Depression Treatment: Characteristics of Pain in Hospitalized Medical Patients, Surgical Patients, and Outpatients Attending a Pain Management Centre.

Characteristics of pain in hospitalized medical patients, surgical patients, and outpatients attending a pain management centre.

Filed under: Depression Treatment

Br J Anaesth. 2013 Feb 18;
Rockett MP, Simpson G, Crossley R, Blowey S

BACKGROUND: /st>The characteristics and psychological impact of pain suffered by medical inpatients has been relatively under-investigated. The aim of this study was to compare the pain experience of medical, surgical inpatients, and patients attending a pain management centre. Some aspects of the quality of pain scoring and prescribing were also audited. METHODS: /st>Medical inpatients with significant pain (moderate or severe pain on a verbal rating scale) were assessed using a battery of psychometric questionnaires. Comparator samples of surgical inpatients and patients attending the pain management centre were recruited. RESULTS: /st>The prevalence of significant pain did not differ between the medical group (n=37) and the surgical group (n=38) (16.7% and 19.9%). Chronic pain was common in the medical group (54%) and the surgical group (50%). There were no differences in psychometric variables between the medical and surgical groups. Clinically significant scores for anxiety and depression (HADS ?11) were common in all groups (30-38%). There was less concordance between patient-reported pain scores and nurse-recorded pain scores in the medical group than the surgical group and analgesic prescribing differed between the two groups. CONCLUSIONS: /st>The characteristics of pain in the medical and surgical groups were similar, with high levels of anxiety and depression. The pain management group differed from the inpatient groups, with higher levels of psychopathology and poorer coping. These findings provide some insight into the complex nature of pain in hospital inpatients, and may inform where limited resources should be utilized to provide greatest patient benefit.
HubMed – depression


Resilience in the year after cancer diagnosis: a cross-lagged panel analysis of the reciprocity between psychological distress and well-being.

Filed under: Depression Treatment

J Behav Med. 2013 Feb 20;
Hou WK, Lam JH

This study examined prospective reciprocity between psychological distress and subjective well-being and the role of change in psychosocial resources in the reciprocity in the year following cancer diagnosis. Psychological distress (Hospital Anxiety and Depression Scale), subjective well-being (Chinese Affect Scale and Satisfaction with Life Scale), and psychosocial resources of 180 Chinese patients were assessed at diagnosis (Time 1) and at 3-month (Time 2) and 12-month (Time 3) follow-up. Cross-lagged panel analysis demonstrated significant cross-lagged effects between psychological distress and subjective well-being. Time 2 to Time 3 change in perceived collective control (i.e., control over cancer in collaboration with close social partners) significantly mediated the cross-lagged effect of Time 2 well-being on Time 3 distress, and the mediating effect was stronger at medium or higher Time 2 distress. The findings suggest that whereas distress and well-being reciprocally predict each other throughout cancer adaptation, change in perceived collective control could mediate the prospective relationship of well-being with subsequent distress.
HubMed – depression


Capsule Commentary on Davydow et al., Depression and Risk of Hospitalizations for Ambulatory Care-Sensitive Conditions in Patients with Diabetes.

Filed under: Depression Treatment

J Gen Intern Med. 2013 Feb 20;
Bair MJ

HubMed – depression


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