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The relation between multiple pains and mental disorders : Results from the World Mental Health Surveys

Identifieur interne : 008973 ( Main/Exploration ); précédent : 008972; suivant : 008974

The relation between multiple pains and mental disorders : Results from the World Mental Health Surveys

Auteurs : Oye Gureje [Nigeria] ; Michael Von Korff [États-Unis] ; Lola Kola [Nigeria] ; Koen Demyttenaere [Belgique] ; YANLING HE [République populaire de Chine] ; José Posada-Villa [Colombie] ; Jean Pierre Lepine [France] ; Matthias C. Angermeyer [Allemagne] ; Daphna Levinson [Israël] ; Giovanni De Girolamo [Italie] ; Noboru Iwata [Japon] ; Aimée Karam [Liban] ; Guilherme Luiz Guimaraes Borges [Mexique] ; Ron De Graaf [Pays-Bas] ; Mark Oakley Browne [Australie] ; Dan J. Stein [Afrique du Sud] ; Josep Maria Haro [Espagne] ; Evelyn J. Bromet [États-Unis] ; Ron C. Kessler [États-Unis] ; Jordi Alonso [Espagne]

Source :

RBID : Pascal:08-0142022

Descripteurs français

English descriptors

Abstract

It is unclear whether differences exist in the prevalence of mood, anxiety and alcohol use disorders among persons with multiple pain conditions compared with those with single pain problems. We conducted population surveys in 17 countries in Europe, the Americas, the Middle East, Africa, Asia, and the South Pacific. Participants were community-dwelling adults (N - 85,088). Mental disorders were assessed with the Composite International Diagnostic Interview. Pain was assessed by self-report. Both multiple and single site pain problems were associated with mood and anxiety disorders, but not with alcohol abuse or dependence. In general, the prevalence of specific mood and anxiety disorders followed a linear pattern with the lowest rates found among persons with no pain, intermediate rates among those with one pain, and highest rates among those with multi-site pain problems. Relative to persons not reporting pain, the pooled estimates of the age-sex adjusted odds ratios were 1.8 (1.7-2.0) for mood disorders and 1.9 (1.8-2.1) for anxiety disorders for persons with single site pain; 3.7 (3.3-4.1) for mood disorders and 3.6 (3.3-4.0) for anxiety disorders among those with multi-site pain. Our results indicate that the presence of multiple pain conditions was strongly and comparably associated with mood and anxiety disorders in diverse cultures. This consistent pattern of associations suggests that diffuse pain and psychiatric disorders are generally associated, rather than diffuse pain representing an idiom for expressing distress that is specific to particular cultural settings or diffuse pain solely representing a form of masked depression.


