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首页> 外文期刊>Human psychopharmacology: clinical and experimental >The epidemiology of pain in depression.
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The epidemiology of pain in depression.

机译：疼痛在抑郁的流行病学。

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摘要

Over 75% of depressed patients in primary care complain of painful physical symptoms such as headache, stomach pain, neck and back pain aswell as non-specific generalized pain. The presence of such symptoms predicts a greater severity and a less favourable outcome of depression with a poorer health-related quality of life. World Health Organization data obtained in primary care centres worldwide show that 22% of all primary care patients suffer from persistent debilitating pain and that these patients are four times more likely to have co-morbid anxiety or depressive disorder than pain-free primary care patients. Not unexpectedly, the risk of depression is greater when the pain is more diffuse, as indicated by the number of painful sites, and has a greater effect on the quality of life. Certain depressive symptoms, such as low energy and sleep disturbances, are commonly found in patients with co-morbid pain, whereas the opposite is true for symptoms such as guilt and loneliness. Increasingly, major depression is seen as being composed of psychological, somatic and painful physical symptoms. In order to achieve full sustained remission it is necessary to treat symptoms in all three of these areas. The area of painful physical symptoms is unfortunately still poorly understood and clearly merits greater attention. Copyright 2004 John Wiley & Sons, Ltd.
机译：超过75%的抑郁症患者在初级保健抱怨的痛苦的身体症状,如头疼、胃疼、脖子和背部疼痛非特异性广泛性疼痛。这些症状更严重和预言不那么有利结果的抑郁贫穷与健康有关的生活质量。在基层医疗卫生组织获得的数据中心显示,全球所有主要的22%护理病人遭受持续衰弱疼痛和这些病人的四倍可能附带产生焦虑或抑郁障碍比无痛初级护理病人。不意外,患抑郁症的风险更大的痛苦时更加分散,通过痛苦的网站的数量表示,一个更大的对生活质量的影响。抑郁症状,如低能量和睡眠障碍,患者中常见附带产生的疼痛,而正好相反症状,比如内疚和孤独。越来越多的抑郁症被认为是由心理、躯体和痛苦身体症状。持续的缓解治疗是必要的在所有这三个地区的症状。不幸的是痛苦的身体症状缺乏了解和明显优势更大的关注。

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