Faldi Yaputra, Jimmy Barus


This study describe comorbid psychiatric disorder especially in depressive disorder, anxiety disorder and sleep disturbance in chronic neuromusculoskeletal pain patients.

The aim of this study is to measure the prevalence of psychiatric comorbidity in choric neuromusculoskeletal pain.

Cross sectional study with consecutive sampling method is used in this study. The data are collected in the neurology clinic in Atma Jaya Hospital, Jakarta between July – December 2015. Diagnostic and Statistical Manual of Mental Disorder (DSM) V criteria was used to diagnose the psychiatric condition.

The data were obtain from 55 study samples, consist of 12 males (21,8%), 43 females (78,2%). Thirty of them are is more than or equal 60 years old (55%) and 25 are is less than 60 years old (45%). The most common is low back pain 30 patients (55%). Non-neuropathic pain 12 patients (22%), and neurophatic pain 43 patients (78%). The most common pain intensity is severe, Visual Analog Scale (VAS) is more than or equal 8 (43%). The most common psychiatric disorder is insomnia (20%), followed by anxiety and insomnia (16,3%), and anxiety (12,7%).

Majority of chronic pain has psychiatric disoder comorbidity, coexisting condition should be considered in evaluation, diagnosis, and therapy.

Chronic pain usually accompanied by psychiatric disorder, so thorough evaluation, diagnosis and therapy have to be fully addressed to achieve optimum functionality and good quality of life.

Next study should collect samples from some hospitals and design the analitic study that can explain association between factors that can influence the comorbidity


neuromusculoskeletal pain ; psychiatric disorder ; comorbidity

Full Text:



Arnold, L.M., 2006. Management of psychiatric comorbidity in fibromyalgia. Curr. Psychiatry Rep. 8, 241–245.

Arnow, B.A., Hunkeler, E.M., Blasey, C.M., Lee, J., Constantino, M.J., Fireman, B., Kraemer, H.C., Dea, R., Robinson, R., Hayward, C., 2006. Comorbid depression, chronic pain, and disability in primary care. Psychosom. Med. 68, 262–268.

Bair, M.J., Wu, J., Damush, T.M., Sutherland, J.M., Kroenke, K., 2008. Association of depression and anxiety alone and in combination with chronic musculoskeletal pain in primary care patients. Psychosom. Med. 70, 890.

Boonstra, A.M., Preuper, H.R.S., Balk, G.A., Stewart, R.E., 2014. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. PAIN® 155, 2545–2550.

Boyle, J., Eriksson, M.E., Gribble, L., Gouni, R., Johnsen, S., Coppini, D.V., Kerr, D., 2012. Randomized, placebo-controlled comparison of amitriptyline, duloxetine, and pregabalin in patients with chronic diabetic peripheral neuropathic pain impact on pain, polysomnographic sleep, daytime functioning, and quality of life. Diabetes Care 35, 2451–2458.

Breivik, H., Collett, B., Ventafridda, V., Cohen, R., Gallacher, D., 2006. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur. J. Pain 10, 287–287.

Dieleman, J.P., Kerklaan, J., Huygen, F.J., Bouma, P.A., Sturkenboom, M.C., 2008. Incidence rates and treatment of neuropathic pain conditions in the general population. Pain 137, 681–688.

Fishbain, D.A., Cutler, B.R., Rosomoff, H.L., Rosomoff, R.S., 1998. Comorbidity between psychiatric disorders and chronic pain. Curr. Rev. Pain 2, 1–10.

Gore, M., Sadosky, A., Stacey, B.R., Tai, K.-S., Leslie, D., 2012. The burden of chronic low back pain: clinical comorbidities, treatment patterns, and health care costs in usual care settings. Spine 37, E668–E677.

Hawker, G.A., Mian, S., Kendzerska, T., French, M., 2011. Measures of adult pain: Visual analog scale for pain (vas pain), numeric rating scale for pain (nrs pain), mcgill pain questionnaire (mpq), short-form mcgill pain questionnaire (sf-mpq), chronic pain grade scale (cpgs), short form-36 bodily pain scale (sf-36 bps), and measure of intermittent and constant osteoarthritis pain (icoap). Arthritis Care Res. 63, S240–S252.

Jensen, M.P., Turner, J.A., Romano, J.M., Karoly, P., 1991. Coping with chronic pain: a critical review of the literature. Pain 47, 249–283.

Meliala, K., 2003. Patofisiologi Nyeri pada Nyeri Punggung Bawah, in: Nyeri Punggung Bawah. Perhimpunan Dokter Spesialis Saraf Indonesia (PERDOSSI), Jakarta, pp. 17–28.

Mulla, S.M., Buckley, D.N., Moulin, D.E., Couban, R., Izhar, Z., Agarwal, A., Panju, A., Wang, L., Kallyth, S.M., Turan, A., others, 2014. Management of chronic neuropathic pain: a protocol for a multiple treatment comparison meta-analysis of randomised controlled trials. BMJ Open 4, e006112.

Nicholson, B., Verma, S., 2004. Comorbidities in chronic neuropathic pain. Pain Med. 5, S9–S27.

Ohayon, M.M., Stingl, J.C., 2012. Prevalence and comorbidity of chronic pain in the German general population. J. Psychiatr. Res. 46, 444–450.

Tsang, A., Von Korff, M., Lee, S., Alonso, J., Karam, E., Angermeyer, M.C., Borges, G.L.G., Bromet, E.J., De Girolamo, G., De Graaf, R., others, 2008. Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. J. Pain 9, 883–891



  • There are currently no refbacks.

Copyright (c) 2017 YARSI Medical Journal

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


Copyright of Jurnal Kedokteran YARSI.

Powered by OJS.

Creative Commons License

This work is licensed under a Creative Commons Attribution- NonCommercial 4.0 International License.