Your Article Summary
See Latest ArticlesThe interface of pain and mood disturbances in the rheumatic diseases
Seminars in Arthritis and Rheumatism, 06/23/09
Goldenberg DL et al. – This review provides a basis for understanding the importance of the pain/depression interface in the rheumatic illnesses. Clinical and pathophysiologic studies in fibromyalgia (FM) demonstrate the striking overlap of pain and depression.
Methods- Aim was to review:
- Overlap of pain and depression in the rheumatic diseases, focusing on FM and RA, and
- To provide treatment recommendations based on an understanding of this interface
- A literature search was performed through PubMed and Medline, for the yrs 1978 to 2008
- Keywords used: depression, mood disorders, pain, arthritis, fibromyalgia, rheumatoid arthritis, osteoarthritis, systemic lupus erythematosus, scleroderma, antidepressants, exercise, and cognitive behavioral therapy
- Review focuses on the pain/depression interface in common rheumatic disorders; treatment principles are outlined as:
- Pain and depression are inseparable, bidirectional
- Explain to patients the shared neurobiology of pain and depression
- Always evaluate and treat sleep disturbances
- “Bundle” the treatment of mood disturbances with physical symptoms carefully
- Use diagnostic labels cautiously; avoid causation
- Avoid inactivity, fear-avoidance
- Neural pain dysregulation is prominent in all rheumatic diseases (FM model)
- General therapeutic recommendations can be made based on these overlapping models of the interface of pain and depression
Related Articles
Mechanisms By Which Sleep Disturbance Contributes to Osteoarthritis Pain: A Conceptual Model
Current Pain and Headache Reports, 11/06/09
Relevance Score: 81%
Review: limited evidence that psychological therapies are of benefit for adults with chronic pain
Evidence-Based Mental Health, 10/28/09
Relevance Score: 71%
Increased sensitivity to heat pain after sad mood induction in female patients with major depression
European Journal of Pain, 10/21/09
Relevance Score: 71%
Prevalence of and factors associated with persistent pain following breast cancer surgery
JAMA, 11/11/09
Relevance Score: 69%
Do illness perceptions predict pain-related disability and mood in chronic orofacial pain patients? A 6-month follow-up study
European Journal of Pain, 11/02/09
Relevance Score: 69%
Today in Rheumatoid Arthritis...keeping you current
Receive free subspecialty "5-minute updates" via email
Bioboosters in the treatment of rheumatic diseases: a comprehensive review of currently available biologics in patients with rheumatoid arthritis, ankylosing spondylitis and psoriatic arthritis
Open Access Rheumatology: Research and Reviews, 12/10/09
Radiographic Measures to Assess Patients with Rheumatoid Arthritis: Advantages and Limitations
Rheumatic Disease Clinics of North America, 12/10/09
A Biopsychosocial Model to Complement a Biomedical Model: Patient Questionnaire Data and Socioeconomic Status Usually Are More Significant than Laboratory Tests and Imaging Studies in Prognosis of Rheumatoid Arthritis
Rheumatic Disease Clinics of North America, 12/10/09