Mental disorders in chronic pain patients.
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.
Twillman
Robert K
RK
University of Kansas Hospital, School of Medicine, 3901 Rainbow Blvd, Kansas City, KS 66160-3026, USA. rtwillma@kumc.edu
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