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首页> 外文期刊>Iranian journal of psychiatry. >The High Prevalence of Obsessive-Compulsive Disorder in Patients with Chronic Pain
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The High Prevalence of Obsessive-Compulsive Disorder in Patients with Chronic Pain

机译：慢性疼痛患者强迫症患病率高

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ObjectiveChronic pain is a common disorder with a high prevalence of psychiatric disorder that imposes a worse prognosis on both conditions. Obsessive compulsive disorder (OCD) is estimated to be the fourth most prevalent life time psychiatric disorder, but yet has gained less attention in chronic pain comorbidity researches.MethodsNinety three heterogeneous chronic pain patients who attended a pain clinic in Tehran (Iran) in an outpatient setting during three months were included in this study. Diagnosis was made by Structured Clinical Interview for DSM-IV (SCID).ResultsThe mean age of the patients was 46.37 (SD 15.005) years; of the patients, 66.7% were female and 33.3% were male. The mean duration of pain was 34.43 (SD 51.422) months. The mean pain severity on numerical pain scale was 5.82 (SD 1.950) from 10. The mean pain site number was 3.68 (SD 3.401) from the maximum of 27 places. Furthermore, 61.3% of the participants were diagnosed with lifetime OCD, 25.8% with subclinical OCD and 61.5 % with major depressive disorder (MDD). OCD diagnosis was not correlated with MDD or pain intensity. Female gender was associated with OCD (OD; 4.182, 95% CL (1.655-10.568)). Pain intensity was correlated with MDD (P < 0.05).Conclusions: The high prevalence of OCD was comorbidity, independent of MDD and most pain characteristics. The high prevalence of OCD may be explained by the high rate of undiagnosed cause of pain as well as cultural and local factors. Using screening tests is suggested for tackling under diagnosis and under treatment of OCD and MDD.
机译：目的慢性疼痛是一种精神疾病高发的常见疾病，在这两种情况下预后都较差。强迫症（OCD）被认为是一生中第四流行的精神病，但在慢性疼痛合并症研究中却很少受到关注。方法93位异质性慢性疼痛患者在德黑兰（伊朗）的一家疼痛门诊就诊。这项研究包括三个月的环境设置。通过结构性临床访谈对DSM-IV（SCID）进行诊断。结果患者的平均年龄为46.37（SD 15.005）岁。患者中，女性为66.7％，男性为33.3％。平均疼痛持续时间为34.43（SD 51.422）个月。数值疼痛等级的平均疼痛严重程度从10开始为5.82（SD 1.950）。从最多的27个位置开始，平均疼痛部位为3.68（SD 3.401）。此外，61.3％的参与者被诊断为终生强迫症，25.8％的患者为亚临床强迫症，61.5％的患者为重度抑郁症（MDD）。 OCD诊断与MDD或疼痛强度无关。女性与强迫症有关（OD; 4.182，95％CL（1.655-10.568））。疼痛强度与MDD相关（P <0.05）。结论：OCD的高发是合并症，与MDD和大多数疼痛特征无关。强迫症的高患病率可以通过未诊断的疼痛原因以及文化和局部因素的高发生率来解释。建议使用筛查测试来诊断和治疗OCD和MDD。

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