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

Maria Carmen Viana, Carmen Lim, Flavia Garcia Pereira, Sergio Aguilar-Gaxiola, Jordi Alonso, Ronny Bruffaerts, Peter de Jonge, Jose Miguel Caldas-de-Almeida, SM O'Neill, Ali Al-Hamzawi, Dan Stein, Corina Benjet, Graca Cardoso, Silvia Florescu, Giovanni di Girolamo, Josep Maria Haro, Chiyi Hu, Viviane Kovess-Masfety, Daphna Levinson, Yoshibumi Nakane & 5 others Marina Piazza, Jose Posada-Villa, Daniel Rabczenko, Ronald Kessler, Kate Scott

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

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.
LanguageEnglish
Pages99-110
JournalThe Journal of Pain
Volume19
Issue number1
Early online date12 Oct 2017
DOIs
Publication statusPublished - Jan 2018

Fingerprint

Neck Pain
Back Pain
Mental Disorders
Chronic Pain
Depression
Age of Onset
Pain
Psychiatry
Comorbidity
Anxiety
Survival Analysis
Diagnostic and Statistical Manual of Mental Disorders
Mental Health
Interviews
Population

Keywords

  • back or neck pain
  • mental-physical comorbidity
  • psychiatric epidemiology
  • cross-national studies
  • mental health

Cite this

Viana, M. C., Lim, C., Pereira, F. G., Aguilar-Gaxiola, S., Alonso, J., Bruffaerts, R., ... Scott, K. (2018). Previous Mental Disorders and Subsequent Onset of Chronic Back or Neck pain: Findings from 19 Countries. The Journal of Pain, 19(1), 99-110. https://doi.org/10.1016/j.jpain.2017.08.011
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 ; Scott, Kate. / Previous Mental Disorders and Subsequent Onset of Chronic Back or Neck pain: Findings from 19 Countries. In: The Journal of Pain. 2018 ; Vol. 19, No. 1. pp. 99-110.
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title = "Previous Mental Disorders and Subsequent Onset of Chronic Back or Neck pain: Findings from 19 Countries",
abstract = "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.",
keywords = "back or neck pain, mental-physical comorbidity, psychiatric epidemiology, cross-national studies, mental health",
author = "Viana, {Maria Carmen} and Carmen Lim and Pereira, {Flavia Garcia} and Sergio Aguilar-Gaxiola and Jordi Alonso and Ronny Bruffaerts and {de Jonge}, Peter and Caldas-de-Almeida, {Jose Miguel} and SM O'Neill and Ali Al-Hamzawi and Dan Stein and Corina Benjet and Graca Cardoso and Silvia Florescu and {di Girolamo}, Giovanni and Haro, {Josep Maria} and Chiyi Hu and Viviane Kovess-Masfety and Daphna Levinson and Yoshibumi Nakane and Marina Piazza and Jose Posada-Villa and Daniel Rabczenko and Ronald Kessler and Kate Scott",
note = "Reference text: References [1] Au B, Smith KJ, Gari{\'e}py G, Schmitz N. The longitudinal associations between C-reactive protein and depressive symptoms: evidence from the English Longitudinal Study of Ageing (ELSA). International Journal of Geriatric Psychiatry Dec 23, 2014. [2] Benjamin S, Morris S, McBeth J, Macfarlane GJ, Silman AJ. The association between chronic widespread pain and mental disorder: a population-based study. Arthritis and Rheumatism 43:561-567, 2000. [3] Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine 19:1307-1309, 1994. [4] Bras M, Dordević V, Gregurek R, Bulajić M. Neurobiological and clinical relationship between psychiatric disorders and chronic pain. Psychiatria Danubina 22:221-226, 2010. [5] Carroll L, Cassidy JD, Cote P. The Saskatchewan health and back pain survey: the prevalence and factors associated with depressive symptomatology in Saskatchewan adults. Canadian Journal of Public Health 91:459-464, 2000. [6] Chou KL. Reciprocal relationship between pain and depression in older adults: evidence from the English Longitudinal Study of Ageing. Journal of Affective Disorders 102:115-123, 2007. [7] Chou R, Shekelle P. Will this patient develop persistent disabling low back pain? The Journal of the American Medical Association 303:1295-1302, 2010. [8] Cot{\'e} P, Cassidy JD, Carroll L. The epidemiology of neck pain: what we have learned from our population-based studies? The Journal of the Canadian Chiropractic Association 47:284-290, 2003. [9] Currie SR, Wang J. Chronic back pain and major depression in the general Canadian population. Pain 107:60-64, 2004. [10] Croft PR, Lewis M, Papageorgiou AC, Thomas E, Jayson MI, MacFarlane GJ, Silman AJ. Risk factors for neck pain: a longitudinal study in the general population. Pain 93:317-325, 2001. [11] Demyttenaere K, Bonnewyn A, Bruffaerts R, Brugha T, De Graaf R, Alonso J. 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Viana, MC, Lim, C, Pereira, FG, Aguilar-Gaxiola, S, Alonso, J, Bruffaerts, R, de Jonge, P, Caldas-de-Almeida, JM, O'Neill, SM, Al-Hamzawi, A, Stein, D, Benjet, C, Cardoso, G, Florescu, S, di Girolamo, G, Haro, JM, Hu, C, Kovess-Masfety, V, Levinson, D, Nakane, Y, Piazza, M, Posada-Villa, J, Rabczenko, D, Kessler, R & Scott, K 2018, 'Previous Mental Disorders and Subsequent Onset of Chronic Back or Neck pain: Findings from 19 Countries', The Journal of Pain, vol. 19, no. 1, pp. 99-110. https://doi.org/10.1016/j.jpain.2017.08.011

