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Although depression improved in most of the patients after three months of drug therapy, 24 percent had persistently high depression scores. The therapy was most likely to fail among those who reported moderate to severe pain at the beginning of their treatment.
"In particular, the odds of a poor depression treatment response were twice as high in patients with moderate pain at baseline and three to four times as high in those with severe pain," Bair says.
Factors like pain may help explain why antidepressants have a mixed record of success, Bair says. Between 50 and 70 percent of depressed patients find only partial relief with their medications.
Researchers have long known that pain and depression often go hand in hand, but there
are few studies of how pain might affect depression treatment. In the Bair study,
more than two-
"We believe a treatment model that incorporates assessment and treatment of both depression and pain is desirable," Bair says.
Source
Centre For The Advancement Of Health (2004, January 29). Pain May Interfere With Depression Improvement. ScienceDaily. Retrieved February 9, 2008, from http://www.sciencedaily.com /releases/2004/01/040129072454.htm