Chronic pain sufferers should also be evaluated for anxiety disorders, say researchers.
Lead author Kurt Kroenke, M.D., professor of medicine at Indiana University in Indianapolis, noted that health care providers are more aware of the common occurrence of depression in patients with chronic pain, and there has been less of an emphasis on anxiety.
Anxiety - Symptom Evaluation
Anxiety is a state of mind where a person experiences fear, uneasiness, tension, irritability or apprehension in response to an unfamiliar stressful situation or object.
Advertisement
In the new study, researchers evaluated 250 primary care patients who were being treated at a Veterans Medical Center in the Midwest. All patients had moderate to severe chronic joint or back pain that had lasted at least 3 months despite trying pain medications.
The participants were screened for five common anxiety disorders: generalized anxiety, characterized by persistent worry; panic, or sudden, repeated attacks of fear; social anxiety, characterized by overwhelming anxiety in everyday social interactions; post-traumatic stress, or a repeated feeling of danger after a stressful event; and obsessive-compulsive disorder, characterized by repeated thoughts or rituals that interfere with daily life.
![Quiz on Pain]( "Quiz on Pain")
They were also screened for health-related quality of life issues, such as fatigue, sleep habits, and work productivity.
The study found that 45 percent of the pain patients screened positive for at least one or more of the common anxiety disorders. And those who had an anxiety disorder also reported significantly worse pain and health-related quality of life than patients without a disorder.
"It is important to note that patients in our study screened positive for an anxiety disorder but not all would have a full-blown anxiety disorder if they had a diagnostic psychiatric interview," said Kroenke.
"Some may just have anxiety symptoms and not all would warrant active treatment. However, probably at least 1 in 5 might have some type of anxiety disorder," the researcher added.
The researchers also found that it was common for the five different types of anxiety conditions to occur in combination with each other and with depression.
"Psychological comorbidities are common in patients with chronic low back pain and other studies have also shown a high prevalence of depression, anxiety and other psychological conditions," said pain expert Roger Chou, M.D., an assistant professor of medicine at Oregon Health and Science University.
Chou added that the guidelines on evaluating and managing lower back pain do recommend clinicians assess patients for psychological factors that may be contributing to a poorer prognosis and address them with appropriate treatments.
"Many patients benefit from cognitive behavioral therapy to help them in coping with the pain and related anxiety," Chou continued.
The research was published in General Hospital Psychiatry.
Source: ANI
Advertisement
They were also screened for health-related quality of life issues, such as fatigue, sleep habits, and work productivity.
The study found that 45 percent of the pain patients screened positive for at least one or more of the common anxiety disorders. And those who had an anxiety disorder also reported significantly worse pain and health-related quality of life than patients without a disorder.
"It is important to note that patients in our study screened positive for an anxiety disorder but not all would have a full-blown anxiety disorder if they had a diagnostic psychiatric interview," said Kroenke.
"Some may just have anxiety symptoms and not all would warrant active treatment. However, probably at least 1 in 5 might have some type of anxiety disorder," the researcher added.
The researchers also found that it was common for the five different types of anxiety conditions to occur in combination with each other and with depression.
"Psychological comorbidities are common in patients with chronic low back pain and other studies have also shown a high prevalence of depression, anxiety and other psychological conditions," said pain expert Roger Chou, M.D., an assistant professor of medicine at Oregon Health and Science University.
Chou added that the guidelines on evaluating and managing lower back pain do recommend clinicians assess patients for psychological factors that may be contributing to a poorer prognosis and address them with appropriate treatments.
"Many patients benefit from cognitive behavioral therapy to help them in coping with the pain and related anxiety," Chou continued.
The research was published in General Hospital Psychiatry.
Source: ANI
Anxiety Screening Test
Are you anxious to know your anxiety level? Use Medindia's Anxiety Screening Test, a simple online screening test for anxiety symptoms.
Advertisement
 New Poll Reveals That Chronic Pain Ranks Well Below Drug AddictionAbout 100 million U.S. adults gets affected due to chronic pain conditions at a cost of approximately $600 billion annually in direct medical treatment costs and lost productivity. | Advertisement
|
Advertisement
Recommended Reading
Latest Research News
Tobacco smoke contains toxic chemicals which damage lungs, weaken the immune system and cause tuberculosis.
Identifying an unappreciated relationship between brain shape and activity overturns the century-old paradigm emphasizing the importance of complex brain connectivity.
Decoding the eight factors affecting Black adults' life expectancy.
Sobering truth about foot travel in the United States emerges from international statistics, highlighting the prevalence of walking on the Blacksburg campus.
Unveiling a hidden mechanism, proteins within brain cells exhibit newfound abilities at synapses, reinforcing Darwin's theory of adaptation and diversity in the natural world.