Psychiatric problems common in chronic disabling occupational spinal disorders

Dersh J _ et al_. (2006) Prevalence of psychiatric disorders in patients with chronic disabling occupational spinal disorders. _Spine_ 31: 1156–1162 The prevalence of psychiatric disorders

is highly elevated in patients with chronic disabling occupational spinal disorders (CDOSDs), reports a recent study. Without appropriate intervention, the rehabilitation of these patients

could be hindered. Dersh _ et al_. administered two versions of the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, SCID-NP and SCID-II, to what

they report to be the largest studied cohort of CDOSD patients (_n_ = 1,323) presenting for a functional restoration program of rehabilitation. The site of injury in these patients was

varied. Compared with the general population, patients were over 10 times more likely to have a major current DSM Axis I psychiatric disorder (64.9% vs 15.4%; especially major depressive

disorder, drug abuse/dependence and anxiety disorders) and over 13 times more likely to have a major DSM Axis II personality disorder (69.6% vs 14.8%; most commonly paranoid personality

disorder and borderline personality disorder). No strong association was found between psychopathology and site of spinal injury claim. Dersh _ et al_. recommend that clinicians treating

patients with CDOSDs should be ready and willing to use the experience of mental health professionals to aid them in identifying and stabilizing those patients with psychiatric disorders.

They are carrying out additional investigations to determine whether it is the pain condition or the psychopathology that occurs first; resolution of this issue will aid further study of the

association between psychopathology and chronic pain. CHANGE HISTORY * _ 17 MAY 2018 This article was published with the same DOI as a previous publication. A new DOI has been assigned and

registered at Crossref, and has been corrected in the article. _ RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Psychiatric problems common in chronic

disabling occupational spinal disorders. _Nat Rev Rheumatol_ 2, 407 (2006). https://doi.org/10.1038/ncpneuro0224x Download citation * Issue Date: August 2006 * DOI:

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