An Analytical Study on the Identification of Factors That May Cause Depression in Patients Receiving Chronic Pain Treatment

Whether the cause is known or not, pain is one of humanity's greatest problems. The duration and severity of pain can determine quality of life. Untreated pain can lead to depression. The aim of this study is to determine and assess whether individuals receiving pain treatment have depression-related factors. For this purpose, 176 individuals were interviewed between June and July 2025. The dependent variable was depression and the independent variables consisted of sociodemographic data such as age, gender, marital status, family relationship status, and bad habits. In addition to these variables, diseases considered to be influential in the study, the number of comorbidities, the time to diagnosis of pain, the pain scale value, the source of the pain being known, whether physical therapy was received, the availability of professional help for psychological management, the location of the pain in the body (lower back, knee, shoulder, etc.), the treatment method, and medication use were determined. Consequently, 21.2% of the individuals participating in the study had positive RHQ-9 scores on the depression test. The prevalence of depression was found to be 27.11 in women, slightly higher than in men. The prevalence was found to be 107.4% in married individuals and 22.1% in unmarried individuals. The value for married individuals was found to be statistically highly significant. Those with disrupted family relationships were found to be more likely to be depressed. The study found that individuals' pain levels were generally moderate to severe. In addition to other factors that contribute to depression, the duration of pain triggers it. The prevalence of depression was significantly higher at 40.4% for those with two comorbidities and 22.3% for those with three or more comorbidities, depending on the underlying medical condition. Odds ratios were 1.25 and 1.12, respectively, and the prevalence of pain was 32% among those receiving physical therapy and those not receiving psychological therapy, and 24% among those receiving psychological therapy.

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