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Prevalence and psychiatric correlates of pain interference among men and women in the general population.

Abstract：

OBJECTIVE:To examine gender differences in the associations of levels of pain interference and psychiatric disorders among a nationally representative sample of adult men and women. METHOD:Chi-square tests and multinomial logistic regression analyses were performed on data obtained from the National Epidemiologic Survey on Alcohol and Related Conditions from 42,750 adult respondents (48% men; 52% women), who were categorized according to three levels of pain interference (i.e., no or low pain interference [NPI], moderate pain interference [MPI], severe pain interference [SPI]). RESULTS:Female respondents in comparison to male respondents were more likely to exhibit moderate (p < 0.001) or severe pain interference (p < 0.001). Levels of pain interference were associated with past-year Axis I and lifetime Axis II psychiatric disorders in both male and female respondents (p < 0.05), with the largest odds typically observed in association with moderate or severe pain interference. A stronger relationship between MPI and alcohol abuse or dependence (OR = 1.61, p < 0.05) was observed in male participants as compared to female ones, while a stronger relationship between SPI and drug abuse or dependence (OR = 0.57, p < 0.05) was observed in female respondents as compared to male ones. CONCLUSIONS:Levels of pain interference are associated with the prevalence of Axis I and Axis II psychiatric disorders in both men and women. Differences in the patterns of co-occurring substance-related disorders between levels of pain interference in male and female respondents indicate the importance of considering gender-related factors associated with levels of pain interference in developing improved mental health prevention and treatment strategies.

journal_name

J Psychiatr Res

journal_title

Journal of psychiatric research

authors

Barry DT,Pilver C,Potenza MN,Desai RA

doi

10.1016/j.jpsychires.2011.09.004

subject

Has Abstract

pub_date

2012-01-01 00:00:00

pages

118-27

issue

1

eissn

0022-3956

issn

1879-1379

pii

S0022-3956(11)00190-7

journal_volume

46

pub_type

杂志文章

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