Prior Mental Disorders and Subsequent Onset of Chronic Back or Neck Pain

Findings From 19 Countries

Maria Carmen Viana, Carmen C W Lim, Flavia Garcia Pereira, Sergio Aguilar-Gaxiola, Jordi Alonso, Ronny Bruffaerts, Peter de Jonge, Jose M. Caldas-de-Almeida, Siobhan O'Neill, Dan J Stein, Ali Al-Hamzawi, Corina Benjet, Graça Cardoso, Silvia Florescu, Giovanni de Girolamo, Josep Maria Haro, Chiyi Hu, Viviane Kovess-Masfety, Daphna Levinson, Marina Piazza & 4 others José Posada-Villa, Daniel Rabczenko, Ronald C Kessler, Kate M Scott

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Associations between depression/anxiety and pain are well established, but its directionality is not clear. We examined the associations between temporally prior mental disorders and subsequent self-reported chronic back/neck pain onset, and investigated the variation in the strength of associations by timing of events during the life course, and by gender. Data were from population-based household surveys conducted in 19 countries (n=52,095). Lifetime prevalence and age-of-onset of 16 DSM-IV mental disorders, and the occurrence and age-of-onset of back/neck pain were assessed using the Composite International Diagnostic Interview. Survival analyses estimated the associations between first onset of mental disorders and subsequent back/neck pain onset. All mental disorders were positively associated with back/neck pain in bivariate analyses; most (12/16) remained so after adjusting for psychiatric comorbidity, with a clear dose-response relationship between number of mental disorders and subsequent pain. Early-onset disorders were stronger predictors of pain; when adjusting for psychiatric comorbidity, this remained the case for depression/dysthymia. No gender differences were observed. In conclusion, individuals with mental disorder, beyond depression and anxiety, are at higher risk of developing subsequent back/neck pain, stressing the importance of early detection of mental disorders, and highlight the need of assessing back/neck pain in mental health clinical settings.

PERSPECTIVE: Prior DSM-IV mental disorders are positively associated with subsequent back/neck pain onset, with a clear dose-response relationship between number of mental disorders and subsequent pain. Earlier-onset mental disorders are stronger predictors of subsequent pain onset, compared to lateronset disorders.

Original languageEnglish
Pages (from-to)99-110
Number of pages11
JournalJournal Of Pain
Volume19
Issue number1
Early online date11 Oct 2017
DOIs
Publication statusPublished - Jan 2018

Fingerprint

Neck Pain
Back Pain
Mental Disorders
Chronic Pain
Pain
Depression
Age of Onset
Diagnostic and Statistical Manual of Mental Disorders
Psychiatry
Comorbidity
Anxiety
Survival Analysis
Mental Health
Interviews

Keywords

  • Back or neck pain
  • cross-national studies
  • mental health
  • mental-physical comorbidity
  • psychiatric epidemiology

Cite this

Viana, M. C., Lim, C. C. W., Pereira, F. G., Aguilar-Gaxiola, S., Alonso, J., Bruffaerts, R., ... Scott, K. M. (2018). Prior Mental Disorders and Subsequent Onset of Chronic Back or Neck Pain: Findings From 19 Countries. Journal Of Pain, 19(1), 99-110. https://doi.org/10.1016/j.jpain.2017.08.011
Viana, Maria Carmen ; Lim, Carmen C W ; Pereira, Flavia Garcia ; Aguilar-Gaxiola, Sergio ; Alonso, Jordi ; Bruffaerts, Ronny ; de Jonge, Peter ; Caldas-de-Almeida, Jose M. ; O'Neill, Siobhan ; Stein, Dan J ; Al-Hamzawi, Ali ; Benjet, Corina ; Cardoso, Graça ; Florescu, Silvia ; de Girolamo, Giovanni ; Haro, Josep Maria ; Hu, Chiyi ; Kovess-Masfety, Viviane ; Levinson, Daphna ; Piazza, Marina ; Posada-Villa, José ; Rabczenko, Daniel ; Kessler, Ronald C ; Scott, Kate M. / Prior Mental Disorders and Subsequent Onset of Chronic Back or Neck Pain : Findings From 19 Countries. In: Journal Of Pain. 2018 ; Vol. 19, No. 1. pp. 99-110.
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Viana, MC, Lim, CCW, Pereira, FG, Aguilar-Gaxiola, S, Alonso, J, Bruffaerts, R, de Jonge, P, Caldas-de-Almeida, JM, O'Neill, S, Stein, DJ, Al-Hamzawi, A, Benjet, C, Cardoso, G, Florescu, S, de Girolamo, G, Haro, JM, Hu, C, Kovess-Masfety, V, Levinson, D, Piazza, M, Posada-Villa, J, Rabczenko, D, Kessler, RC & Scott, KM 2018, 'Prior Mental Disorders and Subsequent Onset of Chronic Back or Neck Pain: Findings From 19 Countries', Journal Of Pain, vol. 19, no. 1, pp. 99-110. https://doi.org/10.1016/j.jpain.2017.08.011

Prior Mental Disorders and Subsequent Onset of Chronic Back or Neck Pain : Findings From 19 Countries. / Viana, Maria Carmen; Lim, Carmen C W; Pereira, Flavia Garcia; Aguilar-Gaxiola, Sergio; Alonso, Jordi; Bruffaerts, Ronny; de Jonge, Peter; Caldas-de-Almeida, Jose M.; O'Neill, Siobhan; Stein, Dan J; Al-Hamzawi, Ali; Benjet, Corina; Cardoso, Graça; Florescu, Silvia; de Girolamo, Giovanni; Haro, Josep Maria; Hu, Chiyi; Kovess-Masfety, Viviane; Levinson, Daphna; Piazza, Marina; Posada-Villa, José; Rabczenko, Daniel; Kessler, Ronald C; Scott, Kate M.

