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Psychosis and Spinal Chronic Pain – Our experience

Published online by Cambridge University Press:  26 August 2025

J. Đokić ,
L. Ilić ,
S. Momirović  and
I. Nikolić
J. Đokić
Affiliation:
Special Psychiatric hospital “Dr Slavoljub Bakalović”, Vršac
L. Ilić*
Affiliation:
Special Psychiatric hospital “Dr Slavoljub Bakalović”, Vršac
S. Momirović
Affiliation:
Special Psychiatric hospital “Dr Slavoljub Bakalović”, Vršac
I. Nikolić
Affiliation:
Special Psychiatric hospital “Dr Slavoljub Bakalović”, Vršac Clinic for Neurosurgery, University Clnical Center of Serbia Medical Faculty, University of Belgrade, Belgrade, Serbia
*
*Corresponding author.

Abstract

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Introduction

Most common pain in psychosis is headache. On the second place are spinal syndromes. Often patients have chronic spinal pain, and the treatment of neuropathic component is difficult because polymedication and possible drug interaction.

Objectives

The aim of our study was the intersection of the state of therapy and therapeutic response in patients with spinal chronic pain and psychosis.

Methods

This cross-sectional study includes 25 patients treated at the Department for woman chronic psychosis in the SPH “Slavoljub Bakalovic” in Vršac during their hospitalization. The covered period was from April 1st to August 31st 2024.

Results

During our research, 60 female patients with psychosis were treated at our department, and 25 (41.67%) had spinal hronic pain. The average age of the patients was 60 years (41-75), and the duration of symptoms was from 6 months to 11 years (average 2 years and 2 months). Localization was mainly in the area of the lower back (12), cervicobrachialgia (7), lumboischialgia (5) and only in the lower extremities (1). According to the type of pain, all of them had predominantly neuropathic pain. The average value of pain intensity on the VAS scale was 4 (3.92). All patients were treated with non-steroidal analgesics and 16 of them had benzodiapines in therapy. Along with the mentioned therapy, 9 (36%) patients received a coanalgetic from the group of anticonvulsants and 5 (20%) from the group of antidepressants. Only 4 patients used during the hospitalization supplement based on vitamin B complex. A good therapeutic response was achieved in 20 (80%) patients (reduction of pain on the VAS scale by 2 or more points), partial in 1 patient (reduction of pain on the VAS scale by 1 point). In 4 patients, the prescribed therapy did not reduce pain.

Conclusions

Chronic pain of spinal origin occurs in an approximate percentage as in the general population, but the problem of its treatment is the primary disease and polymedication in the therapy of the primary disease.With a well-balanced therapy, a good therapeutic response in pain reduction can be achieved.

Disclosure of Interest

None Declared

Information

Type
Abstract
Information
European Psychiatry , Volume 68 , Special Issue S1: Abstracts of the 33rd European Congress of Psychiatry , April 2025 , pp. S933 - S934
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of European Psychiatric Association
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