Skip to main content Accessibility help
×
×
Home

Painful symptoms in depression: Under-recognised and under-treated?

  • Robert Peveler (a1), Cornelius Katona (a2), Simon Wessely (a3) and Christopher Dowrick (a4)
Summary

Current diagnostic systems maintain an artificial division between ‘physical’ and ‘psychological’ disorders. This is exemplified by the way in which pain symptoms are dealt with in the context of depressive illness. The consequences of this are discussed, and ways to enhance the clinical care of patients with depression and pain are suggested.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Painful symptoms in depression: Under-recognised and under-treated?
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Painful symptoms in depression: Under-recognised and under-treated?
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Painful symptoms in depression: Under-recognised and under-treated?
      Available formats
      ×
Copyright
Corresponding author
Professor Robert Peveler, Mental Health Group, University of Southampton, Royal South Hants Hospital, Southampton SO14 0YG, UK. Tel: +44 (0) 2380 825533; fax: +44 (0) 2380 234243; e-mail: R.C.Peveler@soton.ac.uk
Footnotes
Hide All

Declaration of interest

All of the authors were involved in the development of a review on depression and pain which was funded by Eli Lilly and Boehringer Ingelheim. However, the supporting companies were not represented at meetings and played no part in selecting the participants or preparing the report or this editorial. R. P. and C. K. have received speaker fees, hospitality or consultancy fees from Eli Lilly, Wyeth, Lundbeck, Novo Nordisk and Bristol Myers Squibb. SW has received support for conference attendance from Eli Lilly.

Footnotes
References
Hide All
American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders (4th edn) (DSM-IV). Washington, DC: APA.
Bair, M. J., Robinson, R. L., Eckert, G. J., et al (2004) Impact of pain on depression treatment response in primary care. Psychosomatic Medicine, 66, 1722.
Blier, P. & Abbott, F. V. (2001) Putative mechanisms of action of antidepressant drugs in affective and anxiety disorders and pain. Journal of Psychiatry and Neuroscience, 26, 3743.
Feinmann, C. & Newton-John, T. (2004) Psychiatric and related management considerations associated with nerve damage and neuropathic trigeminal pain. Journal of Orofacial Pain, 18, 360365.
Fishbain, D. A. (1999) The association of chronic pain and suicide. Seminars in Clinical Neuropsychiatry, 4, 221227.
Gilmer, W. & McKinney, W. T. (2003) Early experience and depressive disorders: human and non-human primate studies. Journal of Affective Disorders, 75, 97113.
Greenberg, P. E., Leong, S. A., Birnbaum, H. G., et al (2003) The economic burden of depression with painful symptoms. Journal of Clinical Psychiatry, 64, 1723.
Katona, C., Peveler, R., Dowrick, C., et al (2005) Pain symptoms in depression: definition and clinical significance. Clinical Medicine, 5, 390395.
Royal College of Physicians & Royal College of Psychiatrists (2003) The Psychological Care of Medical Patients. A Practical Guide. London: Royal College of Physicians/Royal College of Psychiatrists. http://www.rcpsych.ac.uk/publications/cr/council/cr108.pdf
Von Knorring, L. & Ekselius, L. (1994) Idiopathic pain and depression. Quality of Life Research, 3, S57S68.
Von Knorring, L., Perris, C., Oreland, L., et al (1984) Pain as a symptom in depressive disorders and its relationship to platelet monoamine oxidase activity. Journal of Neural Transmission, 60, 19.
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: WHO.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

Painful symptoms in depression: Under-recognised and under-treated?

  • Robert Peveler (a1), Cornelius Katona (a2), Simon Wessely (a3) and Christopher Dowrick (a4)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *