Pain and depression

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  • Pain is the most common physical complaint while depression is the second most debilitating chronic medical condition. The co-occurrence of pain and depression is well known but a detailed understanding of their phenomenology, interrelationship, and effective therapies remains speculative.

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  • Pain is the most common physical complaint while depression is the second most debilitating chronic medical condition. The co-occurrence of pain and depression is well known but a detailed understanding of their phenomenology, interrelationship, and effective therapies remains speculative. This book provides a synthetic

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  • Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí hóa học quốc tế đề tài : e differential mediating effects of pain and depression on the physical and mental dimension of quality of life in Hong Kong Chinese adults

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  • Psychiatric Disease CLBP may be encountered in patients who seek financial compensation; in malingerers; or in those with concurrent substance abuse, chronic anxiety states, or depression. Many patients with CLBP have a history of psychiatric illness (depression, anxiety, substance abuse) or childhood trauma (physical or sexual abuse) that antedates the onset of back pain. Preoperative psychological assessment has been used to exclude patients with marked psychological impairments that predict a poor surgical outcome. Unidentified The cause of low back pain occasionally remains unclear.

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  • But pain is perfect misery, the worst Of evils, and, excessive, overturns All patience. (John Milton, 1608-1674, Paradise Lost) tissue damage, or described in terms of such damage.1 It is mediated by specific nerve fibres to the brain where its conscious appreciation may be modified by various factors. The word 'unpleasant' comprises the whole range of disagreeable feelings from being merely inconvenienced to misery, anguish, anxiety, depression and desperation, to the ultimate cure of suicide.2,3 • Analgesic drug: a drug that relieves pain due to multiple causes, e.g.

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  • Antidepressant Medications The tricyclic antidepressants [amitriptyline, imipramine, nortriptyline, desipramine (TCAs; Table 12-1)] are extremely useful for the management of patients with chronic pain. Although developed for the treatment of depression, the tricyclics have a spectrum of dose-related biologic activities that include the production of analgesia in a variety of clinical conditions. Although the mechanism is unknown, the analgesic effect of TCAs has a more rapid onset and occurs at a lower dose than is typically required for the treatment of depression.

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  • ANORECTAL AND PELVIC FLOOR TESTS Pelvic floor dysfunction is suggested by the inability to evacuate the rectum, a feeling of persistent rectal fullness, rectal pain, the need to extract stool from the rectum digitally, application of pressure on the posterior wall of the vagina, support of the perineum during straining, and excessive straining. These significant symptoms should be contrasted with the sense of incomplete rectal evacuation, which is common in IBS.

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  • Definition and Criteria ≥ 6 months of pain Incomplete relief by medical measures Altered activities due to pain (e.g., missed work, homebound, depression, sexual dysfunction) Etiologies Leiomyoma Endometriosis Adhesions, adenomyosis Pelvic inflammatory disease (PID) Infections other than PID Neoplasia Workup 1. Detailed history (focusing on above etiologies): Temporal pattern Radiation Associated symptoms Past surgeries Last menstrual period (LMP) 2. Physical exam: Look for: Masses Cervical motion tenderness Gastrointestinal (GI) complaints Neurological testing 3.

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  • Comorbidity, which signifies the simul- taneous occurrence in a person of two or more disorders, is a topic of consid- erable and growing interest in the context of health care. Research sup- ports the view that a number of men- tal disorders (e.g. depression, anxiety, substance abuse) occur in people suf- fering from both non-communicable and communicable diseases more often than would be expected by chance. And people suffering from chronic physical conditions have a greater probability of developing mental disorders such as depression.

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  • Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học đề tài : Quality of life and pain in premenopausal women with major depressive disorder: The POWER Study

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  • Why can some athletes seemingly play through injuries but succumb to incredible pain immediately after the competition ends? The explanation is thought to be related to the intense motivational states that may interfere with the perception of pain. The effects of emotional states may also explain why individuals with clinical depression report more pain than their counterparts without depression, and why anxiety increases pain perception.

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  • Drugs that act upon the central nervous system (CNS) influence the lives of everyone, every day. These agents are invaluable therapeutically because they can produce specific physiological and psychological effects. Without general anesthetics, modern surgery would be impossible. Drugs that affect the CNS can selectively relieve pain, reduce fever, suppress disordered movement, induce sleep or arousal, reduce the desire to eat, or allay the tendency to vomit. Selectively acting drugs can be used to treat anxiety, mania, depression, or schizophrenia and do so without altering consciousness....

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  • When one thinks of illnesses and diseases that result from obesity, most people think of heart disease, high blood pressure, and diabetes. We refer to these as the big three. But the list is very long and includes: depression/social isolation, arthritis/back pain, pulmonary embolus (blood clots from the legs, thighs, to the lungs), gallbladder disease, sleep apnea, infertility in women, increased cancer risk in men and women, chronic lack of energy, etc. For over twenty years I have practiced medicine in New York City.

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