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Depression and Pain
The Road to Evidence-Based Care
Arch Intern Med. 2003;163:2415-2416.
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CLINICIANS WILL NEED little encouragement to read the stellar literature review that Bair et al1 have developed on patients with depression and unexplained pain because most providers see at least 1 patient in the clinic every day whose depression and/or unexplained pain did not improve since the last visit. Unfortunately, the literature to date provides clinicians little guidance about best practices for treating this population.
HOW GOOD IS THE RESEARCH TO DATE?
The excellence of several studies notwithstanding, the literature in this area demonstrates that researchers cannot make progress toward defining evidence-based care for a given condition without achieving some degree of consensus on at least 3 important questions. Colloquially stated, the first question is "How do you know a case when you see one?" Since depression and pain are part of the human experience, it is critical for researchers to reach agreement about the severity, frequency, and duration of symptoms and impairment required to identify a . . . [Full Text of this Article]
GIVEN THESE CAVEATS, WHAT DO WE KNOW ABOUT PATIENTS WITH DEPRESSION AND UNEXPLAINED PAIN?
WHAT DO WE KNOW ABOUT EFFECTIVE TREATMENT FOR CO-OCCURRING DEPRESSION AND PAIN?
WHAT CAUSE FOR OPTIMISM DOES THE FIELD HAVE?
Kathryn Rost, PhD
Department of Family Medicine
University of Colorado Health Sciences Center
PO Box 6508, Mail Stop F496
Aurora, CO 80045-0508
RELATED ARTICLE
Depression and Pain Comorbidity: A Literature Review
Matthew J. Bair, Rebecca L. Robinson, Wayne Katon, and Kurt Kroenke
Arch Intern Med. 2003;163(20):2433-2445.
ABSTRACT
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