Depression and its correlation with in patients pain in the rheumatology service of a Mexican teaching hospital

• DOI: 10.1007/s00296-008-0834-y
• Publication Date: 2009-01-05T18:37:23Z
• Authors: Antonio Kobayashi...; Gloria Martinez-B...; Ana Guillaisne Be...; Rogelio Troyo-San...; Verónica González...; Esteban Castro-Co...; Eduardo Vázquez-V...; Blanca Miriam Tor...
• Keywords: Male; Psychiatric Status Rating Scales; Rural Population; Depressive Disorder; Urban Population; Pain; Middle Aged; 3. Good health; Interviews as Topic; 03 medical and health sciences; Cross-Sectional Studies; 0302 clinical medicine; Rheumatology; Outpatients; Prevalence; Humans; Female; Hospitals, Teaching; Mexico

The depressive symptoms are associated with chronic pain in this study. A cross-sectional study was performed. A visual analog scale was used to register pain intensity. Depressive symptoms were measured using the Center of Epidemiological Studies (CES-Dr) scale as modified by Eaton and reviewed for use in the Mexican population. The study included 245 patients, with a mean age of 46 years, 86.1% of whom were female. The prevalence of some degree of depression was 55.1%. Patients with fibromyalgia had the highest prevalence of symptoms of depression (78.38%) and major depression (29.73%). Stepwise multiple regressions indicated that the best model (r2 = 0.26) to predict the CES-Dr score included the global pain score (P < 0.0001) and education level (P < 0.004). The Cronbach's alpha of the CES-Dr was high (alpha = 0.888). There was moderate correlation (r = 0.442), P < 0.0001 of the CES-Dr numeric score with the intensity of global pain.