Prevalence of psychiatric disorders in patients with chronic work-related musculoskeletal pain disability

Jeffrey Dersh, Robert Joseph Gatchel, Peter Polatin, Tom Mayer

Research output: Contribution to journalArticle

110 Citations (Scopus)

Abstract

The cost and prevalence of chronic work-related musculoskeletal pain disability in industrialized countries are extremely high. Although unrecognized psychiatric disorders have been found to interfere with the successful rehabilitation of these disability patients, few data are currently available regarding the psychiatric characteristics of patients claiming work-related injuries that result in chronic disability. To investigate this issue, a consecutive group of patients with work-related chronic musculoskeletal pain disability (n = 1595), who started a prescribed course of tertiary rehabilitation, were evaluated. Psychiatric disorders were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders. Results revealed that overall prevalences of psychiatric disorders were significantly elevated in these patients compared with base rates in the general population. A majority (64%) of patients were diagnosed with at least one current disorder, compared with only 15% of the general population. However, prevalences of psychiatric disorders were elevated in patients only after the work-related disability. Such findings suggest that clinicians treating these patients must be aware of the high prevalence of psychiatric disorders and be prepared to use mental health professionals to assist in identifying and stabilizing these patients. Failure to follow a biopsychosocial approach to treatment will likely contribute to prolonged pain disability in a substantial number of these patients.

Original languageEnglish
Pages (from-to)459-468
Number of pages10
JournalJournal of Occupational and Environmental Medicine
Volume44
Issue number5
DOIs
StatePublished - 1 Jan 2002

Fingerprint

Musculoskeletal Pain
Psychiatry
Rehabilitation
Developed Countries
Chronic Pain
Diagnostic and Statistical Manual of Mental Disorders
Population
Mental Health
Costs and Cost Analysis
Pain

Cite this

Dersh, Jeffrey ; Gatchel, Robert Joseph ; Polatin, Peter ; Mayer, Tom. / Prevalence of psychiatric disorders in patients with chronic work-related musculoskeletal pain disability. In: Journal of Occupational and Environmental Medicine. 2002 ; Vol. 44, No. 5. pp. 459-468.
@article{11011519902c4e7b82c123847ba1dddd,
title = "Prevalence of psychiatric disorders in patients with chronic work-related musculoskeletal pain disability",
abstract = "The cost and prevalence of chronic work-related musculoskeletal pain disability in industrialized countries are extremely high. Although unrecognized psychiatric disorders have been found to interfere with the successful rehabilitation of these disability patients, few data are currently available regarding the psychiatric characteristics of patients claiming work-related injuries that result in chronic disability. To investigate this issue, a consecutive group of patients with work-related chronic musculoskeletal pain disability (n = 1595), who started a prescribed course of tertiary rehabilitation, were evaluated. Psychiatric disorders were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders. Results revealed that overall prevalences of psychiatric disorders were significantly elevated in these patients compared with base rates in the general population. A majority (64{\%}) of patients were diagnosed with at least one current disorder, compared with only 15{\%} of the general population. However, prevalences of psychiatric disorders were elevated in patients only after the work-related disability. Such findings suggest that clinicians treating these patients must be aware of the high prevalence of psychiatric disorders and be prepared to use mental health professionals to assist in identifying and stabilizing these patients. Failure to follow a biopsychosocial approach to treatment will likely contribute to prolonged pain disability in a substantial number of these patients.",
author = "Jeffrey Dersh and Gatchel, {Robert Joseph} and Peter Polatin and Tom Mayer",
year = "2002",
month = "1",
day = "1",
doi = "10.1097/00043764-200205000-00014",
language = "English",
volume = "44",
pages = "459--468",
journal = "Journal of Occupational and Environmental Medicine",
issn = "1076-2752",
publisher = "Lippincott Williams and Wilkins Ltd.",
number = "5",

}

Prevalence of psychiatric disorders in patients with chronic work-related musculoskeletal pain disability. / Dersh, Jeffrey; Gatchel, Robert Joseph; Polatin, Peter; Mayer, Tom.

In: Journal of Occupational and Environmental Medicine, Vol. 44, No. 5, 01.01.2002, p. 459-468.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prevalence of psychiatric disorders in patients with chronic work-related musculoskeletal pain disability

AU - Dersh, Jeffrey

AU - Gatchel, Robert Joseph

AU - Polatin, Peter

AU - Mayer, Tom

PY - 2002/1/1

Y1 - 2002/1/1

N2 - The cost and prevalence of chronic work-related musculoskeletal pain disability in industrialized countries are extremely high. Although unrecognized psychiatric disorders have been found to interfere with the successful rehabilitation of these disability patients, few data are currently available regarding the psychiatric characteristics of patients claiming work-related injuries that result in chronic disability. To investigate this issue, a consecutive group of patients with work-related chronic musculoskeletal pain disability (n = 1595), who started a prescribed course of tertiary rehabilitation, were evaluated. Psychiatric disorders were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders. Results revealed that overall prevalences of psychiatric disorders were significantly elevated in these patients compared with base rates in the general population. A majority (64%) of patients were diagnosed with at least one current disorder, compared with only 15% of the general population. However, prevalences of psychiatric disorders were elevated in patients only after the work-related disability. Such findings suggest that clinicians treating these patients must be aware of the high prevalence of psychiatric disorders and be prepared to use mental health professionals to assist in identifying and stabilizing these patients. Failure to follow a biopsychosocial approach to treatment will likely contribute to prolonged pain disability in a substantial number of these patients.

AB - The cost and prevalence of chronic work-related musculoskeletal pain disability in industrialized countries are extremely high. Although unrecognized psychiatric disorders have been found to interfere with the successful rehabilitation of these disability patients, few data are currently available regarding the psychiatric characteristics of patients claiming work-related injuries that result in chronic disability. To investigate this issue, a consecutive group of patients with work-related chronic musculoskeletal pain disability (n = 1595), who started a prescribed course of tertiary rehabilitation, were evaluated. Psychiatric disorders were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders. Results revealed that overall prevalences of psychiatric disorders were significantly elevated in these patients compared with base rates in the general population. A majority (64%) of patients were diagnosed with at least one current disorder, compared with only 15% of the general population. However, prevalences of psychiatric disorders were elevated in patients only after the work-related disability. Such findings suggest that clinicians treating these patients must be aware of the high prevalence of psychiatric disorders and be prepared to use mental health professionals to assist in identifying and stabilizing these patients. Failure to follow a biopsychosocial approach to treatment will likely contribute to prolonged pain disability in a substantial number of these patients.

UR - http://www.scopus.com/inward/record.url?scp=0036253994&partnerID=8YFLogxK

U2 - 10.1097/00043764-200205000-00014

DO - 10.1097/00043764-200205000-00014

M3 - Article

C2 - 12024691

AN - SCOPUS:0036253994

VL - 44

SP - 459

EP - 468

JO - Journal of Occupational and Environmental Medicine

JF - Journal of Occupational and Environmental Medicine

SN - 1076-2752

IS - 5

ER -