Association Between Depression and Acute Pain in Adults Attending a Tertiary Care Hospital in Bhubaneswar
Published: July 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6179
Diplina Barman, Soumya Mishra, Jayanti Mishra, Pranab Mahapatra, Magna Manjareeka
1. BDS Student, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, India.
2. Senior Resident, Department of Physiology, JIPMER, Puducherry, India.
3. Professor, Department of Physiology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, India.
4. Assistant Professor, Department of Psychiatry, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, India.
5. Assistant Professor, Department of Physiology, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, India.
Correspondence
Dr. Soumya Mishra,
Senior Resident, Department of Physiology, JIPMER, Puducherry -605006, India.
Email: drsoumya_mishra@yahoo.co.in
Background: Recent burden on health care organization due to acute pain and simultaneous rise in the depression cases have been ringing alarms among the medical professionals.
Aims: This study was taken up with a hypothesis that acute pain and depression are inter-linked and any acute painful condition leads to some behavioural and psycho-somatic effects which needs to be detected at the earliest possible.
Settings and Designs: This relationship was established by designing a cross-sectional study where four most common causes of acute pain (i.e. post-labour, post-caesarean, postoperative, dental conditions) were studied in 70 subjects each and compared with 70 subjects of control group who presented to a tertiary care hospital in Bhubaneswar, without any painful condition or underlying depression. Materials and Methods: Various pain scales (Visual Analogue Scale- VAS, Verbal Rating Scale – VRS, Box Scale) were used to assess the degree of pain while Montgomery-Åsberg Depression Rating Scale (MADRS) was used to assess the level of depression in these subjects. Statistical Analysis: Using SPSS version 16 software, the correlation coefficient was determined between the depression levels and acute pain.
Results: It was seen that the geriatric populations were more depressed, while the older adults perceived more pain. The females differed from males in their pain perception; they were more depressed and proved to be more tolerant to painful conditions such as post-partum acute painful conditions. Dental pain was found to be the second most reported painful condition after postoperative acute pain. A statistically significant strong correlation was established between depression and acute pain.
Conclusion: Thus the psychosomatic component of pain needs to be evaluated on a priority basis by health providers.
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