The comorbidity of mental and physical disorders with self-reported chronic back or neck pain: Results from the China Mental Health Survey

医学 慢性疼痛 颈部疼痛 共病 物理疗法 心理健康 背痛 焦虑 精神科 替代医学 病理
作者
Yifeng Xu,Yan Wang,Jianhua Chen,Yanling He,Qingzhi Zeng,Yueqin Huang,Xiufeng Xu,Lu Jin,Zhizhong Wang,Xian Sun,Jing Chen,Yan Feng,Tao Li,Wanjun Guo,Guangming Xu,Hongjun Tian,Xiangdong Xu,Yanjuan Ma,Limin Wang,Mei Zhang,Yongping Yan,Bo Wang,Shuiyuan Xiao,Liang Zhou,Lingjiang Li,Yan Zhang,Hongguang Chen,Tingting Zhang,Jie Yan,Hua Ding,Yaqin Yu,Changgui Kou,Fu‐Jun Jia,Jian Liu,Zheli Chen,Ning Zhang,Xinbai Du,Xiangdong Du,Yue Wu,Guohua Li
出处
期刊:Journal of Affective Disorders [Elsevier BV]
卷期号:260: 334-341 被引量:24
标识
DOI:10.1016/j.jad.2019.08.089
摘要

To investigate mental and physical health comorbidity with chronic back or neck pain in the Chinese population, and assess the level of disability associated with chronic back or neck pain.Data were derived from a large-scale and nationally representative community survey of adult respondents on mental health disorders in China (n = 28,140). Chronic back or neck pain, other chronic pain conditions and chronic physical conditions were assessed by self-report. Mental disorders were assessed by the Composite International Diagnostic Interview (CIDI). Role disability during the past 30 days was assessed with the World Health Organization Disability Assessment Schedule (WHO-DAS-II).The 12-month prevalence of chronic back or neck pain was 10.8%. Most of respondents with chronic back or neck pain (71.2%) reported at least one other comorbid condition, including other chronic pain conditions (53.4%), chronic physical conditions (37.9%), and mental disorders (23.9%). It was found by logistic regression that mood disorders (OR = 3.7, 95%CI:2.8-4.8) showed stronger association with chronic back or neck pain than anxiety disorders and substance disorders. Most common chronic pains and physical conditions were significantly associated with chronic back or neck pain. Chronic back or neck pain was associated with role disability after controlling for demographics and for comorbidities. Physical and mental comorbidities explained 0.7% of the association between chronic back or neck pain and role disability.Chronic back or neck pain and physical-mental comorbidity is very common in China and chronic back or neck pain may increase the likelihood of other physical and mental diseases. This presents a great challenge for both clinical treatment and public health education. We believe that further study needs to be conducted to improve the diagnostic and management skills for comorbidity conditions.
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