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An age-based comparison of chronic pain clinic patients.

Authors
  • Wijeratne, C
  • Shome, S
  • Hickie, I
  • Koschera, A
Type
Published Article
Journal
International journal of geriatric psychiatry
Publication Date
May 01, 2001
Volume
16
Issue
5
Pages
477–483
Identifiers
PMID: 11376463
Source
Medline
License
Unknown

Abstract

Despite a greater level of multiple medical morbidity and longer duration of pain, older patients with chronic pain were not more likely to suffer from concurrent depression, were less disabled and less somatically preoccupied than younger patients. There were sufficient differences in illness and psychological characteristics to suggest that the older patients represented an aetiologically distinct sub-group, rather than patients with chronic pain of early onset who have simply grown old. Finally, the utility of DSM-IV defined somatoform disorders, in particular pain disorder, is discussed. A model which integrates medical and psychological mechanisms is needed for clinical use.

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