Ethnic differences in the association between depression and chronic pain: cross sectional results from UK Biobank.
Background: Comorbid chronic pain and depression is a challenging dyad of conditions to manage in primary care and reporting has shown to vary by ethnic group. Whether the relationship between depression and chronic pain varies by ethnicity is unclear. This study aims to explore chronic pain and dep...
| Publicado en: | BMC Family Practice Vol. 16; no. 1; pp. 1 - 11 |
|---|---|
| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
10/7/2015
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110306179&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 110306179 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712296 1CHN jtl: BMC Family Practice issn: 14712296 maglogo: N pubinfo: dt: 10/7/2015 vid: 16 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 110306179 110306179 110306179 10.1186/s12875-015-0343-5 NLM26445480 PMC4596418 110306179 ppf: 1 ppct: 10 formats: tig: atl: Ethnic differences in the association between depression and chronic pain: cross sectional results from UK Biobank. aug: au: Nicholl, Barbara I. Smith, Daniel J. Cullen, Breda Mackay, Daniel Evans, Jonathan Anderson, Jana Lyall, Donald M. Fawns-Ritchie, Chloe McIntosh, Andrew M. Deary, Ian J. Pell, Jill P. Mair, Frances S. affil: Institute of Health & Wellbeing, University of Glasgow, Glasgow, UK sug: subj: Chronic Pain Complications Depression Risk Factors Ethnic Groups United Kingdom United Kingdom Human Funding Source Cross Sectional Studies Comorbidity White Persons Asians Black Persons Logistic Regression Odds Ratio Relative Risk Confidence Intervals Chronic Pain Physiopathology Depression Physiopathology Models, Statistical Male Female Data Analysis Software Middle Age Aged Descriptive Statistics Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Comorbid chronic pain and depression is a challenging dyad of conditions to manage in primary care and reporting has shown to vary by ethnic group. Whether the relationship between depression and chronic pain varies by ethnicity is unclear. This study aims to explore chronic pain and depression reporting across ethnic groups and examine whether this association differs, independently of potential confounding factors. Methods: Cross-sectional study of UK Biobank participants with complete data on chronic pain and probable lifetime history of depression, who reported their ethnic group as White, Asian/Asian British or Black/Black British. Chronic pain classification: present if participants had ≥ 1 site of body pain (up to seven sites or "pain all over the body" could be selected) that lasted ≥ 3 months; extent of chronic pain categories: 0, 1, 2-3, 4-7 sites or pain all over the body. Probable depression classification: an algorithm of low mood, anhedonia and help-seeking behaviour. Relationship between depression and presence/extent of chronic pain assessed using logistic/ multinomial regression models (odds ratio (OR); relative risk ratio (RRR), 95 % confidence intervals), adjusted for sociodemographic, lifestyle, and morbidity factors; and a final adjustment for current depressive symptoms. Results: The number of participants eligible for inclusion was 144,139: 35,703 (94 %) White, 4539 (3 %) Asian, and 3897 (3 %) Black. Chronic pain was less (40.5 %, 45.8 %, 45.0 %, respectively) and depression more (22.1 %, 12.9 %, 13.8 %, respectively) commonly reported in White participants than Asian and Black participants. Statistically significant associations between depression and presence/extent of chronic pain persisted following adjustment for potential confounding variables; this relationship was strongest for Black participants (presence of chronic pain: OR 1.86 (1.52, 2.27); RRR 1 site 1.49 (1.16, 1.91), 2-3 sites 1.98 (1.53, 2.56), 4-7 sites 3.23 (2.09, 4.99), pain all over the body 3.31 (2.05, 5.33). When current depressive symptoms were considered these relationships were attenuated. Conclusions: Chronic pain and depression reporting varies across ethnic groups. Differences in health seeking behaviour between ethnic groups may impact on the results reported. Clinicians, particularly in primary care, need to be aware of the cultural barriers within certain ethic groups to expressing concern over mood and to consider their approach accordingly. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|