Chronic Pain and Modern-Type Depression

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  • A. Kato Takahiro
    Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyusyu University Multidisciplinary Pain Center, Kyushu University Hospital
  • Fujimoto Koji
    Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University
  • Hosoi Masako
    Multidisciplinary Pain Center, Kyushu University Hospital Department of Psychosomatic Medicine, Graduate School of Medical Sciences, Kyushu University Department of Psychosomatic Medicine, Kyushu University Hospital

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Other Title
  • 慢性疼痛と新型/現代型うつ
  • マンセイ トウツウ ト シンガタ/ゲンダイガタウツ

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Abstract

<p>Modern-Type Depression (MTD) is an emerging type of depression in Japan. Some unique psychological traits related to MTD are known ; however, no study has attempted to determine their relation with chronic pain. We introduced a recently published cross-sectional study to determine possible associations between these psychological traits and chronic pain in patients at psychiatric clinics (Fujimoto et al., Front Psychiatry, 2021). A total of 221 first-time patients who visited the psychiatric clinic at a Japanese university medical center or an associated clinic were enrolled. The Hamilton Depression Rating Scale was used to assess the depressive symptoms. The 22-item Tarumi’s Modern-Type Depression Trait Scale and 20-item Toronto Alexithymia Scale were used to assess the psychological traits related to depression and chronic pain. The clinical diagnosis of each patient was confirmed using Structured Clinical Interview for DSM-IV Axis I Disorders, administered by experienced specialists. The medians obtained for the psychological traits were compared between patients with or without chronic pain. Among the 221 patients, 139 had chronic pain. Patients with chronic pain had more severe depressive symptoms, alexithymia, and high scores for the complaints of TACS-22. Complaint trait for MTD was shown to be related to chronic pain in psychiatric settings. Further studies will allow us to design multidimensional approach for patients suffering from depression.</p>

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