title: Mental disorders in chronic pain patients.
abstract: Prominent and distressing emotions, cognitions, and behaviors frequently accompany chronic pain. In many cases, these psychological symptoms will be sufficiently severe to qualify the patient for a diagnosis of a mental disorder, as defined in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). This article introduces mental disorders that are frequently diagnosed in patients with chronic pain. Mental disorders are common co-morbidities with chronic pain. This paper presents an overview of the extent and nature of co-morbidity between mental disorders and chronic pain, as well as an outline of the structure of DSM-IV-TR, especially with respect to its use of a five-axis system for structuring mental disorder diagnoses.
authors.affiliation: University of Kansas Hospital, School of Medicine, 3901 Rainbow Blvd, Kansas City, KS 66160-3026, USA. rtwillma@kumc.edu
authors.forename: Robert K
authors.initials: RK
authors.lastname: Twillman
mesh_terms: D001008:Anxiety Disorders / Q000150:complications / Q000175:diagnosis; D002908:Chronic Disease; D003863:Depression / Q000150:complications / Q000175:diagnosis; D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D001523:Mental Disorders / Q000150:complications* / Q000175:diagnosis; D010146:Pain / Q000150:complications* / Q000523:psychology*; D010554:Personality Disorders / Q000150:complications / Q000175:diagnosis; D011569:Psychiatric Status Rating Scales