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La douleur dans la dépression majeure : de l’évidence clinique au paradoxe expérimental

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Book cover Santé mentale et douleur

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Résumé

Plusieurs études ont mis en relief des relations réciproques entre la douleur et la dépression, mais la nature complexe de ces relations demeure incomprise. Les évidences empiriques suggèrent que la douleur chronique est un facteur de risque de la dépression majeure (DM), et inversement, que les symptômes dépressifs augmentent le risque de développer des douleurs chroniques, bien que la douleur chronique semble davantage mener à la dépression que la DM à la douleur chronique [1] (voir les études épidémiologiques, chapitre 4). Plus de 50 % des patient(e)s avec la DM ressentent des symptômes somatiques, telles que les céphalées, les douleurs musculosquelettiques (exemple :dos) et les douleurs viscérales (abdominales) [2, 3]. Les symptômes douloureux dans la DM ont été associés é des symptômes dépressifs plus sévères, un statut fonctionnel plus faible, une qualité de vie et une santé plus pauvres, surtout lorsque la douleur est diffuse [4, 5]. Réciproquement, les symptômes dépressifs chez les personnes souffrant de douleurs chroniques ont un pronostic plus défavorable, incluant des douleurs plus intenses, plus durables et un plus grand recours aux soins de santé [4].

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  1. Centre de recherche Fernand-Séguin, 7331 rue Hochelaga, Montréal, Québec, Canada, H1N 3V2

    S. Potvin

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Potvin, S. (2013). La douleur dans la dépression majeure : de l’évidence clinique au paradoxe expérimental. In: Santé mentale et douleur. Springer, Paris. https://doi.org/10.1007/978-2-8178-0307-4_6

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  • DOI: https://doi.org/10.1007/978-2-8178-0307-4_6

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0306-7

  • Online ISBN: 978-2-8178-0307-4

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