Show Summary Details
Page of

Depression and pain 

Depression and pain
Depression and pain

Andy Moore

and Mike Jorsh

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2021. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 15 April 2021

Pain is subjective and involves not just physical sensation but also affective, cognitive, and behavioural components.

The aetiology of depression is multifactorial, and pain may be a highly significant contributing factor to a depressive episode.

Depression more commonly follows pain than vice-versa, though pain experience can be modified by depression whatever the temporal sequence.

Depression, like other forms of psychological distress, can be expressed as pain, through as yet unknown mechanisms.

Management of comorbid pain and depression must be holistic, with attention given to both physical and emotional aspects of the patient.

Whilst treatment of both chronic pain and depression needs to be tailored to take account of older age (e.g. drug doses), the underlying principles of treating both together are predominantly the same regardless of age.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.