Хроническая боль, коморбидная психическим расстройствам: обзор литературы и клиническое наблюдение

Для цитирования:

Аннотация

Хроническая боль относится к числу важнейших проблем современной клинической медицины, что связано с ее высокой распространенностью, негативным влиянием на уровень функционирования и качество жизни пациентов, а также сложностями с подбором эффективной лекарственной терапии. Показатели популяционной распространенности хронической боли в течение жизни по разным данным варьируют от 11% до 40%. В современных публикациях была доказана ассоциация различных болевых синдромов с основными психопатологическими состояниями, в числе которых аффективные расстройства, тревожные расстройства, зависимость от психоактивных веществ, а также расстройства личности. В настоящее время доступно большое количество методик, которые способствуют снижению выраженности хронической боли. В связи с акцентом настоящей публикации на ассоциации с психическими расстройствами преимущественно обсуждаются методики, применяемые в психиатрической практике. Речь идет о психофармакотерапии, психотерапии и нелекарственных биологических методах терапии. Чтобы проиллюстрировать основные положения, представленные в обзоре литературы, в статье представлено клиническое наблюдение.
Ключевые слова: боль, хроническая боль, терапия, клиническое наблюдение, психические расстройства, коморбидность.

Список литературы

1. Данилов А.Б. Биопсихосоциокультурная модель и хроническая боль. Современная терапия в психиатрии и неврологии. 2013;(1):30-6.

Danilov A.B. Biopsychosociocultural model and chronic pain. Modern therapy in psychiatry and neurology. 2013;(1):30-6 (in Russian).

2. Аверченкова А.А., Парфенов В.А. Клинико-психологический и нейрофизиологический профиль пациентов с хронической люмбалгией. Российский журнал боли. 2015;(1):59.

Averchenkova A.A., Parfenov V.A. Clinical, psychological and neurophysiological profile of patients with chronic lumbalgia. The Russian Journal of Pain. 2015;(1):59 (in Russian).

3. Волель Б.А, Петелин Д.С, Рожков Д.О. Хроническая боль в спине и психические расстройства. Неврология, нейропсихиатрия, психосоматика. 2019;(11):17-24.

Volel B.A., Petelin D.S., Rozhkov D.O. Chronic back pain and mental disorders. Neurology, neuropsychiatry, psychosomatics. 2019;(11):17-24 (in Russian).

4. Dahlhamer J, Lukas J, Zelaya C et al. Prevalence of chronic pain and high-impact chronic pain among adults. Morbidity and mortality daily report 2018;67(36):1001-6.

5. Fayaz A, Croft P, Langford R et al. Prevalence of chronic pain in the UK: A systematic review and meta-analysis of population studies. BMJ Open 2016;(6):6.

6. Elliott AM, Smith BH, Hannaford PC et al. The course of chronic pain in the community: results of a 4-year follow-up study. Pain 2002;99(1);299-307.

7. Breiwik H, Collett B, Ventafridda V et al. Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. European Journal of Pain 2006;10(4):287.

8. Mills SE, Nicolson KP, Smith BH. Chronic pain: a review of its epidemiology and associated factors in population-based studies. Br J Anaesth 2019;123(2):273-83.

9. Naik AK Tandan SK, Dudhgaonkar SP et al. Role of oxidative stress in pathophysiology of peripheral neuropathy and modulation by N-acetyl-L-cysteine in rats. Eur J Pain 2006;10(7):573.

10. Cusi K, Isaacs S, Barb D et al. American Association of Clinical Endocrinology Clinical Practice Guideline for the Diagnosis and Management of Nonalcoholic Fatty Liver Disease in Primary Care and Endocrinology Clinical Settings. Endocr Pract 2022;28(5):528-62.

11. Hitt HC, McMillen RC, Thornton-Neaves T et al. Comorbidity of obesity and pain in a general population: results from the Southern Pain Prevalence Study. J Pain 2007;8(5):430.

12. Du J, Liu Y, Yan W. Role of Changes in Magnetic Resonance Imaging or Clinical Stage in Evaluation of Disease Progression for Men with Prostate Cancer on Active Surveillance. Eur Urol 2020;78

(2):64.

13. Paras ML, Murad MH, Chen LP et al. Sexual abuse and lifetime diagnosis of somatic disorders: a systematic review and meta-analysis. JAMA 2009;302(5):550.

14. Aguglia A, Salvi V, Maina G, Rossetto I et al. Fibromyalgia syndrome and depressive symptoms: Comorbidity and clinical correlates. J of Affective Disorders 2011;128(3):262-6.

15. Giannakopoulos N.N., Keller L., Rammelsberg P., Schmitter M. et al.. Anxiety and depression in patients with chronic temporomandibular pain and in controls. Journal of Dentistry 2010;38(5):369-76.

