RT journal article
T1 Undiagnosed mood disorders and sleep disturbances in primary care patients with chronic musculoskeletal pain.
A1 Salazar Couso, Alejandro
A1 Dueñas Rodríguez, María Ángeles
A1 Micó Segura, Juan Antonio
A1 Ojeda, Begoña
A1 Agüera-Ortiz, Luis
A1 Cervilla, Jaime
A1 Failde Martínez, Inmaculada
A2 Bioquímica y Biología MolecularMicrobiología, Medicina Preventiva, Salud Pública
K1 Chronic Pain
K1 Musculoskeletal
K1 Primary Care
K1 Sleep
K1 Mood
AB Objective. The study aims to determine the prevalenceof undiagnosed comorbid mood disorders inpatients suffering chronic musculoskeletal pain ina primary care setting and to identify sleep disturbancesand other associated factors in thesepatients, and to compare the use of health servicesby chronic musculoskeletal pain patients with andwithout comorbid mood disorders.Design. Cross-sectional study.Subjects. A total of 1,006 patients with chronic musculoskeletalpain from a representative sample ofprimary care centers were evaluated.Outcome Measures. Pain was measured using avisual analog scale and the Primary Care Evaluationof Mental Disorders questionnaire was used tomeasure mood disorders.Results. We observed a high prevalence of undiagnosedmood disorders in chronic musculoskeletalpain patients (74.7%, 95% confidence interval[CI] 71.9–77.4%), with greater comorbidity inwomen (adjusted odds ratio [OR] = 1.91, 95%CI 1.37–2.66%) and widow(er)s (adjusted OR = 1.87,95% CI 1.19–2.91%). Both sleep disturbances(adjusted OR = 1.60, 95% CI 1.17–2.19%) and painintensity (adjusted OR = 1.02, 95% CI 1.01–1.02%)displayed a direct relationship with mood disorders.Moreover, we found that chronic musculoskeletalpain patients with comorbid mood disorders availedof health care services more frequently than thosewithout (P < 0.001).Conclusions. The prevalence of undiagnosed mooddisorders in patients with chronic musculoskeletalpain is very high in primary care settings. Our findingssuggest that greater attention should be paid tothis condition in general practice and that sleep disordersshould be evaluated in greater detail toachieve accurate diagnoses and select the mostappropriate treatment.
PB Wiley-Blackwell.
SN 1526-2375
YR 2013
FD 2013-01-01T00:00:00Z
LK http://hdl.handle.net/10498/17421
UL http://hdl.handle.net/10498/17421
LA eng
DS Repositorio Institucional de la Universidad de Cádiz
RD 15-nov-2026