RT journal article T1 Factors associated with chronic pain in patients with bipolar depression: a cross-sectional study A1 Failde Martínez, Inmaculada A1 Dueñas Rodríguez, María Ángeles A1 Agüera-Ortiz, Luis A1 Cervilla, Jorge A A1 González-Pinto, Ana A1 Micó Segura, Juan Antonio A2 BiomedicinaBiotecnología y Salud Pública A2 Estadística e Investigación Operativa A2 Neurociencias K1 Bipolar depression, Chronic pain AB Background: While pain is frequently associated with unipolar depression, few studies have investigated the link between pain and bipolar depression. In the present study we estimated the prevalence and characteristics of pain among patients with bipolar depression treated by psychiatrists in their regular clinical practice. The study was designed to identify factors associated with the manifestation of pain in these patients.Methods: Patients diagnosed with bipolar disorder (n=121) were selected to participate in a cross-sectional study in which DSM-IV-TR criteria were employed to identify depressive episodes. The patients were asked to describe any pain experienced during the study, and in the 6 weeks beforehand, by means of a Visual Analogical Scale (VAS).Results: Over half of the bipolar depressed patients (51.2%, 95% CI: 41.9%–60.6%), and 2/3 of the female experienced concomitant pain. The pain was of moderate to severe intensity and prolonged duration, and it occurred at multiple sites, significantly limiting the patient’s everyday activities. The most important factorsassociated with the presence of pain were older age, sleep disorders and delayed diagnosis of bipolar disorder.Conclusions: Chronic pain is common in bipolar depressed patients, and it is related to sleep disorders and delayed diagnosis of their disorder. More attention should be paid to study the presence of pain in bipolar depressed patients, in order to achieve more accurate diagnoses and to provide better treatment options. PB BMC Psychiatry SN 1471-244X YR 2013 FD 2013 LK http://hdl.handle.net/10498/30645 UL http://hdl.handle.net/10498/30645 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 07-nov-2026