Co-occurrence of chronic pain and anxiety/depression symptoms in U.S. adults: prevalence, functional impacts, and opportunities.


Journal

Pain
ISSN: 1872-6623
Titre abrégé: Pain
Pays: United States
ID NLM: 7508686

Informations de publication

Date de publication:
21 Sep 2023
Historique:
received: 07 03 2023
accepted: 09 08 2023
medline: 21 9 2023
pubmed: 21 9 2023
entrez: 21 9 2023
Statut: aheadofprint

Résumé

Co-occurrence of chronic pain and clinically significant symptoms of anxiety and/or depression is regularly noted in the literature. Yet, little is known empirically about population prevalence of co-occurring symptoms, nor whether people with co-occurring symptoms constitute a distinct subpopulation within US adults living with chronic pain or US adults living with anxiety and/or depression symptoms (A/D). To address this gap, this study analyzes data from the 2019 National Health Interview Survey, a representative annual survey of self-reported health status and treatment use in the United States (n = 31,997). Approximately 12 million US adults, or 4.9% of the adult population, have co-occurring chronic pain and A/D symptoms. Unremitted A/D symptoms co-occurred in 23.9% of US adults with chronic pain, compared with an A/D prevalence of 4.9% among those without chronic pain. Conversely, chronic pain co-occurred in the majority (55.6%) of US adults with unremitted A/D symptoms, compared with a chronic pain prevalence of 17.1% among those without A/D symptoms. The likelihood of experiencing functional limitations in daily life was highest among those experiencing co-occurring symptoms, compared with those experiencing chronic pain alone or A/D symptoms alone. Among those with co-occurring symptoms, 69.4% reported that work was limited due to a health problem, 43.7% reported difficulty doing errands alone, and 55.7% reported difficulty participating in social activities. These data point to the need for targeted investment in improving functional outcomes for the nearly 1 in 20 US adults living with co-occurring chronic pain and clinically significant A/D symptoms.

Identifiants

pubmed: 37733475
doi: 10.1097/j.pain.0000000000003056
pii: 00006396-990000000-00409
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Comprehensive Pain and Addiction Center, University of Arizona Health Sciences

Informations de copyright

Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Association for the Study of Pain.

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Auteurs

Jennifer S De La Rosa (JS)

Comprehensive Pain and Addiction Center, University of Arizona Health Sciences, Tucson, AZ, United States.

Benjamin R Brady (BR)

Comprehensive Pain and Addiction Center, University of Arizona Health Sciences, Tucson, AZ, United States.
Arizona Center for Rural Health, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United States.
School of Interdisciplinary Health Programs, College of Health and Human Services, Western Michigan University, Kalamazoo, MI, United States.

Mohab M Ibrahim (MM)

Comprehensive Pain and Addiction Center, University of Arizona Health Sciences, Tucson, AZ, United States.
Department of Anesthesiology, College of Medicine, University of Arizona, Tucson, AZ, United States.

Katherine E Herder (KE)

Comprehensive Pain and Addiction Center, University of Arizona Health Sciences, Tucson, AZ, United States.
Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ, United States.

Jessica S Wallace (JS)

Comprehensive Pain and Addiction Center, University of Arizona Health Sciences, Tucson, AZ, United States.
Departments of Family and Community Medicine and.

Alyssa R Padilla (AR)

Comprehensive Pain and Addiction Center, University of Arizona Health Sciences, Tucson, AZ, United States.

Todd W Vanderah (TW)

Comprehensive Pain and Addiction Center, University of Arizona Health Sciences, Tucson, AZ, United States.
Pharmacology, College of Medicine, University of Arizona, Tucson, AZ, United States.

Classifications MeSH