Panic disorder and pain in a national sample of persons living with HIV
Research to date has focused on depression and co-existing pain in HIV with relatively little attention devoted to the study of anxiety disorders and concurrent pain. We therefore examined the relationships among panic disorder, posttraumatic stress disorder (PTSD), major depression and pain in a US...
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| Veröffentlicht in: | Pain (Amsterdam) 2004-05, Vol.109 (1), p.172-180 |
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| creator | Tsao, Jennie C.I Dobalian, Aram Naliboff, Bruce D |
| description | Research to date has focused on depression and co-existing pain in HIV with relatively little attention devoted to the study of anxiety disorders and concurrent pain. We therefore examined the relationships among panic disorder, posttraumatic stress disorder (PTSD), major depression and pain in a US national sample of persons with HIV, controlling for key sociodemographic and clinical variables, including HIV disease status. The study sample comprised 1489 HIV+ individuals (representing 219 667 persons). In multivariate analyses, panic disorder showed a strong association with pain (
β=−15.70; 99% confidence interval [CI]=−21.33 to −10.08;
P |
| doi_str_mv | 10.1016/j.pain.2004.02.001 |
| format | Article |
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β=−15.70; 99% confidence interval [CI]=−21.33 to −10.08;
P<0.001), which was significantly greater than PTSD (
P=0.002) but only marginally greater than major depression (
P=0.02). Longitudinal analyses of the three psychological disorders revealed that increasing pain from baseline to follow-up (an approximately 6-month period) was associated with panic disorder only (relative risk ratio=2.18, 99% CI=1.02–4.69;
P<0.01), after controlling for baseline pain scores, baseline HIV disease status and change in disease stage across time. We discuss specific mechanisms by which clinical anxiety and chronic pain may be mutually maintained in HIV+ individuals. Our findings suggest that panic disorder, as well as PTSD and major depression are associated with greater pain in HIV patients.</description><identifier>ISSN: 0304-3959</identifier><identifier>EISSN: 1872-6623</identifier><identifier>DOI: 10.1016/j.pain.2004.02.001</identifier><identifier>PMID: 15082139</identifier><identifier>CODEN: PAINDB</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>Adolescent ; Adult ; Aged ; Anxiety ; Biological and medical sciences ; Comorbidity ; Confidence Intervals ; Demography ; Depression ; Female ; Follow-Up Studies ; Fundamental and applied biological sciences. Psychology ; HIV ; HIV Infections - complications ; HIV Infections - epidemiology ; HIV Infections - psychology ; Human immunodeficiency virus ; Humans ; Illness and personality ; Illness, stress and coping ; Linear Models ; Male ; Middle Aged ; Pain ; Pain - complications ; Pain - epidemiology ; Pain - psychology ; Panic disorder ; Panic Disorder - complications ; Panic Disorder - epidemiology ; Panic Disorder - psychology ; Posttraumatic stress disorder ; Prevalence ; Psychology and medicine ; Psychology. Psychoanalysis. Psychiatry ; Psychology. Psychophysiology ; Stress Disorders, Post-Traumatic - complications</subject><ispartof>Pain (Amsterdam), 2004-05, Vol.109 (1), p.172-180</ispartof><rights>2004 International Association for the Study of Pain</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c444t-50d033addec301f99cc6284d98301b3ce661b7abf5523b3c177db8bd0b7615a73</citedby><cites>FETCH-LOGICAL-c444t-50d033addec301f99cc6284d98301b3ce661b7abf5523b3c177db8bd0b7615a73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27907,27908</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15644035$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15082139$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tsao, Jennie C.I</creatorcontrib><creatorcontrib>Dobalian, Aram</creatorcontrib><creatorcontrib>Naliboff, Bruce D</creatorcontrib><title>Panic disorder and pain in a national sample of persons living with HIV</title><title>Pain (Amsterdam)</title><addtitle>Pain</addtitle><description>Research to date has focused on depression and co-existing pain in HIV with relatively little attention devoted to the study of anxiety disorders and concurrent pain. We therefore examined the relationships among panic disorder, posttraumatic stress disorder (PTSD), major depression and pain in a US national sample of persons with HIV, controlling for key sociodemographic and clinical variables, including HIV disease status. The study sample comprised 1489 HIV+ individuals (representing 219 667 persons). In multivariate analyses, panic disorder showed a strong association with pain (
β=−15.70; 99% confidence interval [CI]=−21.33 to −10.08;
P<0.001), which was significantly greater than PTSD (
P=0.002) but only marginally greater than major depression (
P=0.02). Longitudinal analyses of the three psychological disorders revealed that increasing pain from baseline to follow-up (an approximately 6-month period) was associated with panic disorder only (relative risk ratio=2.18, 99% CI=1.02–4.69;
