Depression caused by chronic pain

J Clin Psychiatry. 1984 Mar;45(3 Pt 2):30-8.

Abstract

The chronic pain patient presents a difficult diagnostic and management challenge. The relationships between depression and chronic pain, and the stages of chronic pain with their associated psychiatric symptoms, are reviewed. The methods of validating pain and the most commonly missed causes of chronic pain are described. It is clear that depression associated with chronic pain is a complex problem necessitating a careful multidisciplinary approach if misdiagnosis and inappropriate or insufficient treatment are to be avoided.

MeSH terms

  • Antidepressive Agents, Tricyclic / therapeutic use
  • Bruxism / complications
  • Bruxism / diagnosis
  • Bruxism / psychology
  • Chronic Disease
  • Depressive Disorder / diagnosis*
  • Depressive Disorder / etiology
  • Depressive Disorder / psychology
  • Humans
  • MMPI
  • Myofascial Pain Syndromes / complications
  • Myofascial Pain Syndromes / diagnosis
  • Myofascial Pain Syndromes / psychology
  • Pain / complications
  • Pain / diagnosis
  • Pain / psychology*
  • Psychological Tests
  • Reflex Sympathetic Dystrophy / complications
  • Reflex Sympathetic Dystrophy / diagnosis
  • Reflex Sympathetic Dystrophy / psychology
  • Spinal Diseases / complications
  • Spinal Diseases / diagnosis
  • Spinal Diseases / psychology
  • Temporomandibular Joint Dysfunction Syndrome / complications
  • Temporomandibular Joint Dysfunction Syndrome / diagnosis
  • Temporomandibular Joint Dysfunction Syndrome / psychology

Substances

  • Antidepressive Agents, Tricyclic