Open AccessPrevalence Comparisons of Somatic and Psychiatric Symptoms Between Community Nonpatients Without Pain, Acute Pain Patients, and Chronic Pain Patients
Author(s) -
Fishbain David A.,
Gao Jinrun,
Lewis John E.,
Bruns Daniel,
Meyer Laura J.,
Disorbio John Mark
Publication year - 2015
Publication title -
pain medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.893
H-Index - 97
eISSN - 1526-4637
pISSN - 1526-2375
DOI - 10.1111/pme.12527
Subject(s) - irritability , headaches , medicine , depression (economics) , weakness , nausea , psychiatry , chronic pain , physical therapy , anxiety , surgery , economics , macroeconomics
Objectives Somatic/psychiatric symptoms are frequently found in chronic pain patients ( CPPs ). The objectives of this study were to determine 1) which somatic/psychiatric symptoms are more commonly found in acute pain patients ( APPs ) and CPPs vs community nonpatients without pain ( CNPWP s) and 2) if somatic/psychiatric symptom prevalence differs between APPs and CPPs . Design The above groups were compared statistically for endorsement of 15 symptoms: fatigue, numbness/tingling, dizziness, difficulty opening/closing mouth, muscle weakness, difficulty staying asleep, depression, muscle tightness, nervousness, irritability, memory, falling, nausea, concentration, and headaches. Results After controlling for age, gender, and level of pain, APPs and CPPs had a statistically significantly greater prevalence (at a P < 0.01 level) for 11 and 13 symptoms, respectively, vs CNPWP s. After controlling for age, gender, and level of pain, CPPs had a statistically significantly greater prevalence (at a P < 0.01 level) for eight symptoms vs APPs . Symptoms were highly correlated in both APPs and CPPs . Conclusions CPPs are characterized to a significantly greater extent than comparison groups by somatic/psychiatric symptoms that are highly intercorrelated. This has implications for clinical practice and future research.