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Schmerzsymptome als Hinweis auf Depressionen und Angsterkrankungen bei PatientInnen an somatischen Krankenhausabteilungen

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Marion Freidl, Peter Berger, Andrea Topitz, Heinz Katschnig, Julie Williams, Litvan Zsuzsa, Ingrid Sibitz

Translated title of the contributionPain Symptoms as Predictors of Depressive Disorders in Patients with Anxiety or Physical Illness
Original languageGerman
JournalPsychiatrische Praxis
DOIs
E-pub ahead of print17 Apr 2015

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King's Authors

Abstract

Objective: The aim of this study was to investigate the frequency of pain symptoms reported by patients of non-psychiatric hospital departments and to explore their association with affective and anxiety disorders. Methods: Patients of non-psychiatric hospital departments (n?=?290) reported pain symptoms by filling in a self-rating questionnaire. Psychiatric examinations were performed by psychiatrists using a structured diagnostic interview. The sum-scores of self-reported pain symptoms were tested for their screening accuracy for anxiety and depression. Results: Patients suffering from affective or anxiety disorders reported significantly more often three or more pain symptoms (63?% vs. 28?%). Using a cut-off value of ≥?3 of self-reported pain symptoms yielded a sensitivity of 63.1?% and a specificity of 71.7?%. Conclusions: These findings highlight the relevance of a higher number of pain symptoms as a possible indicator for affective and anxiety disorders. The use of pain symptoms as pre-screening for depression and anxiety might be a useful tool, but needs further research before it can be recommended.

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