n African Journal of Psychiatry - Treating pain in depression is associated with higher rates of remission : product news




Painful physical symptoms are present in up to three out of every four patients with major depressive disorder (MDD). These symptoms include headaches, stomach pain, neck and back pain, diffuse musculoskeletal pain and vague poorly localised pains. They are important for a number of reasons. Firstly, they confound the diagnosis of MDD. A recent multinational survey reported that 69% of patients who were diagnosed with depression in primary care facilities presented with pain as their only complaint. Secondly, where these symptoms are not adequately addressed during treatment for MDD, residual painful symptoms have been shown to be predictive of a poor outcome in the long-term. Conversely, Fava has shown that addressing these painful symptoms during treatment for depression results in higher remission rates.


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