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Psychiatric Treatment

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Abstract

The literature reflects significant overlap between mental health symptoms and patients who have chronic pain. This overlap has been demonstrated across studies in multiple countries, including Hong Kong, Singapore, Canada, New Zealand, Finland, and the United States. Psychiatric conditions may also vary across specific pain conditions: for example, migraines are associated with alcohol use disorders, generalized anxiety disorder, and major depressive disorder (MDD); back pain is associated with MDD; and arthritis is associated with MDD and alcohol use disorder. Depression and anxiety have generally shown the highest rates of comorbidity among individuals with chronic pain, while personality disorders have also reflected higher rates of comorbidity. There are a number of possible underlying factors for the differing reported rates of psychiatric conditions in individuals who have chronic pain, including the lack of reliable structured criteria in studies. In addition, there are a number of potential methodological differences, such as diagnoses/symptom criteria used and sample differences.

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Authors and Affiliations

  1. Division of Pain Medicine, Stanford University, Redwood City, CA, USA

    Ravi Prasad

  2. Physical Medicine & Rehabilitation, University of California, Davis, Sacramento, CA, USA

    Amir Ramezani

  3. Department of Psychiatry and Human Behavior, University of California, Irvine School of Medicine, Orange, CA, USA

    Robert McCarron

  4. Department of Psychiatry and Behavorial Medicine, Spectrum Health, Grand Rapids, MI, USA

    Sylvia Malcore

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  1. Ravi Prasad
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  2. Amir Ramezani
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  4. Sylvia Malcore
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Correspondence to Ravi Prasad .

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Editors and Affiliations

  1. Pain Medicine Fellowship, Department of Anesthesiology, Perioperative and Pain Medicine, Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Yury Khelemsky

  2. Pain Medicine Fellowship, Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Anuj Malhotra

  3. Regional Anesthesia and Acute Pain Medicine Fellowship, Department of Anesthesiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA

    Karina Gritsenko

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Prasad, R., Ramezani, A., McCarron, R., Malcore, S. (2019). Psychiatric Treatment. In: Khelemsky, Y., Malhotra, A., Gritsenko, K. (eds) Academic Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-18005-8_17

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