Sherbourne, Cathy D.
    Craske, Michelle G.
    Stein, Murray B.
    DEPRESSION AND ANXIETY, 2008, 25 (07) : 593 - 600
  • [44] Beyond NMDA Receptors: A Narrative Review of Ketamine's Rapid and Multifaceted Mechanisms in Depression Treatment
    Antos, Zuzanna
    Zukow, Xawery
    Bursztynowicz, Laura
    Jakubow, Piotr
    INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES, 2024, 25 (24)
  • [45] Current psychiatric treatment for college students with depression only, anxiety only, or comorbid depression & anxiety (2013-2019)
    Hoeflich, Carolin C.
    Nutley, Sara
    Striley, Catherine W.
    Miller, Leslie
    Riba, Michelle B.
    Morris, Marcia R.
    JOURNAL OF AFFECTIVE DISORDERS, 2023, 320 : 348 - 352
  • [46] Depression, anxiety, health-related quality of life and pain in patients with chronic. bromyalgia and neuropathic pain
    Gormsen, Lise
    Rosenberg, Raben
    Bach, Flemming W.
    Jensen, Troels S.
    EUROPEAN JOURNAL OF PAIN, 2010, 14 (02) : 127.e1 - 127.e8
  • [47] Altered emotional processing in pediatric anxiety, depression, and comorbid anxiety-depression
    Ladouceur, CD
    Dahl, RE
    Williamson, DE
    Birmaher, B
    Ryan, ND
    Casey, BJ
    JOURNAL OF ABNORMAL CHILD PSYCHOLOGY, 2005, 33 (02) : 165 - 177
  • [48] Altered Emotional Processing in Pediatric Anxiety, Depression, and Comorbid Anxiety-Depression
    Cecile D. Ladouceur
    Ronald E. Dahl
    Douglas E. Williamson
    Boris Birmaher
    Neal D. Ryan
    B. J. Casey
    Journal of Abnormal Child Psychology, 2005, 33 : 165 - 177
  • [49] Depression in epilepsy: a frequently neglected multifaceted disorder
    Kanner, AM
    EPILEPSY & BEHAVIOR, 2003, 4 : S11 - S19
  • [50] Comorbid Chronic Pain and Depression: Shared Risk Factors and Differential Antidepressant Effectiveness
    Roughan, William H.
    Campos, Adrian, I
    Garcia-Marin, Luis M.
    Cuellar-Partida, Gabriel
    Lupton, Michelle K.
    Hickie, Ian B.
    Medland, Sarah E.
    Wray, Naomi R.
    Byrne, Enda M.
    Ngo, Trung Thanh
    Martin, Nicholas G.
    Renteria, Miguel E.
    FRONTIERS IN PSYCHIATRY, 2021, 12
12345