This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

An Epidemiologic Investigation

Samuel F. Dworkin, DDS, PhD; Michael Von Korff, ScD; Linda LeResche, ScD

Arch Gen Psychiatry. 1990;47(3):239-244.

Abstract
• We assessed multiple pain conditions and their association with affective disturbance, somatization, and psychological distress based on questionnaire data from a probability sample of 1016 enrollees of a large health maintenance organization. Respondents were asked about the presence of five pain conditions and were classified empirically in terms of dysfunctional chronic pain status based on pain severity, pain persistence, and painrelated disability days. Logistic regression analyses revealed a highly significant association between number of pain conditions reported and elevated levels of somatization as measured by the Symptom Checklist 90—Revised. Individuals with two or more pain conditions were at elevated risk of an algorithm diagnosis of major depression, while persons with a single pain condition did not differ from persons with no current pain conditions. Number of pain conditions reported was a better predictor of major depression than were important measures of pain experience, including pain severity and pain persistence.

Author Affiliations
From the Departments of Oral Medicine (Drs Dworkin and LeResche) and Psychiatry and Behavioral Sciences (Dr Dworkin), University of Washington, and Center for Health Studies, Group Health Cooperative of Puget Sound (Dr Von Korff), Seattle.

Footnotes
Accepted for publication April 17, 1989.

Read in part at the Conference on Mental Disorders in General Health Care Settings, Seattle, Wash, June, 25, 1987.

Reprint requests to Department of Oral Medicine, SC-63, University of Washington, Seattle, WA 98195 (Dr Dworkin).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Are Headache and Temporomandibular Disorders Related? A Blinded Study
Ballegaard et al.
Cephalalgia 2008;28:832-841.
ABSTRACT | FULL TEXT  

Authors' Reply
Galli and Guidetti
Cephalalgia 2008;28:572-572.
FULL TEXT  

An International Study of the Effect of Physical Ill Health on Psychiatric Recovery in Primary Care
Kisely and Simon
Psychosom. Med. 2005;67:116-122.
ABSTRACT | FULL TEXT  

The Relationship of Somatization and Depression to Experimental Pain Response in Women With Temporomandibular Disorders
Sherman et al.
Psychosom. Med. 2004;66:852-860.
ABSTRACT | FULL TEXT  

Work-Related Pain in Mexican American Custodial Workers
Flores and Deal
Hispanic Journal of Behavioral Sciences 2003;25:254-270.
ABSTRACT  

Comorbidity of migraine and depression: Investigating potential etiology and prognosis
Breslau et al.
Neurology 2003;60:1308-1312.
ABSTRACT | FULL TEXT  

Rheumatological Disorders and Somatization in U.S. Mien and Lao Refugees with Depression and Post-Traumatic Stress Disorder: A Cross-Cultural Comparison
Jomoore et al.
Transcultural Psychiatry 2001;38:481-505.
ABSTRACT  

Assessment and Understanding of Pain in Patients With Dementia
Huffman and Kunik
The Gerontologist 2000;40:574-581.
ABSTRACT | FULL TEXT  

Chronic Pain Disorder Following Physical Injury
Streltzer et al.
Psychosomatics 2000;41:227-234.
ABSTRACT | FULL TEXT  

Headache and major depression: Is the association specific to migraine?
Breslau et al.
Neurology 2000;54:308-308.
ABSTRACT | FULL TEXT  

Coping Profile Differences in the Biopsychosocial Functioning of Patients With Temporomandibular Disorder
Epker and Gatchel
Psychosom. Med. 2000;62:69-75.
ABSTRACT | FULL TEXT  

Relationship Between Clinical Pain Complaints and Pain Sensitivity in Patients With Depression and Panic Disorder
Lautenbacher et al.
Psychosom. Med. 1999;61:822-827.
ABSTRACT | FULL TEXT  

Nocturnal Masseter EMG Activity of Healthy Subjects in a Natural Environment
Gallo et al.
JDR 1999;78:1436-1444.
ABSTRACT  

Functional Somatic Syndromes
Barsky and Borus
ANN INTERN MED 1999;130:910-921.
ABSTRACT | FULL TEXT  

The Relationship Between Pains and Various Discomforts in SchoolChildren
KRISTJANSDOTTIR
Childhood 1997;4:491-504.
ABSTRACT  

A 37-Year-Old Man With Multiple Somatic Complaints
Barsky
JAMA 1997;278:673-679.
ABSTRACT  

Atypical Antipsychotics and the Pharmacology of Olanzapine
Nihart
J Am Psychiatr Nurses Assoc 1997;3:S2-S7.
ABSTRACT  

The Primary Care of Patients Who Have Bodily Concerns
Blackwell and De Morgan
Arch Fam Med 1996;5:457-463.
ABSTRACT  

Health Care Costs of Primary Care Patients With Recognized Depression
Simon et al.
Arch Gen Psychiatry 1995;52:850-856.
ABSTRACT  

Neurasthenia and Chronic Fatigue: Theory and Practice in Britain and America
Wessely
Transcultural Psychiatry 1994;31:173-209.
ABSTRACT  

Disability and Depression Among High Utilizers of Health Care: A Longitudinal Analysis
Von Korff et al.
Arch Gen Psychiatry 1992;49:91-100.
ABSTRACT