Psychiatr. pro Praxi, 2010; 11(3): 110-114

Pathophysiology of pain and depression

doc.RNDr.Anna Yamamotová, CSc., prof.MUDr.Hana Papežová, CSc.
UK v Praze, Ústav normální, patologické a klinické fyziologie 3. LF a Psychiatrická klinika 1. LF, Praha

Patients with chronic pain suffer more than just from the pain. Immobilization, isolation, lost of social contacts, depression and catastrophic

thinking considerably changes their quality of life. Frequent co-morbidity of chronic pain and depression arise a question of

overlapping pathophysiological mechanisms. This review discusses different mechanisms of pain and clinical pain representation in the

human brain. The treatment of chronic pain with adjuvant analgesics is briefly mentioned.

Keywords: chronic pain, peripheral and central mechanisms of pain, depression, pharmacological treatment

Published: July 1, 2010  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Yamamotová A, Papežová H. Pathophysiology of pain and depression. Psychiatr. praxi. 2010;11(3):110-114.
Download citation

References

  1. Bair MJ, Robinson RL, Katon W, Kroenke K. Depression and pain comorbidity: a literature review. Arch Intern Med 2003; 163: 2433-2445. Go to original source... Go to PubMed...
  2. Kroenke K, Mangelsdorff AD. Common symptoms in ambulatory care: incidence, evaluation, therapy, and outcome. Am J Med 1989; 86: 262-266. Go to original source... Go to PubMed...
  3. Ohayon MM, Schatzberg AF. Using chronic pain to predict depressive morbidity in the general population. Arch Gen Psychiatry 2003; 60: 39-47. Go to original source... Go to PubMed...
  4. Williams LJ, Jacka FN, Pasco JA, et al. Depression and pain: an overview. Acta Neuropsychiatrica 2006; 18: 79-87. Go to original source... Go to PubMed...
  5. Corruble E, Guelfi JD. Pain complaints in depressed inpatients. Psychopatology 2000; 33: 307-309. Go to original source... Go to PubMed...
  6. Melzack R. From the gate to the neuromatrix. Pain 1999; Suppl 6: S121-126. Go to original source... Go to PubMed...
  7. Blackburn-Munro G, Blackburn-Munro R. Pain in the brain: are hormones to blame? Trends Endocrinol Metab 2003; 14: 20-27. Go to original source... Go to PubMed...
  8. Papežová H. Psychiatricko-psychologické aspekty bolesti In: Kozák J, Papežová H. Kapitoly z léčby bolesti. Maxdorf, Praha 2002: 36-49.
  9. Hunt P, Mantyh PW. The molecular dynamics of pain control. Nat Rev Neurosci 2001; 2: 83-91. Go to original source... Go to PubMed...
  10. Fields HL, Heinricher MM, Mason P. Neurotransmitters in nociceptive modulatory circuits. Annu Rev Neurosci. 1991; 14: 219-245. Go to original source... Go to PubMed...
  11. Apkarian AV, Sosa Y, Sonty S, et al. Chronic back pain is associated with decreased prefrontal and thalamic gray matter density. J Neurosci 2004; 24: 10410-10415. Go to original source... Go to PubMed...
  12. Kuchinad A, Schweinhardt P, Seminowicz DA, et al. Accelerated brain gray matter loss in fibromyalgia patients: premature aging of the brain? J Neurosci 2007; 27: 4004-4007. Go to original source... Go to PubMed...
  13. Apkarian AV, Bushnell MC, Treede RD, Zubieta JK. Human brain mechanisms of pain perception and regulation in health and disease. Eur J Pain 2005; 9: 463-484. Go to original source... Go to PubMed...
  14. Apkarian AV, Thomas PS, Krauss BR, Szeverenyi NM. Prefrontal cortical hyperactivity in patients with sympathetically mediated chronic pain. Neurosci Lett 2001; 311: 193-197. Go to original source... Go to PubMed...
  15. Mayer EA, Berman S, Suyenobu B, et al. Differences in brain responses to visceral pain between patients with irritable bowel syndrome and ulcerative colitis. Pain 2005; 115: 398-409. Go to original source... Go to PubMed...
  16. Strigo IA, Simmons AN, Matthews SC, et al. Association of major depressive disorder with altered functional brain response during anticipation and processing of heat pain. Arch Gen Psychiatry 2008; 65: 1275-1284. Go to original source... Go to PubMed...
  17. Baliki MN, Geha PY, Apkarian AV, Chalvo DR. Beyond feeling: chronic pain hurts the brain, disrupting the default-mode network dynamics. J Neurosci 2008; 28: 1398-1403. Go to original source... Go to PubMed...
  18. Moreno FA, Heninger GR, McGahuey CA, Delgado PL. Tryptophan depletion and risk of depression relapse: a prospective study of tryptophan depletion as a potential predictor of depressive episodes. Biol Psychiatry 2000; 48: 327-329. Go to original source... Go to PubMed...
  19. Van der Does A JW. The effects of tryptophan depletion on mood and psychiatric symptoms. J Affect Dis 2001; 64: 107-119. Go to original source... Go to PubMed...
