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Painful physical symptoms common in depressed patients
Painful physical symptoms are frequent in patients with depression and may result in decreased productivity and lower rates of help seeking, research findings show.
In their study of 21,425 adults, Koen Demyttenaere (University Hospital Gasthuisberg, Belgium) and colleagues found that approximately one in two people with a mood disorder also reported the presence of painful physical symptoms.
Specifically, painful physical symptoms, such as headaches and chronic back pain, were reported by 50% of participants with major depression and by 29% of those without major depression.
Women were more likely to report such symptoms than men and the rate of painful physical symptoms increased with age.
Qualitative analysis revealed that the frequency of painful physical symptoms increased in line with the severity of depression, but there were no qualitative differences in depressive symptomatology between those with and without painful physical symptoms.
The researchers report in the Journal of Affective Disorders that having physical painful symptoms had a negative affect on productivity. Patients with major depression had an average of 4.5 days off work per month, while individuals with painful physical symptoms had an average of 6.5 work loss days a month. However, patients with both depression and painful physical symptoms reported 9.4 work loss days a month.
They note that this additive effect of major depression and painful physical symptoms on productivity was evident irrespective of whether or not patients had a comorbid somatic disorder.
In addition to decreasing productivity, the presence of painful physical symptoms lowered the rate of help seeking for emotional reasons among patients with major depression. Thirty-three per cent of participants with major depression and painful physical symptoms had sought help, compared with 44% of those with major depression alone.
The average delay for seeking help also tended to be longer in patients with depression and painful physical symptoms, at an average of 296.5 days, compared with 146.1 days for those with depression alone.
Demyttenaere and team highlight that the lower rates of help seeking and longer delay in doing so are likely to influence the duration of the depressive episode experienced by patients with painful physical symptoms, which they found was longer for these individuals than for those without such symptoms.
