- More than one-fifth of US patients with chronic pain also have comorbid depression, a slight increase from 2011 to 2015.
- The largest proportion of patients with chronic pain with depression were whites, women, and those aged 45-65 years.
- The highest increases in depression were seen in patients with chronic pain who were black, aged 65-84 years, covered by Medicare or Medicaid, or from the lowest socioeconomic areas.
Why this matters
- The findings point to the need for more integration of mental health care services with chronic pain management.
- This study identified approximately 10.3 million patients with chronic pain (2.2 million with comorbid depression) from the National Inpatient Sample (2011-2015).
- Funding: None disclosed.
- The proportion of patients with depression rose (P<.001 from to>
- The proportion of women with depression was stable (68.2% vs 67.1%).
- The highest proportion of patients with depression were white (83.1%) and those in the age group of 45-64 years (47.4%).
- The highest increases were noted among:
- blacks (8.12% to 9.56%),
- patients aged 65-84 years (29.0% to 32.4%),
- Medicare-insured patients (56.1% to 58.5%), and
- Medicaid-insured patients (14.7% to 17.1%), and in
- areas with lowest annual household income (29.2% to 32.0%).
- Observational study.
- Specific cost analysis was limited.
Coauthored with Chitra Ravi, MPharm