Erik Muñoz Rodriguez, Robinson Trujillo Cabanilla, Duvan Trujillo Cabanilla, Pablo Vargas Ardila
Introduction: Chronic pain and mental health disorders are common in the general population, the prevalence of chronic pain ranges from 2% to 40%, and the prevalence of mental health disorders ranges from 17% to 29%. Chronic pain is associated with irritability, depression, anxiety, and sleep problems such as insomnia. However, the appearance of both has been described as a consequence of the characteristics of this pathology.
Aims: Determine the sociodemographic characteristics and the association between pain syndromes and mood disorders in individuals treated in primary care.
Materials and methods: A prospective cohort study was performed in a primary care medical center where patients with painful symptoms like reasons for consultation were taken for four months, to who scales such as DN4, VAS, Beck's criteria, DSM- V, and determined the sociodemographic characteristics of these individuals.
Results: A total of 132 patients were recruited who met the inclusion criteria, of which 81.81% (108) were women, 18.18% were men (24), the mean age in years for both sexes was 37.9, the mean Duration in hours of each painful episode is 14.35 hours, in terms of proportion the appearance of the disorders that we determined to evaluate obtaining: insomnia in 0.303, anxiety 0.265, depression 0.090, which coursed with anxiety or depression at the time with a type disorder mixed 0.053, patients who did not develop any of the diseases of interest in this study 0.185.
Discussion: The coexistence and overlap of mood disorders and insomnia in patients suffering from pain syndromes, which have little or no importance when assessing patients in primary health care centers, are underdiagnosed. However, broadening the clinic history, and correctly using diagnostic tools for mood disorders increases their diagnosis rate, ignoring the positive relationship that exists between these disorders.
Conclusions: Pain disorders trigger neuropsychiatric complications, depression, anxiety, and insomnia worsen episodes of pain. However, the correct diagnostic approach and the application of adequate management greatly reduce the complications of these types of disorders.