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Le document en format XML

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<name sortKey="Stein, Dan J" sort="Stein, Dan J" uniqKey="Stein D" first="Dan J." last="Stein">Dan J. Stein</name>
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<name sortKey="Haro, Josep Maria" sort="Haro, Josep Maria" uniqKey="Haro J" first="Josep Maria" last="Haro">Josep Maria Haro</name>
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<title xml:lang="en" level="a">The relation between multiple pains and mental disorders : Results from the World Mental Health Surveys</title>
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<name sortKey="Gureje, Oye" sort="Gureje, Oye" uniqKey="Gureje O" first="Oye" last="Gureje">Oye Gureje</name>
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<s1>Department of Psychiatry, University of Ibadan</s1>
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<sZ>1 aut.</sZ>
</inist:fA14>
<country>Nigeria</country>
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<settlement type="city">Ibadan</settlement>
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<name sortKey="Von Korff, Michael" sort="Von Korff, Michael" uniqKey="Von Korff M" first="Michael" last="Von Korff">Michael Von Korff</name>
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<name sortKey="Lepine, Jean Pierre" sort="Lepine, Jean Pierre" uniqKey="Lepine J" first="Jean Pierre" last="Lepine">Jean Pierre Lepine</name>
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<name sortKey="Angermeyer, Matthias C" sort="Angermeyer, Matthias C" uniqKey="Angermeyer M" first="Matthias C." last="Angermeyer">Matthias C. Angermeyer</name>
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<name sortKey="De Girolamo, Giovanni" sort="De Girolamo, Giovanni" uniqKey="De Girolamo G" first="Giovanni" last="De Girolamo">Giovanni De Girolamo</name>
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<name sortKey="Iwata, Noboru" sort="Iwata, Noboru" uniqKey="Iwata N" first="Noboru" last="Iwata">Noboru Iwata</name>
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<name sortKey="Karam, Aimee" sort="Karam, Aimee" uniqKey="Karam A" first="Aimée" last="Karam">Aimée Karam</name>
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<name sortKey="Luiz Guimaraes Borges, Guilherme" sort="Luiz Guimaraes Borges, Guilherme" uniqKey="Luiz Guimaraes Borges G" first="Guilherme" last="Luiz Guimaraes Borges">Guilherme Luiz Guimaraes Borges</name>
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<name sortKey="De Graaf, Ron" sort="De Graaf, Ron" uniqKey="De Graaf R" first="Ron" last="De Graaf">Ron De Graaf</name>
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<name sortKey="Oakley Browne, Mark" sort="Oakley Browne, Mark" uniqKey="Oakley Browne M" first="Mark" last="Oakley Browne">Mark Oakley Browne</name>
<affiliation wicri:level="3">
<inist:fA14 i1="15">
<s1>Rural Psychiatry, Monash University</s1>
<s2>Melbourne</s2>
<s3>AUS</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Australie</country>
<placeName>
<settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Stein, Dan J" sort="Stein, Dan J" uniqKey="Stein D" first="Dan J." last="Stein">Dan J. Stein</name>
<affiliation wicri:level="1">
<inist:fA14 i1="16">
<s1>Department of Psychiatry and Mental Health, University of Cape Town</s1>
<s2>Cape Town</s2>
<s3>ZAF</s3>
<sZ>16 aut.</sZ>
</inist:fA14>
<country>Afrique du Sud</country>
<wicri:noRegion>Cape Town</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Haro, Josep Maria" sort="Haro, Josep Maria" uniqKey="Haro J" first="Josep Maria" last="Haro">Josep Maria Haro</name>
<affiliation wicri:level="3">
<inist:fA14 i1="17">
<s1>Sant Joan de Deu-SSM</s1>
<s2>Barcelona</s2>
<s3>ESP</s3>
<sZ>17 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<placeName>
<settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Bromet, Evelyn J" sort="Bromet, Evelyn J" uniqKey="Bromet E" first="Evelyn J." last="Bromet">Evelyn J. Bromet</name>
<affiliation wicri:level="1">
<inist:fA14 i1="18">
<s1>Psychiatry, SUN Y Stony Brook</s1>
<s3>USA</s3>
<sZ>18 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Psychiatry, SUN Y Stony Brook</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Kessler, Ron C" sort="Kessler, Ron C" uniqKey="Kessler R" first="Ron C." last="Kessler">Ron C. Kessler</name>
<affiliation wicri:level="3">
<inist:fA14 i1="19">
<s1>Health Care Policy, Harvard Medical School</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>19 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Alonso, Jordi" sort="Alonso, Jordi" uniqKey="Alonso J" first="Jordi" last="Alonso">Jordi Alonso</name>
<affiliation wicri:level="1">
<inist:fA14 i1="20">
<s1>Health Services Research Unit, Institut Municipal d'Investigacio Medica (IMIM)</s1>
<s3>ESP</s3>
<sZ>20 aut.</sZ>
</inist:fA14>
<country>Espagne</country>
<wicri:noRegion>Health Services Research Unit, Institut Municipal d'Investigacio Medica (IMIM)</wicri:noRegion>
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</author>
</analytic>
<series>
<title level="j" type="main">Pain : (Amsterdam)</title>
<title level="j" type="abbreviated">Pain : (Amst.)</title>
<idno type="ISSN">0304-3959</idno>
<imprint>
<date when="2008">2008</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Pain : (Amsterdam)</title>
<title level="j" type="abbreviated">Pain : (Amst.)</title>
<idno type="ISSN">0304-3959</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Abuse</term>
<term>Anxiety</term>
<term>Dependence</term>
<term>Mask</term>
<term>Mental disorder</term>
<term>Mood disorder</term>
<term>Pain</term>
<term>Population survey</term>
<term>Prevalence</term>
<term>Sex</term>
<term>Survey</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Douleur</term>
<term>Trouble psychiatrique</term>
<term>Enquête</term>
<term>Prévalence</term>
<term>Trouble de l'humeur</term>
<term>Angoisse anxiété</term>
<term>Surveillance population</term>
