Pain conditions among veterans with schizophrenia or bipolar disorder
Abstract Objective The purpose of this study was to assess the rates of chronic, noncancer pain conditions in patients with schizophrenia or bipolar disorder within the Veterans Health Administration (VHA) System. Method This cross-sectional study used administrative data extracted from VHA treatmen...
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| Veröffentlicht in: | General hospital psychiatry 2013-09, Vol.35 (5), p.480-484 |
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| creator | Birgenheir, Denis G., Ph.D Ilgen, Mark A., Ph.D Bohnert, Amy S.B., Ph.D Abraham, Kristen M., Ph.D Bowersox, Nicholas W., Ph.D Austin, Karen, M.P.H Kilbourne, Amy M., Ph.D., M.P.H |
| description | Abstract Objective The purpose of this study was to assess the rates of chronic, noncancer pain conditions in patients with schizophrenia or bipolar disorder within the Veterans Health Administration (VHA) System. Method This cross-sectional study used administrative data extracted from VHA treatment records of all individuals receiving VHA services in fiscal year 2008 ( N = 5,195,551). The associations between severe psychiatric disorders (schizophrenia and bipolar disorder) and chronic pain (arthritis, back pain, chronic pain, migraine, headache, psychogenic and neuropathic) were evaluated using a series of logistic regression analyses. Results Veterans with schizophrenia [odds ratio (OR)=1.21] and bipolar disorder (OR=2.17) were significantly more likely to have chronic pain overall relative to veterans without these psychiatric conditions. These associations were slightly lower than for the association between depression and pain in this sample (OR=2.61). The highest associations between specific psychiatric diagnosis and pain condition were found with chronic pain, headache and psychogenic pain. Conclusions Noncancer pain conditions occur in elevated rates among patients with schizophrenia and bipolar disorder. Future research could further examine possible barriers to adequate pain treatment among people with serious mental illness, as well as the extent to which chronic pain might impact mental health recovery. |
| doi_str_mv | 10.1016/j.genhosppsych.2013.03.019 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1433271214</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S016383431300100X</els_id><sourcerecordid>1433271214</sourcerecordid><originalsourceid>FETCH-LOGICAL-c465t-99cd15750da4322ecfadb42065034ad8cf6986b423d45bf7a2c7060f9a5a15eb3</originalsourceid><addsrcrecordid>eNqNkVuL1DAUgIMo7uzoX5AiCL50PEmapvVBkHVXhQUFFXwLaXK6zdhJuklnZfz1psx4wSfhwCHhOxe-Q8hTChsKtH6x3dygH0KapnQww4YB5RvIQdt7ZEUbyUspaXWfrDLMy4ZX_Iycp7QFAMEEf0jOGK95SxuxIpcftfOFCd662QWfCr0L_qa4wxmjzs_vbh6KZAb3I0xDRO90EWLRuSmMOhbWpRAtxkfkQa_HhI9PeU2-XF1-vnhXXn94-_7i9XVpqlrMZdsaS4UUYHXFGUPTa9tVDGoBvNK2MX3dNnX-4bYSXS81MxJq6FstNBXY8TV5fuw7xXC7xzSrnUsGx1F7DPukaMU5k5TlvCYvj6iJIaWIvZqi2-l4UBTUolFt1d8a1aJRQQ7a5uInpzn7bof2d-kvbxl4dgJ0Mnrssyvj0h9OSt5yuWzx5shhtnLnMKpkHHqD1kU0s7LB_d8-r_5pY0bnXZ78DQ-YtmEfffauqEpMgfq0HH65O-UAFOAr_wko_q1B</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1433271214</pqid></control><display><type>article</type><title>Pain conditions among veterans with schizophrenia or bipolar disorder</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Birgenheir, Denis G., Ph.D ; Ilgen, Mark A., Ph.D ; Bohnert, Amy S.B., Ph.D ; Abraham, Kristen M., Ph.D ; Bowersox, Nicholas W., Ph.D ; Austin, Karen, M.P.H ; Kilbourne, Amy M., Ph.D., M.P.H</creator><creatorcontrib>Birgenheir, Denis G., Ph.D ; Ilgen, Mark A., Ph.D ; Bohnert, Amy S.B., Ph.D ; Abraham, Kristen M., Ph.D ; Bowersox, Nicholas W., Ph.D ; Austin, Karen, M.P.H ; Kilbourne, Amy M., Ph.D., M.P.H</creatorcontrib><description>Abstract Objective The purpose of this