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; Scott, Kate.

In: The Journal of Pain, Vol. 19, No. 1, 01.2018, p. 99-110.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Previous Mental Disorders and Subsequent Onset of Chronic Back or Neck pain: Findings from 19 Countries

AU - Viana, Maria Carmen

AU - Lim, Carmen

AU - Pereira, Flavia Garcia

AU - Aguilar-Gaxiola, Sergio

AU - Alonso, Jordi

AU - Bruffaerts, Ronny

AU - de Jonge, Peter

AU - Caldas-de-Almeida, Jose Miguel

AU - O'Neill, SM

AU - Al-Hamzawi, Ali

AU - Stein, Dan

AU - Benjet, Corina

AU - Cardoso, Graca

AU - Florescu, Silvia

AU - di Girolamo, Giovanni

AU - Haro, Josep Maria

AU - Hu, Chiyi

AU - Kovess-Masfety, Viviane

AU - Levinson, Daphna

AU - Nakane, Yoshibumi

AU - Piazza, Marina

AU - Posada-Villa, Jose

AU - Rabczenko, Daniel

AU - Kessler, Ronald

AU - Scott, Kate

N1 - Reference text: References [1] Au B, Smith KJ, Gariépy G, Schmitz N. The longitudinal associations between C-reactive protein and depressive symptoms: evidence from the English Longitudinal Study of Ageing (ELSA). International Journal of Geriatric Psychiatry Dec 23, 2014. [2] Benjamin S, Morris S, McBeth J, Macfarlane GJ, Silman AJ. The association between chronic widespread pain and mental disorder: a population-based study. Arthritis and Rheumatism 43:561-567, 2000. [3] Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine 19:1307-1309, 1994. [4] Bras M, Dordević V, Gregurek R, Bulajić M. Neurobiological and clinical relationship between psychiatric disorders and chronic pain. Psychiatria Danubina 22:221-226, 2010. [5] Carroll L, Cassidy JD, Cote P. The Saskatchewan health and back pain survey: the prevalence and factors associated with depressive symptomatology in Saskatchewan adults. Canadian Journal of Public Health 91:459-464, 2000. [6] Chou KL. Reciprocal relationship between pain and depression in older adults: evidence from the English Longitudinal Study of Ageing. Journal of Affective Disorders 102:115-123, 2007. [7] Chou R, Shekelle P. Will this patient develop persistent disabling low back pain? The Journal of the American Medical Association 303:1295-1302, 2010. [8] Coté P, Cassidy JD, Carroll L. The epidemiology of neck pain: what we have learned from our population-based studies? The Journal of the Canadian Chiropractic Association 47:284-290, 2003. [9] Currie SR, Wang J. Chronic back pain and major depression in the general Canadian population. Pain 107:60-64, 2004. [10] Croft PR, Lewis M, Papageorgiou AC, Thomas E, Jayson MI, MacFarlane GJ, Silman AJ. Risk factors for neck pain: a longitudinal study in the general population. Pain 93:317-325, 2001. [11] Demyttenaere K, Bonnewyn A, Bruffaerts R, Brugha T, De Graaf R, Alonso J. 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PY - 2018/1

Y1 - 2018/1

N2 - 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.

AB - 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.

KW - back or neck pain

KW - mental-physical comorbidity

KW - psychiatric epidemiology

KW - cross-national studies

KW - mental health

U2 - 10.1016/j.jpain.2017.08.011

DO - 10.1016/j.jpain.2017.08.011

M3 - Article

VL - 19

SP - 99

EP - 110

JO - Journal of Pain

T2 - Journal of Pain

JF - Journal of Pain

SN - 1526-5900

IS - 1

ER -