Neck-shoulder pain and depressive symptoms: a cohort study with a 7-year follow-up

Eur J Pain. 2010 Feb;14(2):189-93. doi: 10.1016/j.ejpain.2009.04.004. Epub 2009 May 1.

Abstract

Background: The presence of neck-shoulder pain as a predictor of depression is not widely studied.

Aim: To analyse the association of neck-shoulder pain at baseline with depressive symptomatology after a 7-year follow-up.

Methods: A total of 604 subjects who had not had depressive symptomatology at baseline participated in 7-year follow-up survey. The number of subjects with depressive symptomatology (Beck Depression Score10) after 7-year follow-up were measured in three groups - subjects without neck-shoulder pain, with infrequent neck-shoulder pain and with daily neck-shoulder pain at baseline.

Results: A total of 77 (13%) participants had developed depressive symptomatology by the follow-up. Prevalence of depressive symptomatology in follow-up in subjects without neck-shoulder pain, with infrequent neck-shoulder pain and with daily neck-shoulder pain at baseline pain was 9.5%, 11.2% and 28.4%. In multivariate logistic regression analysis odds for having depressive symptomatology in daily neck-shoulder pain subjects was almost three fold higher (OR, 2.64, 95% CI, 1.27-5.48) compared to those without neck-shoulder pain.

Conclusions: Frequent neck-shoulder pain is a preceding symptom for the depressive symptomatology in adults.

MeSH terms

  • Adult
  • Analysis of Variance
  • Cohort Studies
  • Depressive Disorder / etiology
  • Depressive Disorder / psychology*
  • Female
  • Finland / epidemiology
  • Follow-Up Studies
  • Humans
  • Logistic Models
  • Male
  • Middle Aged
  • Neck Pain / complications
  • Neck Pain / epidemiology
  • Neck Pain / psychology*
  • Pain Measurement
  • Predictive Value of Tests
  • Shoulder Pain / complications
  • Shoulder Pain / epidemiology
  • Shoulder Pain / psychology*
  • Smoking / adverse effects
  • Socioeconomic Factors