study was to assess the rates of chronic, noncancer pain conditions in patients with schizophrenia or bipolar disorder within the Veterans Health Administration (VHA) System. Method This cross-sectional study used administrative data extracted from VHA treatment records of all individuals receiving VHA services in fiscal year 2008 ( N = 5,195,551). The associations between severe psychiatric disorders (schizophrenia and bipolar disorder) and chronic pain (arthritis, back pain, chronic pain, migraine, headache, psychogenic and neuropathic) were evaluated using a series of logistic regression analyses. Results Veterans with schizophrenia [odds ratio (OR)=1.21] and bipolar disorder (OR=2.17) were significantly more likely to have chronic pain overall relative to veterans without these psychiatric conditions. These associations were slightly lower than for the association between depression and pain in this sample (OR=2.61). The highest associations between specific psychiatric diagnosis and pain condition were found with chronic pain, headache and psychogenic pain. Conclusions Noncancer pain conditions occur in elevated rates among patients with schizophrenia and bipolar disorder. Future research could further examine possible barriers to adequate pain treatment among people with serious mental illness, as well as the extent to which chronic pain might impact mental health recovery.</description><identifier>ISSN: 0163-8343</identifier><identifier>EISSN: 1873-7714</identifier><identifier>DOI: 10.1016/j.genhosppsych.2013.03.019</identifier><identifier>PMID: 23639185</identifier><identifier>CODEN: GHPSDB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Adult and adolescent clinical studies ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Bipolar ; Bipolar Disorder - complications ; Bipolar Disorder - epidemiology ; Bipolar disorders ; Chronic pain ; Chronic Pain - epidemiology ; Chronic Pain - etiology ; Cross-Sectional Studies ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Mood disorders ; Pain Measurement ; Prevalence ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Psychoses ; Schizophrenia ; Schizophrenia - complications ; Schizophrenia - epidemiology ; United States - epidemiology ; Veterans ; Veterans - psychology</subject><ispartof>General hospital psychiatry, 2013-09, Vol.35 (5), p.480-484</ispartof><rights>2013</rights><rights>2015 INIST-CNRS</rights><rights>Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c465t-99cd15750da4322ecfadb42065034ad8cf6986b423d45bf7a2c7060f9a5a15eb3</citedby><cites>FETCH-LOGICAL-c465t-99cd15750da4322ecfadb42065034ad8cf6986b423d45bf7a2c7060f9a5a15eb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.genhosppsych.2013.03.019$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27739374$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23639185$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Birgenheir, Denis G., Ph.D</creatorcontrib><creatorcontrib>Ilgen, Mark A., Ph.D</creatorcontrib><creatorcontrib>Bohnert, Amy S.B., Ph.D</creatorcontrib><creatorcontrib>Abraham, Kristen M., Ph.D</creatorcontrib><creatorcontrib>Bowersox, Nicholas W., Ph.D</creatorcontrib><creatorcontrib>Austin, Karen, M.P.H</creatorcontrib><creatorcontrib>Kilbourne, Amy M., Ph.D., M.P.H</creatorcontrib><title>Pain conditions among veterans with schizophrenia or bipolar disorder</title><title>General hospital psychiatry</title><addtitle>Gen Hosp Psychiatry</addtitle><description>Abstract Objective The purpose of this study was to assess the rates of chronic, noncancer pain conditions in patients with schizophrenia or bipolar disorder within the Veterans Health Administration (VHA) System. Method This cross-sectional study used administrative data extracted from VHA treatment records of all individuals receiving VHA services in fiscal