In: Journal Of Pain, Vol. 19, No. 1, 01.2018, p. 99-110.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prior Mental Disorders and Subsequent Onset of Chronic Back or Neck Pain

T2 - Findings From 19 Countries

AU - Viana, Maria Carmen

AU - Lim, Carmen C W

AU - Pereira, Flavia Garcia

AU - Aguilar-Gaxiola, Sergio

AU - Alonso, Jordi

AU - Bruffaerts, Ronny

AU - de Jonge, Peter

AU - Caldas-de-Almeida, Jose M.

AU - O'Neill, Siobhan

AU - Stein, Dan J

AU - Al-Hamzawi, Ali

AU - Benjet, Corina

AU - Cardoso, Graça

AU - Florescu, Silvia

AU - de Girolamo, Giovanni

AU - Haro, Josep Maria

AU - Hu, Chiyi

AU - Kovess-Masfety, Viviane

AU - Levinson, Daphna

AU - Piazza, Marina

AU - Posada-Villa, José

AU - Rabczenko, Daniel

AU - Kessler, Ronald C

AU - Scott, Kate M

N1 - Copyright © 2017. Published by Elsevier Inc.

PY - 2018/1

Y1 - 2018/1

N2 - Associations between depression/anxiety and pain are well established, but its directionality is not clear. We examined the associations between temporally prior mental disorders and subsequent self-reported chronic back/neck pain onset, and investigated the variation in the strength of associations by timing of events during the life course, and by gender. Data were from population-based household surveys conducted in 19 countries (n=52,095). Lifetime prevalence and age-of-onset of 16 DSM-IV mental disorders, and the occurrence and age-of-onset of back/neck pain were assessed using the Composite International Diagnostic Interview. Survival analyses estimated the associations between first onset of mental disorders and subsequent back/neck pain onset. All mental disorders were positively associated with back/neck pain in bivariate analyses; most (12/16) remained so after adjusting for psychiatric comorbidity, with a clear dose-response relationship between number of mental disorders and subsequent pain. Early-onset disorders were stronger predictors of pain; when adjusting for psychiatric comorbidity, this remained the case for depression/dysthymia. No gender differences were observed. In conclusion, individuals with mental disorder, beyond depression and anxiety, are at higher risk of developing subsequent back/neck pain, stressing the importance of early detection of mental disorders, and highlight the need of assessing back/neck pain in mental health clinical settings.PERSPECTIVE: Prior DSM-IV mental disorders are positively associated with subsequent back/neck pain onset, with a clear dose-response relationship between number of mental disorders and subsequent pain. Earlier-onset mental disorders are stronger predictors of subsequent pain onset, compared to lateronset disorders.

AB - Associations between depression/anxiety and pain are well established, but its directionality is not clear. We examined the associations between temporally prior mental disorders and subsequent self-reported chronic back/neck pain onset, and investigated the variation in the strength of associations by timing of events during the life course, and by gender. Data were from population-based household surveys conducted in 19 countries (n=52,095). Lifetime prevalence and age-of-onset of 16 DSM-IV mental disorders, and the occurrence and age-of-onset of back/neck pain were assessed using the Composite International Diagnostic Interview. Survival analyses estimated the associations between first onset of mental disorders and subsequent back/neck pain onset. All mental disorders were positively associated with back/neck pain in bivariate analyses; most (12/16) remained so after adjusting for psychiatric comorbidity, with a clear dose-response relationship between number of mental disorders and subsequent pain. Early-onset disorders were stronger predictors of pain; when adjusting for psychiatric comorbidity, this remained the case for depression/dysthymia. No gender differences were observed. In conclusion, individuals with mental disorder, beyond depression and anxiety, are at higher risk of developing subsequent back/neck pain, stressing the importance of early detection of mental disorders, and highlight the need of assessing back/neck pain in mental health clinical settings.PERSPECTIVE: Prior DSM-IV mental disorders are positively associated with subsequent back/neck pain onset, with a clear dose-response relationship between number of mental disorders and subsequent pain. Earlier-onset mental disorders are stronger predictors of subsequent pain onset, compared to lateronset disorders.

KW - Back or neck pain

KW - cross-national studies

KW - mental health

KW - mental-physical comorbidity

KW - psychiatric epidemiology

U2 - 10.1016/j.jpain.2017.08.011

DO - 10.1016/j.jpain.2017.08.011

M3 - Article

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JO - Journal Of Pain

JF - Journal Of Pain

SN - 1526-5900

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Viana MC, Lim CCW, Pereira FG, Aguilar-Gaxiola S, Alonso J, Bruffaerts R et al. Prior Mental Disorders and Subsequent Onset of Chronic Back or Neck Pain: Findings From 19 Countries. Journal Of Pain. 2018 Jan;19(1):99-110. https://doi.org/10.1016/j.jpain.2017.08.011