Cost-utility Analysis suggests not. I am not a big fan of attributing chronic pain to anxiety-depression – (sorry Dr. Sarno)… Recent analysis suggests in osteoarthritis it is not cost -effective to spend special time on anxiety depression
Arthritis Care Res (Hoboken). 2018 Apr 2.
doi: 10.1002/acr.23568. [Epub ahead of print]
Cost-utility Analysis of Routine Anxiety and Depression Screening in Patients Consulting for Osteoarthritis: results from the POST Trial.
Kigozi J, Jowett S, Nicholl BI, Lewis M, Bartlam B, Green D, Belcher J, Clarkson K, Lingard Z, Pope C, Chew-Graham CA, Croft P, Hay EM, Peat G, Mallen CD
“routine screen and manage comorbid anxiety and depression in patients presenting with OA is unlikely to be cost-effective”
probably won’t stop studies looking into catastrophizing in osteoarthritis
doing a google scholar on such, ended up with multiple hits – G’d help me…
Why is is that it is still being falsely promoted that Chronic Pain is a result of mental instability when more and more truly scientific research is proving that Chronic Pain results in progressive ongoing changes in brain structure and that these changes actual vary between different types of chronic pain?
What do these people expect of people who are left in continuous pain, have lost or are losing their independence and freedom, who no longer have the mental stimulation of social networks, and in many (if not most) cases have very limited interaction with anyone other than their medical care providers and possibly family (where those haven’t already abandoned them).
In researching CRPS I keep running across this old falsehood being perpetuated by supposed medical “professionals”, in spite of the fact that all research points to a direct cause/effect relationship that establishes chronic pain as the cause, not the effect.
Sure, there might be a few where the depression “might” be the cause but by far the majority of those suffering from Chronic Pain would have been considered totally stable prior to their injury or the onset of their pain.