<term>Abus</term>
<term>Dépendance</term>
<term>Sexe</term>
<term>Masque</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">It is unclear whether differences exist in the prevalence of mood, anxiety and alcohol use disorders among persons with multiple pain conditions compared with those with single pain problems. We conducted population surveys in 17 countries in Europe, the Americas, the Middle East, Africa, Asia, and the South Pacific. Participants were community-dwelling adults (N - 85,088). Mental disorders were assessed with the Composite International Diagnostic Interview. Pain was assessed by self-report. Both multiple and single site pain problems were associated with mood and anxiety disorders, but not with alcohol abuse or dependence. In general, the prevalence of specific mood and anxiety disorders followed a linear pattern with the lowest rates found among persons with no pain, intermediate rates among those with one pain, and highest rates among those with multi-site pain problems. Relative to persons not reporting pain, the pooled estimates of the age-sex adjusted odds ratios were 1.8 (1.7-2.0) for mood disorders and 1.9 (1.8-2.1) for anxiety disorders for persons with single site pain; 3.7 (3.3-4.1) for mood disorders and 3.6 (3.3-4.0) for anxiety disorders among those with multi-site pain. Our results indicate that the presence of multiple pain conditions was strongly and comparably associated with mood and anxiety disorders in diverse cultures. This consistent pattern of associations suggests that diffuse pain and psychiatric disorders are generally associated, rather than diffuse pain representing an idiom for expressing distress that is specific to particular cultural settings or diffuse pain solely representing a form of masked depression.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Afrique du Sud</li>
<li>Allemagne</li>
<li>Australie</li>
<li>Belgique</li>
<li>Colombie</li>
<li>Espagne</li>
<li>France</li>
<li>Israël</li>
<li>Italie</li>
<li>Japon</li>
<li>Liban</li>
<li>Mexique</li>
<li>Nigeria</li>
<li>Pays-Bas</li>
<li>République populaire de Chine</li>
<li>États-Unis</li>
</country>
<region>
<li>Catalogne</li>
<li>Massachusetts</li>
<li>Utrecht (province)</li>
<li>Victoria (État)</li>
<li>État d'Oyo</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Barcelone</li>
<li>Boston</li>
<li>Ibadan</li>
<li>Melbourne</li>
<li>Paris</li>
<li>Utrecht</li>
</settlement>
<orgName>
<li>Université d'Ibadan</li>
</orgName>
</list>
<tree>
<country name="Nigeria">
<region name="État d'Oyo">
<name sortKey="Gureje, Oye" sort="Gureje, Oye" uniqKey="Gureje O" first="Oye" last="Gureje">Oye Gureje</name>
</region>
<name sortKey="Kola, Lola" sort="Kola, Lola" uniqKey="Kola L" first="Lola" last="Kola">Lola Kola</name>
</country>
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<noRegion>
<name sortKey="Von Korff, Michael" sort="Von Korff, Michael" uniqKey="Von Korff M" first="Michael" last="Von Korff">Michael Von Korff</name>
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</country>
<country name="République populaire de Chine">
<noRegion>
<name sortKey="Yanling He" sort="Yanling He" uniqKey="Yanling He" last="Yanling He">YANLING HE</name>
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<country name="Colombie">
<noRegion>
<name sortKey="Posada Villa, Jose" sort="Posada Villa, Jose" uniqKey="Posada Villa J" first="José" last="Posada-Villa">José Posada-Villa</name>
</noRegion>
</country>
<country name="France">
<region name="Île-de-France">
<name sortKey="Lepine, Jean Pierre" sort="Lepine, Jean Pierre" uniqKey="Lepine J" first="Jean Pierre" last="Lepine">Jean Pierre Lepine</name>
</region>
</country>
<country name="Allemagne">
<noRegion>
<name sortKey="Angermeyer, Matthias C" sort="Angermeyer, Matthias C" uniqKey="Angermeyer M" first="Matthias C." last="Angermeyer">Matthias C. Angermeyer</name>
</noRegion>
</country>
<country name="Israël">
<noRegion>
<name sortKey="Levinson, Daphna" sort="Levinson, Daphna" uniqKey="Levinson D" first="Daphna" last="Levinson">Daphna Levinson</name>
</noRegion>
</country>
<country name="Italie">
<noRegion>
<name sortKey="De Girolamo, Giovanni" sort="De Girolamo, Giovanni" uniqKey="De Girolamo G" first="Giovanni" last="De Girolamo">Giovanni De Girolamo</name>
</noRegion>
</country>
<country name="Japon">
<noRegion>
<name sortKey="Iwata, Noboru" sort="Iwata, Noboru" uniqKey="Iwata N" first="Noboru" last="Iwata">Noboru Iwata</name>
</noRegion>
</country>
<country name="Liban">
<noRegion>
<name sortKey="Karam, Aimee" sort="Karam, Aimee" uniqKey="Karam A" first="Aimée" last="Karam">Aimée Karam</name>
</noRegion>
</country>
<country name="Mexique">
<noRegion>
<name sortKey="Luiz Guimaraes Borges, Guilherme" sort="Luiz Guimaraes Borges, Guilherme" uniqKey="Luiz Guimaraes Borges G" first="Guilherme" last="Luiz Guimaraes Borges">Guilherme Luiz Guimaraes Borges</name>
</noRegion>
</country>
<country name="Pays-Bas">
<region name="Utrecht (province)">
<name sortKey="De Graaf, Ron" sort="De Graaf, Ron" uniqKey="De Graaf R" first="Ron" last="De Graaf">Ron De Graaf</name>
</region>
</country>
<country name="Australie">
<region name="Victoria (État)">
<name sortKey="Oakley Browne, Mark" sort="Oakley Browne, Mark" uniqKey="Oakley Browne M" first="Mark" last="Oakley Browne">Mark Oakley Browne</name>
</region>
</country>
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<name sortKey="Stein, Dan J" sort="Stein, Dan J" uniqKey="Stein D" first="Dan J." last="Stein">Dan J. Stein</name>
</noRegion>
</country>
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<region name="Catalogne">
<name sortKey="Haro, Josep Maria" sort="Haro, Josep Maria" uniqKey="Haro J" first="Josep Maria" last="Haro">Josep Maria Haro</name>
</region>
<name sortKey="Alonso, Jordi" sort="Alonso, Jordi" uniqKey="Alonso J" first="Jordi" last="Alonso">Jordi Alonso</name>
</country>
</tree>
</affiliations>
</record>

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