  20. Boyle Y, Anderson I, Barrett G, et al. 5-HT modulation of pain experience: a tryptophan depletion study. Eur J Pain, 2006; 10(Suppl.1): S76. Go to original source...
  21. Campbell LC, Clauw DJ, Keefe FJ. Persistent pain and depression: a biopsychosocial perspective. Biol Psychiatry 2003; 54: 399-409. Go to original source... Go to PubMed...
  22. Delgado PL, Moreno FA. Role of norepinephrine in depression. J Clin Psychiatry 2000; 61(Suppl 1): 5-12.
  23. Franklin KBJ. Analgesia and abuse potential: an accidental association or a common substrate? Pharmacol Biochem Behav 1998; 59: 993-1002. Go to original source... Go to PubMed...
  24. Altier N, Stewart J. The role of dopamine in the nucleus accumbens in analgesia. Life Sci 1999; 65: 2269-2287. Go to original source... Go to PubMed...
  25. Wood PB. Mesolimbic dopaminergic mechanisms and pain control. Pain 2006; 120: 230-234. Go to original source... Go to PubMed...
  26. Borsook D, Beccera L, Carlezon Jr. WA, et al. Reward-aversion circuitry in analgesia and pain: implications for psychiatric disorders. Eur J Pain 2007; 11: 7-20. Go to original source... Go to PubMed...
  27. Millan MJ. Descending control of pain. Prog Neurobiol 2002; 66: 355-474. Go to original source... Go to PubMed...
  28. Jasmin L, Tien D, Weishenker D, et al. The NK1 receptor mediates both the hyperalgesia and resistance to morphine in mice lacking noradrenaline. Proc Natl Acad Sci 2002; 99: 1029-1034. Go to original source... Go to PubMed...
  29. Bondy B, Baghai TC, Minov C, et al. Substance P serum levels are increased in major depression: preliminary results. Biol Psychiatry 2003; 53: 538-542. Go to original source... Go to PubMed...
  30. Faris PL, Komisaruk BR, Watkins LR, Mayer DJ. Evidence for the neuropeptide cholecystokinin as an antagonist of opiate analgesia. Science 1983; 219: 310-312. Go to original source... Go to PubMed...
  31. Löfberg C, Agren H, Harro J, Oreland L. Cholecystokinin in CSF from depressed patients: possible relations to severity of depression and suicidal behaviour. Eur Neuropsychopharmacol 1998; 8: 153-157. Go to original source... Go to PubMed...
  32. Benedetti F. Placebo analgesia. Neurol Sci. 2006; 27(Suppl 2): S100-S102. Go to original source... Go to PubMed...
  33. Kršiak M. Přehled adjuvantních analgetik. Bolest 2009; 12: 129-131.
  34. Mastík J. Antikonvulziva v léčbě bolesti, zejména neuropatické a migrény. Bolest 2009; 12: 133-138.
  35. Jackson JL, O'Malley PG, Tomkins G, et al. Treatment of functional gastrointestinal disorders with antidepressant medications: a meta-analysis. Am J Med 2000; 108: 65-72. Go to original source... Go to PubMed...
  36. O'Malley PG, Balden E, Tomkins G, et al. Treatment of fibromyalgia with antidepressants: a meta-analysis. J Gen Intern Med 2000; 15: 659-666. Go to original source... Go to PubMed...
  37. Anders M. Antidepresiva v léčbě bolesti, vztah antidepresiv a analgetik. Bolest 2009; 12: 141-143.
  38. Carter GT, Sullivan MD. Antidepressants in pain management. Curr Opin Invest Drugs 2002; 3: 454-458. Go to PubMed...
  39. Rokyta R. Společné principy analgetik původně vyvíjených jako antikonvulziva a antidepresiva. Bolest 2009; 12: 125-128.
  40. Sindrup SH, Jensen TS. Efficacy of pharmacological treatments of neuropathic pain: an update and effect related t mechanism of drug action. Pain 1999; 83: 389-400. Go to original source... Go to PubMed...
  41. Fishbain D. Evidence-based data on pain relief with antidepressants. Ann Med 2000; 32: 305-316. Go to original source... Go to PubMed...
  42. Lynch ME. Antidepressants as analgesics: a review of randomized controlled trials. J Psychiatry Neurosci 2001; 26: 30-36.
  43. Schreiber S, Getslev V, Backer MM, et al. The atypical neuroleptics clozapine and olanzapine differ regarding their antinociceptive mechanisms and potency. Pharmacol Biochem Behav 1999; 64: 75-80. Go to original source... Go to PubMed...
  44. Rico-Villademoros F, Hidalgo J, Dominguez I, et al. Atypical antipsychotics in the treatment of fibromyalgia: a case series with olanzapine. Progress Neuro-Psychopharmacol Biol Psychiatry 2005; 29: 161-164. Go to original source... Go to PubMed...
  45. Khojainova N, Santiago-Palma J, Kornick C, et al. Olanzapine in the management of cancer pain. J Pain Symptom Manage 2002; 23: 346-350. Go to original source... Go to PubMed...
  46. Hidalgo J, Rico-Villademoros F, Calandre EP. An open-label study of quetiapine in the treatment of fibromyalgia Progress Neuro-Psychopharmacol Biol Psychiatry 2007; 31: 71-77. Go to original source... Go to PubMed...




Psychiatry for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.