16. Dersh J, Gatchel RJ, Mayer T et al. Prevalence of psychiatric disorders in patients with chronic disabling occupational spinal disorders. Spine 2006;31(10):1156-62.

17. Sasaki T, Minagawa M, Yamamoto T, Ichihashi H. A case of the Rett syndrome with acute encephalopathy induced during calcium hopantenate treatment. Brain Dev 1991;13(1):52-5.

18. Arnold LM, Hudson JI, Keck PE et al. Comorbidity of fibromyalgia and psychiatric disorders. J Clin Psychiatry 2006;67(8):1219-25.

19. Berger A, Dukes EM, Oster G. Clinical characteristics and economic costs of patients with painful neuropathic disorders. J Pain 2004;5(3):143-9.

20. Raphael KG, Janal MN, Nayak S et al. Psychiatric comorbidities in a community sample of women with fibromyalgia. Pain 2006;124(1-2):117-25.

21. Burris JL, Cyders MA, de Leeuw R et al. Posttraumatic stress disorder symptoms and chronic orofacial pain: an empirical examination of the mutual maintenance model. J Orofac Pain 2009;23(3):243-52.

22. Häuser W, Jung E, Erbslöh-Möller B et al. Validation of the Fibromyalgia Survey Questionnaire within a cross-sectional survey. PLoS One 2012;7(5):e37504.

23. Van Oudenhove L, Törnblom H, Störsrud S et al. Depression and Somatization Are Associated With Increased Postprandial Symptoms in Patients With Irritable Bowel Syndrome. Gastroenterology. 2016;150(4):866-74.

24. McWilliams LA, Goodwin RD, Cox BJ. Depression and anxiety associated with three pain conditions: results from a nationally representative sample. Pain 2004;111(1-2):77-83.

25. Clemens JQ, Brown SO, Calhoun EA. Mental health diagnoses in patients with interstitial cystitis/painful bladder syndrome and chronic prostatitis/chronic pelvic pain syndrome: a case/control study. J Urol 2008;180(4):1378-82.

26. Murphy LB, Sacks JJ, Brady TJ et al. Anxiety and depression among US adults with arthritis: prevalence and correlates. Arthritis Care Res (Hoboken) 2012;64(7):968-76.

27. Demyttenaere K, Bruffaerts R, Lee S et al. Mental disorders among persons with chronic back or neck pain: results from the World Mental Health Surveys. Pain 2007;129(3):332-42.

28. Martell BA, O’Connor PG, Kerns RD et al. Systematic review: opioid treatment for chronic back pain: prevalence, efficacy, and association with addiction. Ann Intern Med 2007;146(2):116-27.

29. Vowles KE, McEntee ML, Julnes PS et al. Rates of opioid misuse, abuse, and addiction in chronic pain: a systematic review and data synthesis. Pain 2015;156(4):569-76.

30. Boscarino JA, Rukstalis M, Hoffman SN, Han JJ. Risk factors for drug dependence among out-patients on opioid therapy in a large US health-care system. Addiction 2010;105(10):1776-82.

31. Boscarino JA, Rukstalis MR, Hoffman SN, Han JJ et al. Prevalence of prescription opioid-use disorder among chronic pain patients: comparison of the DSM-5 vs. DSM-4 diagnostic criteria. J Addict Dis 2011;30(3):185-94.

32. Raphael KG, Janal MN, Nayak S et al. Psychiatric comorbidities in a community sample of women with fibromyalgia. Pain 2006;124(1-2):117-25.

33. Demyttenaere K, Bruffaerts R, Lee S et al. Mental disorders among persons with chronic back or neck pain: results from the World Mental Health Surveys. Pain 2007;129(3):332-42.

34. Arnold LM, Hudson JI, Keck PE et al. Comorbidity of fibromyalgia and psychiatric disorders. J Clin Psychiatry 2006;67(8):1219-25.

35. Alonso-Morán E, Orueta JF, Fraile Esteban JI et al. The prevalence of diabetes-related complications and multimorbidity in the population with type 2 diabetes mellitus in the Basque Country. BMC Public Health 2014;14:1059.

36. Saunders K, Merikangas K, Low NC et al. Impact of comorbidity on headache-related disability. Neurology 2008;70(7):538-47.

37. Reme SE, Tangen T, Moe T, Eriksen HR. Prevalence of psychiatric disorders in sick listed chronic low back pain patients. Eur J Pain 2011;15(10):1075-80.

38. Zhao Y, Liu J, Zhao Y, Thethi T et al. Predictors of duloxetine versus other treatments among veterans with diabetic peripheral neuropathic pain: a retrospective study. Pain Pract 2012;12(5):366-73.

