Depression and Pain

Maria Maramis, Margarita (2009) Depression and Pain. In: Joint Scientific Meeting on Neurology continuing Medical Education and pain 2009. Airlangga University Press, Fakultas Kedokteran Unair, pp. 1-13. ISBN 978-979-1330-51-0

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Depression and painful symptoms are closely related and commonly occur together The prevalences of pain in depressed cohorts and depression in pain cohort are higher than when these conditions are individually examined. Chronic pain results not just from the physical insult but also from a combination of physical, emotional, psychological and social abnormalities. It is a complex experience that affects thought, mood and behavior_ Because many pains persist after an insult is healed, the ongoing pain ruther that the injury underlies the patient's disabiliry Untreated pain may become self_perpetuating because pain has immunosuppressive effects that leave patients susceptible to subsequent diseases, can lead to isolation, immobilify and drug dependence. The presence of pain negatively afFects the recognition and treatment of depression. When pain is moderare to severe, impairs function andlor is refractory to fteatment, it is associated with more depressive symptoms and worse depression outcomes (e.g. lower quality of life, decreased work function and increased healrh care utilization). Similarly, depression in parients with pain is associated with more pain complaints and greater impairment. pain is depressing and depression causes and intensifies pain and can create a vicious cycle. Depression and pain share biological pathways and neurotansmitters, in the emotional (limbic) region of the brain, which has implications for the tieatment of both concurrently. Assessment carefLlly and treatment of depression and pain simultarously is necessary for improved outcomes.

Item Type: Book Section
Uncontrolled Keywords: depression, pain, impars function
Subjects: R Medicine > RC Internal medicine > RC554-569.5 Personality disorders. Behavior problems Including sexual problems, drug abuse,suicide, child abuse
Divisions: 01. Fakultas Kedokteran > Ilmu Kedokteran Jiwa
Maria Maramis,
Depositing User: Bayu Yulianti
Date Deposited: 20 Mar 2017 18:14
Last Modified: 20 Mar 2017 18:14
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