Comparing the co morbidity of psychological disorder among women and men with chronic musculoskeletal pain


Sahar Rafiee 1 , * , Aliakbar Foroughi 1 , Cirous Momenzadeh 2

1 Master of Clinical Psychology, Allame Tabatabaee University, Tehran, Iran.

2 Associate Professor Department of Anesthesia, Shahid Beheshti University, Tehran, Iran.

How to Cite: Rafiee S, Foroughi A, Momenzadeh C. Comparing the co morbidity of psychological disorder among women and men with chronic musculoskeletal pain, Hormozgan Med J. 2012 ; 15(4):e88503.


Hormozgan Medical Journal: 15 (4); e88503
Published Online: April 11, 2011
Article Type: Research Article
Received: October 23, 2010
Accepted: April 11, 2011


Introduction: Chronic pain is one of the most common reasons for referring to elderly
medical centers. About 20 -25 percent of patients with chronic pain experience significant
psychological symptoms. The current study was designed to evaluate the prevalence of
depression, anxiety in patients with chronic musculoskeletal pain referred to pain clinic of
Imam Hossein hospital.
Methods: In this cross-sectional study, 158 patients referred to pain clinical of the hospital
were randomly selected. Outcomes were assessed via Beck Depression Inventory (BDI),
Beck anxiety Inventory (BAI) and Pain Catastrophizing Scale (PCS). The collected data
were analyzed by using t-test and Pearson correlation coefficient.
Results: The findings showed that the prevalence of depression, anxiety and pain
catastrophizing was 27.2%, 68.9% and 84%. There was a significant difference between men
and women in depression, and in pain catastrophizing. Moreover, there was significant
difference in anxiety between men and women with chronic musculoskeletal pain. Result
showed a significant relationship (r=0.73) between depression and pain catastrophizing in
Conclusion: According to our results, it seems that, psychological therapy along with
medicine therapy is more effective to reduce depression, anxiety and to manage the pain.
We recommend that more studies should be done in order to consider the sex difference in
psychological and mental disorders to reveal the necessary of multidisciplinary approach in
diagnosis and treatment of the chronic pain.



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