P<0.01), after controlling for baseline pain scores, baseline HIV disease status and change in disease stage across time. We discuss specific mechanisms by which clinical anxiety and chronic pain may be mutually maintained in HIV+ individuals. Our findings suggest that panic disorder, as well as PTSD and major depression are associated with greater pain in HIV patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Anxiety</subject><subject>Biological and medical sciences</subject><subject>Comorbidity</subject><subject>Confidence Intervals</subject><subject>Demography</subject><subject>Depression</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>HIV</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - epidemiology</subject><subject>HIV Infections - psychology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Illness and personality</subject><subject>Illness, stress and coping</subject><subject>Linear Models</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Pain - complications</subject><subject>Pain - epidemiology</subject><subject>Pain - psychology</subject><subject>Panic disorder</subject><subject>Panic Disorder - complications</subject><subject>Panic Disorder - epidemiology</subject><subject>Panic Disorder - psychology</subject><subject>Posttraumatic stress disorder</subject><subject>Prevalence</subject><subject>Psychology and medicine</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Stress Disorders, Post-Traumatic - complications</subject><issn>0304-3959</issn><issn>1872-6623</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE1LxDAQQIMoun78AQ-Si95aJ0mbtOBFFnWFBT2o15AmqWbppjXpKv57W7qgJ4WBMPDyGB5CpwRSAoRfrtJOOZ9SgCwFmgKQHTQjhaAJ55TtohkwyBJW5uUBOoxxBQCU0nIfHZAcCkpYOUN3j8o7jY2LbTA2YOUNHq14GIW96l3rVYOjWneNxW2NOxti6yNu3Ifzr_jT9W94cf9yjPZq1UR7sn2P0PPtzdN8kSwf7u7n18tEZ1nWJzkYYEwZYzUDUpel1pwWmSmLYa2YtpyTSqiqznPKhp0IYaqiMlAJTnIl2BG6mLxdaN83NvZy7aK2TaO8bTdRCjKYhhL_gkSUXBA6gnQCdWhjDLaWXXBrFb4kATl2lis5FpFjZwlUTvazrX1Tra35-bINOwDnW0BFrZo6KK9d_MXxLAOWD9zVxNkh2oezQUbtrNfWuGB1L03r_rrjG-pmmeI</recordid><startdate>20040501</startdate><enddate>20040501</enddate><creator>Tsao, Jennie C.I</creator><creator>Dobalian, Aram</creator><creator>Naliboff, Bruce D</creator><general>Elsevier B.V</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>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20040501</creationdate><title>Panic disorder and pain in a national sample of persons living with HIV</title><author>Tsao, Jennie C.I ; Dobalian, Aram ; Naliboff, Bruce D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c444t-50d033addec301f99cc6284d98301b3ce661b7abf5523b3c177db8bd0b7615a73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Anxiety</topic><topic>Biological and medical sciences</topic><topic>Comorbidity</topic><topic>Confidence Intervals</topic><topic>Demography</topic><topic>Depression</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>HIV</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - epidemiology</topic><topic>HIV Infections - psychology</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Illness and personality</topic><topic>Illness, stress and coping</topic><topic>Linear Models</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Pain - complications</topic><topic>Pain - epidemiology</topic><topic>Pain - psychology</topic><topic>Panic disorder</topic><topic>Panic Disorder - complications</topic><topic>Panic Disorder - epidemiology</topic><topic>Panic Disorder - psychology</topic><topic>Posttraumatic stress disorder</topic><topic>Prevalence</topic><topic>Psychology and medicine</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Stress Disorders, Post-Traumatic - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsao, Jennie C.I</creatorcontrib><creatorcontrib>Dobalian, Aram</creatorcontrib><creatorcontrib>Naliboff, Bruce D</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>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Pain (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsao, Jennie C.I</au><au>Dobalian, Aram</au><au>Naliboff, Bruce D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Panic disorder and pain in a national sample of persons living with HIV</atitle><jtitle>Pain (Amsterdam)</jtitle><addtitle>Pain</addtitle><date>2004-05-01</date><risdate>2004</risdate><volume>109</volume><issue>1</issue><spage>172</spage><epage>180</epage><pages>172-180</pages><issn>0304-3959</issn><eissn>1872-6623</eissn><coden>PAINDB</coden><abstract>Research to date has focused on depression and co-existing pain in HIV with relatively little attention devoted to the study of anxiety disorders and concurrent pain. We therefore examined the relationships among panic disorder, posttraumatic stress disorder (PTSD), major depression and pain in a US national sample of persons with HIV, controlling for key sociodemographic and clinical variables, including HIV disease status. The study sample comprised 1489 HIV+ individuals (representing 219 667 persons). In multivariate analyses, panic disorder showed a strong association with pain (
β=−15.70; 99% confidence interval [CI]=−21.33 to −10.08;
P<0.001), which was significantly greater than PTSD (
P=0.002) but only marginally greater than major depression (
P=0.02). Longitudinal analyses of the three psychological disorders revealed that increasing pain from baseline to follow-up (an approximately 6-month period) was associated with panic disorder only (relative risk ratio=2.18, 99% CI=1.02–4.69;
P<0.01), after controlling for baseline pain scores, baseline HIV disease status and change in disease stage across time. We discuss specific mechanisms by which clinical anxiety and chronic pain may be mutually maintained in HIV+ individuals. Our findings suggest that panic disorder, as well as PTSD and major depression are associated with greater pain in HIV patients.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>15082139</pmid><doi>10.1016/j.pain.2004.02.001</doi><tpages>9</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Anxiety Biological and medical sciences Comorbidity Confidence Intervals Demography Depression Female Follow-Up Studies Fundamental and applied biological sciences. Psychology HIV HIV Infections - complications HIV Infections - epidemiology HIV Infections - psychology Human immunodeficiency virus Humans Illness and personality Illness, stress and coping Linear Models Male Middle Aged Pain Pain - complications Pain - epidemiology Pain - psychology Panic disorder Panic Disorder - complications Panic Disorder - epidemiology Panic Disorder - psychology Posttraumatic stress disorder Prevalence Psychology and medicine Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Stress Disorders, Post-Traumatic - complications |
| title | Panic disorder and pain in a national sample of persons living with HIV |
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