naa a22 4500 510785875 CHVBK 20180411083302.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12603-013-0012-0 doi (NATIONALLICENCE)springer-10.1007/s12603-013-0012-0 Unexplained pain complaints and depression in older people in primary care [Elektronische Daten] [L. Aguera-Ortiz, Inmaculada Failde, J. Cervilla, J. Mico] Objective: Chronic pain and depression are frequent conditions in primary care patients. Depression is frequently overlooked in the presence of pain of uncertain origin. The aim is to measure the prevalence and clinical correlates of unrecognized comorbid mood disorders and chronic pain of uncertain origin in older primary care patients, and to elucidate the differences with younger adults with the same conditions. Design: Cross-sectional study. Setting: Primary care centres in Spain. Participants: Patients (n= 2720) with persistent pain of uncertain origin. Measurements: Pain characteristics, sites and intensity (Visual Analogical Scales), depression (PRIME-MD interview), clinical characteristics and health services use. Results: We observed a similarly high (80.5%) prevalence of undiagnosed mood disorders (especially major depressive disorders) among older and younger adult patients with comorbid chronic pain complaints of uncertain origin. Older patients suffered pain that was more intense, longer lasting and located in a higher number of different areas, when compared to younger patients. Pain intensity was a factor associated with suffering from mood disorders among patients above 65 years, whilst the number of pain sites was a more important factor among younger patients. Conclusions: Depression is highly associated with pain of uncertain origin in older patients with differences in pain characteristics when compared to younger patients. The robust comorbid relationship between both conditions should alert clinicians to specifically look for depression in the presence of poorly explained painful symptoms. Serdi and Springer-Verlag France, 2013 Chronic pain nationallicence mood disorders nationallicence hidden depression nationallicence older people nationallicence primary care nationallicence Aguera-Ortiz L. Psychiatry Department, University Hospital 12 de Octubre. Complutense University. Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain aut Failde Inmaculada Preventive Medicine and Public Health Department, University of Cádiz, Cádiz, Spain aut Cervilla J. Department of Psychiatry, University of Granada. Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM and Hospital Universitario San Cecilio, Granada, Spain aut Mico J. Department of Neuroscience, Pharmacology and Psychiatry, School of Medicine, University of Cádiz. Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Cádiz, Spain aut The journal of nutrition, health & aging Springer Paris 17/6(2013-06-01), 574-577 1279-7707 17:6<574 2013 17 12603 https://doi.org/10.1007/s12603-013-0012-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12603-013-0012-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Aguera-Ortiz L. Psychiatry Department, University Hospital 12 de Octubre. Complutense University. Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Madrid, Spain aut NATIONALLICENCE 700 1- Failde Inmaculada Preventive Medicine and Public Health Department, University of Cádiz, Cádiz, Spain aut NATIONALLICENCE 700 1- Cervilla J. Department of Psychiatry, University of Granada. Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM and Hospital Universitario San Cecilio, Granada, Spain aut NATIONALLICENCE 700 1- Mico J. Department of Neuroscience, Pharmacology and Psychiatry, School of Medicine, University of Cádiz. Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Cádiz, Spain aut NATIONALLICENCE 773 0- The journal of nutrition, health & aging Springer Paris 17/6(2013-06-01), 574-577 1279-7707 17:6<574 2013 17 12603 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer