Detailed Information

Cited 26 time in webofscience Cited 26 time in scopus
Metadata Downloads

Relationship between painful physical symptoms and severity of depressive symptomatology and suicidality

Authors
Bahk, Won-MyongPark, SubinJon, Duk-InYoon, Bo-HyunMin, Kyung JoonHong, Jin Pyo
Issue Date
Oct-2011
Publisher
ELSEVIER IRELAND LTD
Keywords
Major depressive disorder; Pain; Quality of life; Suicide; Korea
Citation
PSYCHIATRY RESEARCH, v.189, no.3, pp 357 - 361
Pages
5
Journal Title
PSYCHIATRY RESEARCH
Volume
189
Number
3
Start Page
357
End Page
361
URI
https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/21165
DOI
10.1016/j.psychres.2011.01.009
ISSN
0165-1781
Abstract
We examined the prevalence of painful physical symptoms in patients with major depressive disorder (MDD), clinical correlations therewith, and associations between painful symptoms and depression severity, quality of life, and suicidality, in a clinical sample in Korea. A total of 414 psychiatric outpatients at least 18 years of age, with a primary diagnosis of MDD based on the DSM-IV-TR, were enrolled at the discretion of their treating psychiatrist. Patients were assessed for the presence or absence of painful physical symptoms (PPS+ and PPS-, respectively), defined by a total score >= 5 on the pain subscale (PS) of the Depression and Somatic Symptoms Scale (DSSS). DSSS and the Clinical Global Impressions-Severity of Illness scale (CGI-S) determined depression severity, and the EuroQoL Questionnaire-5 dimensions (EQ-5D) determined perceived quality of life. Questions about suicidality during current depressive episode were also asked to the participants. Overall, 30.4% of patients were classified as PPS+. PPS+ patients were older, less educated, less frequently unmarried, and more frequently widowed/divorced/separated compared to PPS- patients. PPS+ patients showed a significantly greater depression severity (CGI-S mean difference 0.92; 95% CI = 0.68 to 1.16; DSSS mean difference 18.39; 95% Cl = 16.28 to 20.50), a significantly lower quality of life (EQ-5D VAS mean difference -18.15; 95% CI = -22.68 to -13.62), and significantly higher suicidal ideation (OR 1.73; 95% Cl 1.04-2.86) during the current depressive episode. This study suggests that assessment of depressive patients should include detailed questions about painful physical symptoms, and treatment of MDD should involve management targeting painful physical symptoms as well as emotional and non-painful physical symptoms. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
Files in This Item
There are no files associated with this item.
Appears in
Collections
College of Medicine > College of Medicine > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Min, Kyung Joon photo

Min, Kyung Joon
의과대학 (의학부(임상-서울))
Read more

Altmetrics

Total Views & Downloads

BROWSE