Psychiatric Disorders in Complex Regional Pain Syndrome (CRPS): The Role of the Consultation-Liaison Psychiatrist
Joint Authors
Brinkers, Michael
Rumpelt, Paulina
Lux, Anke
Kretzschmar, Moritz
Pfau, Giselher
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-17
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Complex regional pain syndrome (CRPS) is a multifactorial disorder with complex aetiology and pathogenesis.
At the outpatient pain clinic of Magdeburg University Hospital, all patients, without exception, are subject to permanent psychiatric care delivered by a consultation-liaison psychiatrist.
In CRPS, psychological stabilization and treatment of the neuropathic aspects are equally important.
The aim of this single-center retrospective study was to determine mental/psychiatric defects impairing pain processing at the time of investigation and show the effects of treating mental disorders and neuropathic pain with the same psychotropic drugs.
Method.
On admission, the consultation-liaison psychiatrist examined the mental state of every patient in a semistructured interview according to AMDP (working group for methods and documentation in psychiatry).
Due to the model of the Department of Anaesthesiology, we are able to compare the group of CRPS patients with all other outpatients treated for pain.
Results.
The medical treatment of psychiatric dysfunction leads to an analgesic effect.
Only every second CRPS patient had an additional psychiatric diagnosis, and 15.6% were diagnosed with depressive mood disorders and show a higher prevalence of depressive symptoms than the general population and exceed the mean for all patients treated in our pain clinic.
Conclusions.
In neuropathies, treatment of the neuropathic pain has a modulating effect on mental disorders.
As CRPS patients are frequently affected by depressions, and owing to the connection between depression and suicidal tendencies, patients should be seen by a consultation-liaison psychiatrist, and nonpsychiatrists should pay special attention to this patient group.
American Psychological Association (APA)
Brinkers, Michael& Rumpelt, Paulina& Lux, Anke& Kretzschmar, Moritz& Pfau, Giselher. 2018. Psychiatric Disorders in Complex Regional Pain Syndrome (CRPS): The Role of the Consultation-Liaison Psychiatrist. Pain Research and Management،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1212547
Modern Language Association (MLA)
Brinkers, Michael…[et al.]. Psychiatric Disorders in Complex Regional Pain Syndrome (CRPS): The Role of the Consultation-Liaison Psychiatrist. Pain Research and Management No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1212547
American Medical Association (AMA)
Brinkers, Michael& Rumpelt, Paulina& Lux, Anke& Kretzschmar, Moritz& Pfau, Giselher. Psychiatric Disorders in Complex Regional Pain Syndrome (CRPS): The Role of the Consultation-Liaison Psychiatrist. Pain Research and Management. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1212547
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1212547