year 2008 ( N = 5,195,551). The associations between severe psychiatric disorders (schizophrenia and bipolar disorder) and chronic pain (arthritis, back pain, chronic pain, migraine, headache, psychogenic and neuropathic) were evaluated using a series of logistic regression analyses. Results Veterans with schizophrenia [odds ratio (OR)=1.21] and bipolar disorder (OR=2.17) were significantly more likely to have chronic pain overall relative to veterans without these psychiatric conditions. These associations were slightly lower than for the association between depression and pain in this sample (OR=2.61). The highest associations between specific psychiatric diagnosis and pain condition were found with chronic pain, headache and psychogenic pain. Conclusions Noncancer pain conditions occur in elevated rates among patients with schizophrenia and bipolar disorder. Future research could further examine possible barriers to adequate pain treatment among people with serious mental illness, as well as the extent to which chronic pain might impact mental health recovery.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Bipolar</subject><subject>Bipolar Disorder - complications</subject><subject>Bipolar Disorder - epidemiology</subject><subject>Bipolar disorders</subject><subject>Chronic pain</subject><subject>Chronic Pain - epidemiology</subject><subject>Chronic Pain - etiology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Mood disorders</subject><subject>Pain Measurement</subject><subject>Prevalence</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Psychoses</subject><subject>Schizophrenia</subject><subject>Schizophrenia - complications</subject><subject>Schizophrenia - epidemiology</subject><subject>United States - epidemiology</subject><subject>Veterans</subject><subject>Veterans - psychology</subject><issn>0163-8343</issn><issn>1873-7714</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkVuL1DAUgIMo7uzoX5AiCL50PEmapvVBkHVXhQUFFXwLaXK6zdhJuklnZfz1psx4wSfhwCHhOxe-Q8hTChsKtH6x3dygH0KapnQww4YB5RvIQdt7ZEUbyUspaXWfrDLMy4ZX_Iycp7QFAMEEf0jOGK95SxuxIpcftfOFCd662QWfCr0L_qa4wxmjzs_vbh6KZAb3I0xDRO90EWLRuSmMOhbWpRAtxkfkQa_HhI9PeU2-XF1-vnhXXn94-_7i9XVpqlrMZdsaS4UUYHXFGUPTa9tVDGoBvNK2MX3dNnX-4bYSXS81MxJq6FstNBXY8TV5fuw7xXC7xzSrnUsGx1F7DPukaMU5k5TlvCYvj6iJIaWIvZqi2-l4UBTUolFt1d8a1aJRQQ7a5uInpzn7bof2d-kvbxl4dgJ0Mnrssyvj0h9OSt5yuWzx5shhtnLnMKpkHHqD1kU0s7LB_d8-r_5pY0bnXZ78DQ-YtmEfffauqEpMgfq0HH65O-UAFOAr_wko_q1B</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>Birgenheir, Denis G., Ph.D</creator><creator>Ilgen, Mark A., Ph.D</creator><creator>Bohnert, Amy S.B., Ph.D</creator><creator>Abraham, Kristen M., Ph.D</creator><creator>Bowersox, Nicholas W., Ph.D</creator><creator>Austin, Karen, M.P.H</creator><creator>Kilbourne, Amy M., Ph.D., M.P.H</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130901</creationdate><title>Pain conditions among veterans with schizophrenia or bipolar disorder</title><author>Birgenheir, Denis G., Ph.D ; Ilgen, Mark A., Ph.D ; Bohnert, Amy S.B., Ph.D ; Abraham, Kristen M., Ph.D ; Bowersox, Nicholas W., Ph.D ; Austin, Karen, M.P.H ; Kilbourne, Amy M., Ph.D., M.P.H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-99cd15750da4322ecfadb42065034ad8cf6986b423d45bf7a2c7060f9a5a15eb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Bipolar</topic><topic>Bipolar Disorder - complications</topic><topic>Bipolar Disorder - epidemiology</topic><topic>Bipolar disorders</topic><topic>Chronic pain</topic><topic>Chronic Pain - epidemiology</topic><topic>Chronic Pain - etiology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Mood disorders</topic><topic>Pain Measurement</topic><topic>Prevalence</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Psychoses</topic><topic>Schizophrenia</topic><topic>Schizophrenia - complications</topic><topic>Schizophrenia - epidemiology</topic><topic>United States - epidemiology</topic><topic>Veterans</topic><topic>Veterans - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Birgenheir, Denis G., Ph.D</creatorcontrib><creatorcontrib>Ilgen, Mark A., Ph.D</creatorcontrib><creatorcontrib>Bohnert, Amy S.B., Ph.D</creatorcontrib><creatorcontrib>Abraham, Kristen M., Ph.D</creatorcontrib><creatorcontrib>Bowersox, Nicholas W., Ph.D</creatorcontrib><creatorcontrib>Austin, Karen, M.P.H</creatorcontrib><creatorcontrib>Kilbourne, Amy M., Ph.D., M.P.H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>General hospital psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Birgenheir, Denis G., Ph.D</au><au>Ilgen, Mark A., Ph.D</au><au>Bohnert, Amy S.B., Ph.D</au><au>Abraham, Kristen M., Ph.D</au><au>Bowersox, Nicholas W., Ph.D</au><au>Austin, Karen, M.P.H</au><au>Kilbourne, Amy M., Ph.D., M.P.H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pain conditions among veterans with schizophrenia or bipolar disorder</atitle><jtitle>General hospital psychiatry</jtitle><addtitle>Gen Hosp Psychiatry</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>35</volume><issue>5</issue><spage>480</spage><epage>484</epage><pages>480-484</pages><issn>0163-8343</issn><eissn>1873-7714</eissn><coden>GHPSDB</coden><abstract>Abstract Objective The purpose of this study was to assess the rates of chronic, noncancer pain conditions in patients with schizophrenia or bipolar disorder within the Veterans Health Administration (VHA) System. Method This cross-sectional study used administrative data extracted from VHA treatment records of all individuals receiving VHA services in fiscal year 2008 ( N = 5,195,551). The associations between severe psychiatric disorders (schizophrenia and bipolar disorder) and chronic pain (arthritis, back pain, chronic pain, migraine, headache, psychogenic and neuropathic) were evaluated using a series of logistic regression analyses. Results Veterans with schizophrenia [odds ratio (OR)=1.21] and bipolar disorder (OR=2.17) were significantly more likely to have chronic pain overall relative to veterans without these psychiatric conditions. These associations were slightly lower than for the association between depression and pain in this sample (OR=2.61). The highest associations between specific psychiatric diagnosis and pain condition were found with chronic pain, headache and psychogenic pain. Conclusions Noncancer pain conditions occur in elevated rates among patients with schizophrenia and bipolar disorder. Future research could further examine possible barriers to adequate pain treatment among people with serious mental illness, as well as the extent to which chronic pain might impact mental health recovery.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>23639185</pmid><doi>10.1016/j.genhosppsych.2013.03.019</doi><tpages>5</tpages></addata></record> |
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| ispartof | General hospital psychiatry, 2013-09, Vol.35 (5), p.480-484 |
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| subjects | Adult Adult and adolescent clinical studies Aged Aged, 80 and over Biological and medical sciences Bipolar Bipolar Disorder - complications Bipolar Disorder - epidemiology Bipolar disorders Chronic pain Chronic Pain - epidemiology Chronic Pain - etiology Cross-Sectional Studies Female Humans Male Medical sciences Middle Aged Miscellaneous Mood disorders Pain Measurement Prevalence Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psychoses Schizophrenia Schizophrenia - complications Schizophrenia - epidemiology United States - epidemiology Veterans Veterans - psychology |
| title | Pain conditions among veterans with schizophrenia or bipolar disorder |
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