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. 2022 Aug 25;14(8):e28416. doi: 10.7759/cureus.28416

Table 3. Summary of studies exploring the prevalence and treatment of chronic pain-induced depression.

SNRIs: serotonin-norepinephrine reuptake inhibitors; BrdU: bromodeoxyuridine; CBT: cognitive behavioral therapy; MDD: major depressive disorder; HDAC: histone deacetylase; VAS: visual analog scale

Reference Study Type Population Conclusion
Alhalal et al. (2021) [19] Cross-sectional study 233 chronic pain patients Pain disability showed a significant prediction of depression, 36% of the patients had depression
Ma et al. (2021) [18] Cross-sectional study 15,213 individuals from the 2015 China Health and Retirement Longitudinal Study Increased severity of pain increased the likelihood of the individuals developing depression
Ferreira et al. (2020) [34] Systematic review 5318 participants Moderate evidence that SNRIs decreased back pain in patients
Schäfer et al. (2020) [27] Narrative review   Physical activity has a positive effect on the prevention of chronic pain
Yalcin and Barrot (2019) [22] Review Population of Denmark, United States, and Spain Elevated frequency of suicidal deaths in patients with fibromyalgia
Duric and McCarson (2019) [13] Randomized control trial Rodents Reduction in BrdU positive cells in rodents after exposure to long periods of stress
Fisher et al. (2017) [37] Review 27 clinical trials with children and adolescents Psychotherapy reduced chronic headache in children and adolescents
Cherkin et al. (2017) [36] Randomized clinical trial 342 patients between 20 and 70 years Patients given CBT had greater improvement in function
Scherrer et al. (2016) [29] Cohort study Three American health systems’ data (Veterans Health database, Baylor Scott and White Health, and the Henry Ford Health System) 18% increase in risk for depression in patients taking opioids for 31-90 days than patients taking opioids for 1-30 days
Descalzi et al. (2015) [3] Review Mice Removal of HDAC5 reduced depression-like behaviors in mice
Dureja et al. (2014) [16] Epidemiological study 5004 respondents from India Patients with chronic pain found it difficult to keep an independent lifestyle
Annagür et al. (2014) [23] SCID-based prospective study 108 pain outpatient clinic patients at the Selcuk University aged 18-56 years 49.1% prevalence of depression in chronic pain patients
Proctor et al. (2013) [24] Retrospective cross-sectional study 216 chronic pain patients in a neurodiagnostic clinic in the United States 44.4% prevalence of depression in chronic pain patients
Kassam and Patten (2006) [21] Cross-sectional study 115.160 Canadian adults Prevalence of MDD in patients with fibromyalgia was almost three times more than in subjects without it
Rowbotham et. Al (2005) [31] Randomized clinical trial 47 neuropathic pain patients Pain relief was seen in 53%-80% of the participants
Bair et al. (2003) [7] Literature Review Chronic pain patients from various clinics Increase of lifetime prevalence of depression in chronic pain patients  from 12% to 32% and from 32.4% to 56.8%  
Shimodozono et al. (2002) [33] Open label study 31 patients with central poststroke pain Significant improvement in the VAS and Zung Self-Rating Depression Scale in the patients