Table 2.
Measure | Patients with Pain (n=884) | Patients with Depressive Symptoms (n=358) | Patients with Pain and Depressive Symptoms (n=442) |
---|---|---|---|
Patient characteristics | |||
Mean age, y (SD) | 51 (16.5) | 45 (15.3) | 48 (14.9) |
Female, % | 62 | 72 | 76 |
Nonwhite, % | 10 | 13 | 15 |
Living alone, % | 29 | 46 | 42 |
Employed, % | 63 | 66 | 60 |
Mean years of education (SD) | 15 (2.5) | 14 (2.4) | 14 (2.5) |
Mean annual household income (SD) | $50,169 (28,008) | $39,092 (26,525) | $39,039 (27,334) |
Mean number of comorbidities (SD) | 2.3 (1.9) | 2.5 (2.2) | 3.1 (2.2) |
Percent of patients whose physician at waiting room screen is patient's usual source of health care | 79 | 83 | 84 |
Baseline pain symptoms (percent of patients with symptoms) | |||
Joint, arm, or leg pain | 36 | — | 29 |
Back pain | 21 | — | 26 |
Sinus, ear, or facial pain | 13 | — | 14 |
Abdominal pain | 10 | — | 8 |
Chest pain | 8 | — | 7 |
Headache and migraine | 7 | — | 11 |
Pain from indigestion and constipation | 4 | — | 2 |
Pelvic pain | 3 | — | 4 |
Mean pain interference (SD)* | 4.3 (2.9) | — | 6.0 (2.8) |
Mean pain bothersomeness (SD)† | 6.4 (2.8) | — | 7.3 (2.5) |
Mean restricted activity days due to physical health (SD) | 3.7 (6.5) | — | 9.3 (10.2) |
Percent of patients seeing primary physician first time for pain problem at baseline visit | 52 | — | 40 |
Percent of patients with visits to any health professional for pain problem in 6 months before baseline visit | 52 | — | 73 |
Baseline depression | |||
Mean SCL depression score (SD)‡ | — | 1.8 (.7) | 1.7 (.6) |
Mean restricted activity days due to emotional health (SD) | — | 6.0 (7.8) | 6.1 (8.2) |
Percent of patients with visits to a mental health specialist in past 6 months before baseline visit | — | 32 | 30 |
The pain interference scale consists of 3 items: 1) how much has the pain problem interfered with daily activities in past 4 weeks; 2) how much has the pain problem interfered with your ability to take part in recreational, social and family activities in past 4 weeks; and 3) how much has the pain problem interfered with your ability to work (including housework and school) in past 4 weeks. The 0-to 10-point scale for each item ranges from “no interference” (0) to “unable to carry on activities” (10).47
Pain bothersomeness is a single item, 0- to 10-point scale indicating the “bothersomeness” of the pain problem in the past 4 weeks, from “not bothersome” (0) to “extremely bothersome” (10).46
The 20-item Hopkins Symptom Checklist for Depression (SCL-20), where scores≥1.70 indicate severe depressive symptoms in the past 4 weeks.37,43,44
SD, standard deviation.