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(Referência obtida automaticamente do Web of Science, por meio da informação sobre o financiamento pela FAPESP e o número do processo correspondente, incluída na publicação pelos autores.)

Prevalence and clinical profile of chronic pain and its association with mental disorders

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Autor(es):
Pereira, Flavia Garcia [1] ; Franca, Mariane Henriques [1] ; Alochio de Paiva, Maria Cristina [1] ; Andrade, Laura Helena [2] ; Viana, Maria Carmen [1, 3]
Número total de Autores: 5
Afiliação do(s) autor(es):
[1] Univ Fed Espirito Santo, Programa Posgrad Saude Colet, Vitoria, ES - Brazil
[2] Univ Sao Paulo, Fac Med, Dept & Inst Psiquiatria, Nuleo Epidemiol Psiquitr, Sao Paulo, SP - Brazil
[3] Univ Fed Espirito Santo, Dept Med Social, Vitoria, ED - Brazil
Número total de Afiliações: 3
Tipo de documento: Artigo Científico
Fonte: Revista de Saúde Pública; v. 51, 2017.
Citações Web of Science: 4
Resumo

ABSTRACT OBJECTIVE To identify the prevalence of 12-month self-reported pain and chronic pain in a general population and to describe their clinical profile to assess if chronic pain is associated with 12-month mental disorders. METHODS The data used comes from the São Paulo Megacity Mental Health Survey, a population-based study assessing adult (≥ 18 years) residents of the São Paulo metropolitan area, Brazil. We have assessed the respondents (n = 5,037) using the Composite International Diagnostic Interview (CIDI 3.0), with a global response rate of 81.3%. Descriptive analyses have been performed, and crude and adjusted odds ratios (OR) have been calculated with logistic and multinomial regression and presented with respective 95% confidence intervals (95%CI). RESULTS The prevalence of pain and chronic pain in the past 12 months were 52.6% (95%CI 50.3–54.8) and 31.0% (95%CI 29.2–32.7), respectively. Joints (16.5%, 95%CI 15.4–17.5) and back or neck (15.5%, 95%CI 14.2–16.9) were the most frequently reported anatomical sites of chronic pain. On a 10-point analogue scale, the mean intensity of the worst pain was 7.7 (95%CI 7.4–7.8), and the mean average pain was 5.5 (95%CI 5.2–5.6); the mean treatment response was 6.3 (95%CI 6.0–6.6). Mean pain duration was 16.1 (95%CI 15.6–17.0) days a month and 132 (95%CI 126–144) minutes a day. Chronic pain was associated with 12-month DSM-IV mental disorders (OR = 2.7, 95%CI 2.3–3.3), anxiety disorders (OR = 2.1, 95%CI 1.9–3.0), and mood disorders (OR = 3.3, 95%CI 2.4–4.1). CONCLUSIONS A high prevalence of chronic pain in multiple sites is observed among the general adult population, and associations between chronic pain and mental disorders are frequent. (AU)

Processo FAPESP: 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica
Beneficiário:Laura Helena Silveira Guerra de Andrade
Modalidade de apoio: Auxílio à Pesquisa - Temático