What hurts more pain or sadness

Chronic pain> psyche

1. The most important things in a nutshell

Chronic pain is usually very stressful for those affected. In addition, chronic pain and psychological impairments often influence each other, so that the therapy should include several treatment modules (e.g. medication, physiotherapy, psychotherapy).

2. Mutual influencing

Chronic pain can be caused by psychological impairments and psychosocial problems (psychogenic pain, for more information see Chronic pain> Formation and types of pain). Conversely, chronic pain can have an impact on mental health. For this reason, chronic pain should be treated "multimodally", see Chronic Pain> Treatment and Rehabilitation for more information.

The psychological complaints that have an influence on the development and maintenance of chronic pain and can be caused by it include, for example, depression, anxiety disorders, psychoses or stress disorders.

A wide variety of attitudes and attitudes towards life can also trigger, intensify or maintain chronic pain, for example: helplessness ("I can't do anything."), Perseverance ("I have to endure it."), Catastrophic thinking ("It will be very bad again.") or pressure to perform ("I have to do this.")

3. Chronic pain and depression

Chronic pain and depression can aggravate each other and lead to a vicious circle:

  • Depression often shows itself as a depressed mood with a strong decrease in drive, joylessness, lack of interest and fatigue. This can lead to a lack of physical activity and thus to restricted mobility, which promotes the development of chronic pain or increases the perception of pain.
  • Chronic pain is often associated with increased tension, anxiety, and stress. They encourage physical restraint and can result in a loss of activities and social contacts. These factors promote the development of depression if the person is susceptible.

Although depression is such a common symptom of a chronic pain disorder, depression is only recognized in half of all patients. The reason for this is that many pain patients either do not recognize the psychological aspects of their illness or, for fear of stigmatization, reject appropriate treatment, e.g. psychotherapy, and therefore only describe their physical symptoms.

4. Practical tips

5. Related links

Counselor pain

Chronic pain

Chronic Pain> Family and Everyday Life

Chronic Pain> Treatment and Rehabilitation

Chronic Pain> Exercise and Exercise

Depression> Treatment