TY - JOUR
T1 - Previous Mental Disorders and Subsequent Onset of Chronic Back or Neck Pain
T2 - Findings From 19 Countries
AU - Viana, Maria Carmen
AU - Lim, Carmen C.W.
AU - Garcia Pereira, Flavia
AU - Aguilar-Gaxiola, Sergio
AU - Alonso, Jordi
AU - Bruffaerts, Ronny
AU - de Jonge, Peter
AU - Caldas-de-Almeida, Jose Miguel
AU - O'Neill, Siobhan
AU - Stein, Dan J.
AU - Al-Hamzawi, Ali
AU - Benjet, Corina
AU - Cardoso, Graça
AU - Florescu, Silvia
AU - de Girolamo, Giovanni
AU - Haro, Josep Maria
AU - Hu, Chiyi
AU - Kovess-Masfety, Viviane
AU - Levinson, Daphna
AU - Piazza, Marina
AU - Posada-Villa, José
AU - Rabczenko, Daniel
AU - Kessler, Ronald C.
AU - Scott, Kate M.
PY - 2017
Y1 - 2017
N2 - Associations between depression/anxiety and pain are well established, but its directionality is not clear. We examined the associations between temporally previous mental disorders and subsequent self-reported chronic back/neck pain onset, and investigated the variation in the strength of associations according to timing of events during the life course, and according to gender. Data were from population-based household surveys conducted in 19 countries (N = 52,095). Lifetime prevalence and age of onset of 16 mental disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and the occurrence and age of onset of back/neck pain were assessed using the Composite International Diagnostic Interview. Survival analyses estimated the associations between first onset of mental disorders and subsequent back/neck pain onset. All mental disorders were positively associated with back/neck pain in bivariate analyses; most (12 of 16) remained so after adjusting for psychiatric comorbidity, with a clear dose-response relationship between number of mental disorders and subsequent pain. Early-onset disorders were stronger predictors of pain; when adjusting for psychiatric comorbidity, this remained the case for depression/dysthymia. No gender differences were observed. In conclusion, individuals with mental disorder, beyond depression and anxiety, are at higher risk of developing subsequent back/neck pain, stressing the importance of early detection of mental disorders, and highlight the need of assessing back/neck pain in mental health clinical settings. Perspective Previous mental disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition are positively associated with subsequent back/neck pain onset, with a clear dose-response relationship between number of mental disorders and subsequent pain. Earlier-onset mental disorders are stronger predictors of subsequent pain onset, compared with later-onset disorders.
AB - Associations between depression/anxiety and pain are well established, but its directionality is not clear. We examined the associations between temporally previous mental disorders and subsequent self-reported chronic back/neck pain onset, and investigated the variation in the strength of associations according to timing of events during the life course, and according to gender. Data were from population-based household surveys conducted in 19 countries (N = 52,095). Lifetime prevalence and age of onset of 16 mental disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, and the occurrence and age of onset of back/neck pain were assessed using the Composite International Diagnostic Interview. Survival analyses estimated the associations between first onset of mental disorders and subsequent back/neck pain onset. All mental disorders were positively associated with back/neck pain in bivariate analyses; most (12 of 16) remained so after adjusting for psychiatric comorbidity, with a clear dose-response relationship between number of mental disorders and subsequent pain. Early-onset disorders were stronger predictors of pain; when adjusting for psychiatric comorbidity, this remained the case for depression/dysthymia. No gender differences were observed. In conclusion, individuals with mental disorder, beyond depression and anxiety, are at higher risk of developing subsequent back/neck pain, stressing the importance of early detection of mental disorders, and highlight the need of assessing back/neck pain in mental health clinical settings. Perspective Previous mental disorders according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition are positively associated with subsequent back/neck pain onset, with a clear dose-response relationship between number of mental disorders and subsequent pain. Earlier-onset mental disorders are stronger predictors of subsequent pain onset, compared with later-onset disorders.
KW - Back or neck pain
KW - cross-national studies
KW - mental health
KW - mental-physical comorbidity
KW - psychiatric epidemiology
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UR - http://www.scopus.com/inward/citedby.url?scp=85034816815&partnerID=8YFLogxK
U2 - 10.1016/j.jpain.2017.08.011
DO - 10.1016/j.jpain.2017.08.011
M3 - Article
AN - SCOPUS:85034816815
VL - 19
JO - Journal of Pain
JF - Journal of Pain
SN - 1526-5900
ER -