Chronic pain and depression.docVIP

 PAGE \* MERGEFORMAT 5 Chronic pain and depression Keywords:: chronic pain, depression, The relationship between chronic pain and depression has clinical importance. Are now working on 53 cases in 1993 and 1997, I have the referral into the hospital, the pain for 6 months or more, without physical disease patients for clinical analysis. 1 Data and methods Selected in 1993 and 1997, I have the referral into the hospital with the chief complaints of various forms of pain, the pain lasted for more than six months, at least five days a week to daily episodes of not less than four hours [1], to exclude organic lesions caused by various types of pain, a total of 53 cases. 20 cases were male, 33 female, age of onset of 16 to 67 years old, with an average (34.2 ± 13.3) years, mean duration (3.8 ± 2.7) years. 17 cases of paroxysmal pain, persistent pain in 36 cases. 29 cases of pain in the head and face, and 3 cases in the neck, and 2 cases in the waist and back, 9 patients in the chest, 8 cases in the abdomen, four cases of joints in the limbs. 4 cases of occupational workers, peasants 39 cases, 2 cases of cadres, staff in 3 cases, technicians and 2 cases, the students in 3 patients. Significant psychological factors before onset in 13 cases, family history of mental illness in 9 cases. Record the patient’s age, sex, occupation, marital status, experience, relevant family history, psychological factors, pain location, severity, course of disease. CCMD-2 based on the criteria for diagnosis. Before treatment with antidepressants and treatment of 2,4 over the weekend to Hamilton Depression Rating Scale (HAMD) and Anxiety Scale (HAMA) assessment. 2 Results 2.1 Diagnosis of type and clinical features of 53 cases of patients with chronic pain according to CCMD-2-R diagnostic criteria, 26 cases of depression, HAMD mean score (24.5 ± 2.7), HAMA average score (14.0 ± 1.9). 10 cases of depressive neurosis, HAMD mean score (16.4 ± 2.2), HAMA average score (12.9 ± 1.8