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Previous Mental Disorders and Subsequent Onset of Chronic Back or Neck pain: Findings from 19 Countries

Viana, Maria Carmen, Lim, Carmen, Pereira, Flavia Garcia, Aguilar-Gaxiola, Sergio, Alonso, Jordi, Bruffaerts, Ronny, de Jonge, Peter, Caldas-de-Almeida, Jose Miguel, O'Neill, SM, Al-Hamzawi, Ali, Stein, Dan, Benjet, Corina, Cardoso, Graca, Florescu, Silvia, di Girolamo, Giovanni, Haro, Josep Maria, Hu, Chiyi, Kovess-Masfety, Viviane, Levinson, Daphna, Nakane, Yoshibumi, Piazza, Marina, Posada-Villa, Jose, Rabczenko, Daniel, Kessler, Ronald and Scott, Kate (2018) Previous Mental Disorders and Subsequent Onset of Chronic Back or Neck pain: Findings from 19 Countries. The Journal of Pain, 19 (1). pp. 99-110. [Journal article]

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DOI: 10.1016/j.jpain.2017.08.011


Associations between depression/anxiety and pain are well established, but its directionality is not clear. We examined the associations between temporally prior mental disorders and subsequent self-reported chronic back/neck pain onset, and investigated the variation in the strength of associations by timing of events during the life course, and by gender. Data were from population-based household surveys conducted in 19 countries (n=52,095). Lifetime prevalence and age-of-onset of 16 DSM-IV mental disorders, and the occurrence and age-of-onset of back/neck pain were assessed using the Composite International Diagnostic Interview. Survival analyses estimated the associations between first onset of mental disorders and subsequent back/neck pain onset. All mental disorders were positively associated with back/neck pain in bivariate analyses; most (12/16) remained so after adjusting for psychiatric comorbidity, with a clear dose-response relationship between number of mental disorders and subsequent pain. Early-onset disorders were stronger predictors of pain; when adjusting for psychiatric comorbidity, this remained the case for depression/dysthymia. No gender differences were observed. In conclusion, individuals with mental disorder, beyond depression and anxiety, are at higher risk of developing subsequent back/neck pain, stressing the importance of early detection of mental disorders, and highlight the need of assessing back/neck pain in mental health clinical settings.

Item Type:Journal article
Keywords:back or neck pain; mental-physical comorbidity; psychiatric epidemiology; cross-national studies; mental health.
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Psychology
Research Institutes and Groups:Psychology Research Institute > Psychotraumatology, Mental Health & Suicidal Behaviour
Psychology Research Institute
ID Code:39699
Deposited By: Professor Siobhan O'Neill
Deposited On:06 Mar 2018 17:41
Last Modified:06 Mar 2018 17:41

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