DSM–IV pain disorder in the general population
European Archives of Psychiatry and Clinical NeurosciencePublished 16 November 2005Open access
Ch. Fröhlich, Frank Jacobi, Hans‐Ulrich Wïttchen
Citations97
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TL;DR
Even when stringent diagnostic criteria are used, pain disorder ranks among the most prevalent conditions in the community and results in a substantial total burden, exceeding that of depression and anxiety.
Abstract
Even when stringent diagnostic criteria are used, pain disorder ranks among the most prevalent conditions in the community. The joint effects of high prevalence in all age groups, substantial disability, and increased health services utilization result in a substantial total burden, exceeding that of depression and anxiety.
Keywords
Medicine
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JAMAPersistent Pain and Well-being
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Canadian Journal of StatisticsNegative binomial and mixed Poisson regression
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The Journal of Nervous and Mental DiseaseChronic Pain as a Variant of Depressive Disease The Pain-Prone Disorder
607 Citations1982Dietrich Blumer, Mary Heilbronn
The authors' studies of patients with chronic pain have led to the identification of a well defined psychobiological disorder with characteristic clinical, psychodynamic, biographic, and genetic features, termed the pain-prone disorder, which proves a distinct entity when compared with a group of patients whose pain can be related to a welldefined somatic disease.
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The findings are based upon the recollection of individuals with respect to the period of 12 months prior to interview and upon the occurrence of depression in the previous week as indicated by the answers to the Depression Scale of the Centre for Epidemiologic Studies (CES‐D).
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It is concluded that the M‐CIDI, in clinical cases, provides valid diagnoses for almost all non‐psychotic disorders and is sensitive for all disorders but might have reduced specificity and predictive value in some anxiety and somatoform disorders.
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Findings obtained in community sample of adolescents and young adults indicate that the substance section of the Munich-Composite International Diagnostic Interview (M-CIDI) substance disorder section is acceptable for almost all types of respondents, efficient in terms of time and ease of administration as well as reliable in Terms of consistency of findings over time.
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CDH is thus a relatively prevalent condition in the general French population, associated with an important burden of suffering and with considerable expenditure in the health service.
Journal of Psychiatric ResearchDiagnosing major depression in the elderly: Evidence for response bias in standardized diagnostic interviews?
186 Citations1994Bärbel Knaüper, Hans‐Ulrich Wïttchen
The degree to which the lower prevalence estimates of depression in the elderly are biased due to specific characteristics of the assessment strategy is examined, indicating that the complexity of the formalized questions exceeds the cognitive capacity of the elderly.
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