title: Pain and depression in gynecology patients.
abstract: BACKGROUND
  The prevalence and consequences of comorbid pain and depression in gynecology patients are understudied.
  
  
  OBJECTIVE
  The purpose of the study was to determine the prevalence of pain, depression, and their co-occurrence among gynecology patients, and to examine how pain and depression are associated with additional comorbid mental disorders.
  
  
  METHODS
  Self-reported pain, depressive symptoms, other mental-disorder symptoms, functional status, interpersonal distress, and abuse were assessed in 1,647 gynecology patients by use of the Patient Health Questionnaire and the Medical Outcomes Study (SF-20).
  
  
  RESULTS
  Moderate-to-severe pain was reported by 29% of patients; depression, by 21%; with both present in 10.3%. Comorbid pain and depression was associated with anxiety, suicidal or death ideation, functional impairment, interpersonal distress, and physical or sexual abuse.
  
  
  CONCLUSIONS
  Innovative approaches are needed to assess and treat gynecology patients with comorbid pain and depression, given the degree of overlap between them.
authors: University of Rochester Medical Center, 300 Crittenden Blvd., Rochester, NY 14642, USA. Ellen_Poleshuck@URMC.Rochester.edu
authors: Ellen L
authors: EL
authors: Poleshuck
authors: Matthew J
authors: MJ
authors: Bair
authors: Kurt
authors: K
authors: Kroenke
authors: Arthur
authors: A
authors: Watts
authors: Xin
authors: X
authors: Tu
authors: Donna E
authors: DE
authors: Giles
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D005831:Genital Diseases, Female / Q000523:psychology*; D006801:Humans; D008403:Mass Screening; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D008875:Middle Aged; D009518:New York; D010147:Pain Measurement; D017699:Pelvic Pain / Q000453:epidemiology / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology; D012803:Sick Role; D011795:Surveys and Questionnaires; D055815:Young Adult