39. Evers AWM, Kraaimaat FW, van Riel PLCM, Bijlsma JWJ. Cognitive, behavioral and physiological reactivity to pain as a predictor of long-term pain in rheumatoid arthritis patients. Pain 2001;93(2):139-46.

40. Cvijetic S, Bobic J, Grazio S et al. Quality of Life, Personality and Use of Pain Medication in Patients with Chronic Back Pain. Applied Research Quality Life 2014;(9):401–11.

41. Ramírez-Maestre C, López Martínez AE, Zarazaga RE. Personality characteristics as differential variables of the pain experience. J Behav Med 2004;27(2):147-65.

42. Kadimpati S, Zale EL, Hooten MW et al. Associations between Neuroticism and Depression in Relation to Catastrophizing and Pain-Related Anxiety in Chronic Pain Patients. PLoS One 2015;10(4):e0126351.

43. Uguz F, Ciçek E, Salli A et al. Axis I and Axis II psychiatric disorders in patients with fibromyalgia. Gen Hosp Psychiatry 2010;32(1):105-7.

44. Weisberg JN. Personality and personality disorders in chronic pain. Curr Rev Pain 2000;4(1):60-70.

45. Finnerup NB, Attal N, Haroutounian S et al. Pharmacotherapy for neuropathic pain in adults: a systematic review and meta-analysis. Lancet Neurol 2015;14(2):162-73.

46. Bonilla-Jaime H, Sánchez-Salcedo JA, Estevez-Cabrera MM et al. Depression and Pain: Use of Antidepressants. Curr Neuropharmacol 2022;20(2):384-402.

47. Iancu I, Lowengrub K, Dembinsky Y et al. Pathological gambling: an update on neuropathophysiology and pharmacotherapy. CNS Drugs 2008;22(2):123-38.

48. Ferreira GE, Abdel-Shaheed C, Underwood M et al. Efficacy, safety, and tolerability of antidepressants for pain in adults: overview of systematic reviews. BMJ 2023;380:e072415.

49. Cohen SP, Vase L, Hooten WM. Chronic pain: an update on burden, best practices, and new advances. Lancet 2021;397(10289):2082-97.

50. Finnerup NB, Attal N, Haroutounian S et al. Pharmacotherapy for neuropathic pain in adults: a systematic review and meta-analysis. Lancet Neurol 2015;14(2):162-73.

51. Williams AC, Eccleston C, Morley S. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev 2012;11(11):CD007407.

52. Hughes LS, Clark J, Colclough JA et al. Acceptance and Commitment Therapy (ACT) for Chronic Pain: A Systematic Review and Meta-Analyses. Clin J Pain 2017;33(6):552-68.

53. Hilton L, Hempel S, Ewing BA et al. Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis. Ann Behav Med 2017;51(2):199-213.

54. Hamid P, Malik BH, Hussain ML. Noninvasive Transcranial Magnetic Stimulation (TMS) in Chronic Refractory Pain: A Systematic Review. Cureus 2019;11(10):e6019.

55. Young NA, Sharma M, Deogaonkar M. Transcranial magnetic stimulation for chronic pain. Neurosurg Clin N Am 2014;25(4):819-32.

56. Lloyd DM, Wittkopf PG, Arendsen LJ, Jones AKP. Is Transcranial Direct Current Stimulation (tDCS) Effective for the Treatment of Pain in Fibromyalgia? A Systematic Review and Meta-Analysis. J Pain 2020;21(11-12):1085-100.

57. Lefaucheur JP, Antal A, Ayache SS et al. Evidence-based guidelines on the therapeutic use of transcranial direct current stimulation (tDCS). Clin Neurophysiol 2017;128(1):56-92.

58. Bittar RG, Kar-Purkayastha I, Owen SL et al. Deep brain stimulation for pain relief: a meta-analysis. J Clin Neurosci 2005;12(5):515-9.

59. Hamani C, Schwalb JM, Rezai AR et al. Deep brain stimulation for chronic neuropathic pain: long-term outcome and the incidence of insertional effect. Pain 2006;125(1-2):188-96.

60. Green AL, Owen SL, Davies P, Moir L. Deep brain stimulation for neuropathic cephalalgia. Cephalalgia 2006;26(5):561-7.

Для цитирования:Петелин Д.С., Исаева П.С., Ксенофонтова М.В., Сорокина О.Ю., Волель Б.А. Хроническая боль, коморбидная психическим расстройствам: обзор литературы и клиническое наблюдение. Клинический разбор в общей медицине. 2024; 5 (8): 62–70. DOI: 10.47407/kr2024.5.8.00461

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Клинический разбор в общей медицине