Depression Management Is A Key To Chronic Pain
Studies indicate pain and depression are highly interrelated and may reduced physical, mental, and social functioning, which could lead to poor treatment outcomes and longer duration of symptoms. The biochemical basis focuses on serotonergic and norepinephrine systems.
MRI studies have led to the understanding that chronic pain patients display brain structure and function alterations. Identified altered brain regions are involved in pain processing, but also in other sensory and particularly cognitive tasks.  Chronic pain, as a stress state, is one of the critical factors for determining depression, and their coexistence tends to further aggravate the severity of both disorders.
This questionnaire is designed to give you a status and direction. It is often used by health professionals to consider referrals, modify treatment plans and monitor progression. Answer the 9 questions based on the last 2 weeks.
Chronic pain is a major public health problem, with studies reporting that in Europe and the USA, about one fifth of the general population are affected. As one of the most common and disabling mental disorders, depression has been reported to be the third leading contributor to the global disease burden. They can mutually promote their own severity progress and affect outcomes.
This is often an impediment to progress in treating pain conditions. The more it becomes chronic, the greater the chance of it affecting psychological factors and can become engrained as in central sensitization. Depression is often involved in back pain, neck pain, especially in managing whiplash, tinnitus, tmj jaw problems, headaches and many other condition.
1. Harvard Review of Psychiatry. Nov/Dec 2018;26(6):352-363
2. European Journal of Pain. 2017 May;21(5):769-786
3. Neural Plasticity. Epub 2017 Jun 19
4. The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine. 2001 Sep;16(9):606-13