Year: 2009
Type: book-chapter
Abstract: Depression and painful symptoms are closely related and commonly occur together \nThe prevalences of pain in depressed cohorts and depression in pain cohort are higher \nthan when these conditions are individually examined. Chronic pain results not just from \nthe physical insult but also from a combination of physical, emotional, psychological and \nsocial abnormalities. It is a complex experience that affects thought, mood and behavior_ \nBecause many pains persist after an insult is healed, the ongoing pain ruther that the injury \nunderlies the patient's disabiliry Untreated pain may become self_perpetuating because \npain has immunosuppressive effects that leave patients susceptible to subsequent diseases, \ncan lead to isolation, immobilify and drug dependence. The presence of pain negatively \nafFects the recognition and treatment of depression. When pain is moderare to severe, \nimpairs function andlor is refractory to fteatment, it is associated with more depressive \nsymptoms and worse depression outcomes (e.g. lower quality of life, decreased work \nfunction and increased healrh care utilization). Similarly, depression in parients with pain \nis associated with more pain complaints and greater impairment. pain is depressing and \ndepression causes and intensifies pain and can create a vicious cycle. Depression and pain \nshare biological pathways and neurotansmitters, in the emotional (limbic) region of the \nbrain, which has implications for the tieatment of both concurrently. Assessment carefLlly \nand treatment of depression and pain simultarously is necessary for improved outcomes.
Author: Margarita Maria Maramis
Language: English
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2901063975