Review article

PAIN AND DEPRESSION - PSYCHIATRIC REVIEW

JOSIPA IVANUŠIĆ ; Josip Juraj Strossmayer University in Osijek, Faculty of Medicine, Osijek, Croatia

Abstract

Pain is an experience involving body, emotional and cognitive processes. Every pain is, to a certain extent, accompanied by emotional distress and fear, and may be accompanied by disturbed sleep, impaired cognitive functioning, anxiety, depression, and suicidal ideation. Clinical depression was reported in 50 % of patients with chronic pain, while 25 % of chronic pain patients develop chronic pain syndrome. Chronic pain negatively affects the sense of physical, emotional and social well-being, quality of life and work ability, creates fi nancial burdens for the individual, family, health system and society. In patients with chronic pain, depression has negative effects on pain intensity, duration of pain, occupational and social functioning and the treatment outcomes. A noticeable number of depressed patients often complain of painful symptoms, and these patients show more severe depression, lower rates of response to antidepressants, more diffi culties in achieving remission, more frequent early relapses and a lower levels of everydaily functioning. This paper presents basic knowledge of the biological and psychological nature of pain and depression and therapy possibilities, pharmacological and nonpharmacological.

Keywords

pain, depression; psychiatry; antidepressants

Hrčak ID:

224649

URI

https://hrcak.srce.hr/224649

Publication date:

14.7.2019.

Article data in other languages: croatian

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