Logistic regressions analyzing the relations between pain conditions and past-year mental disorders among Canadian Armed Forces personnel
Physical conditions | Mental disorders, % (95% CI) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
MDE | GAD | Panic disorder | PTSD | AUD | ||||||
Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | |
Musculoskeletal problems | n = 247 | n = 270 | n = 147 | n = 171 | n = 114 | n = 104 | n = 187 | n = 161 | n = 81 | n = 179 |
12.2 (10.7–13.9) | 6.1 (5.4–6.9) | 6.9 (5.9–8.2) | 3.7 (3.2–4.4) | 5.7 (4.7–6.9) | 2.4 (1.9–2.9) | 9.0 (7.8–10.5) | 3.6 (3.0–4.3) | 4.5 (3.5–5.6) | 4.5 (3.9–5.2) | |
Odds ratios (95% CI) | ||||||||||
Model 1 | 2.13 (1.74–2.61)* | 1.92 (1.50–2.49)* | 2.52 (1.87–3.39)* | 2.68 (2.11–3.40)* | 0.99 (0.73–1.34) | |||||
Model 2 | 2.12 (1.73–2.61)* | 1.78 (1.37–2.32)* | 2.37 (1.75–3.21)* | 2.47 (1.92–3.17)* | 1.36 (0.99–1.86) | |||||
Model 3 | 1.80 (1.42–2.29)* | 1.04 (0.74–1.45) | 1.75 (1.23–2.49)† | 1.88 (1.42–2.50)* | 1.04 (0.73–1.48) | |||||
% (95% CI) | ||||||||||
Arthritis | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
n = 97 | n = 419 | n = 72 | n = 246 | n = 57 | n = 159 | n = 88 | n = 260 | n = 27 | n = 233 | |
11.5 (9.4–14.0) | 7.5 (6.8–8.2) | 8.2 (6.6–10.4) | 4.2 (3.7–4.8) | 7.5 (5.7–9.6) | 2.8 (2.4–3.4) | 10.4 (8.3–13.1) | 4.6 (4.0–5.2) | 3.7 (2.5–5.3) | 4.6 (4.1–5.2) | |
Odds ratios (95% CI) | ||||||||||
Model 1 | 1.61(1.24–2.08)* | 2.05 (1.53–2.74)* | 2.73 (1.95–3.81)* | 2.44 (1.84–3.24)* | 0.78 (0.52–1.18) | |||||
Model 2 | 1.51(1.14–2.00)† | 1.73 (1.26–2.37)† | 2.41 (1.70–3.41)* | 2.09 (1.53–2.86)* | 1.50 (0.94–2.40) | |||||
Model 3 | 1.10 (0.76–1.60) | 1.23 (0.81–1.85) | 1.80 (1.15–2.82)‡ | 1.86 (1.29–2.70)† | 1.26 (0.75–2.14) | |||||
% (95% CI) | ||||||||||
Back problems | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
n = 207 | n = 310 | n = 149 | n = 168 | n = 106 | n = 109 | n = 174 | n = 174 | n = 67 | n = 193 | |
13.2 (11.5–15.2) | 6.4 (5.7–7.1) | 9.6 (8.2–11.3) | 3.2 (2.7–3.8) | 7.4 (6.1–9.1) | 2.1 (1.8–2.6) | 11.2 (9.5–13.0) | 3.5 (3.0–4.1) | 4.4 (3.4–5.7) | 4.5 (3.9–5.2) | |
Odds ratios (95% CI) | ||||||||||
Model 1 | 2.26 (1.85–2.75)* | 3.21 (2.52–4.09)* | 3.65 (2.72–4.90)* | 3.46 (2.75–4.36)* | 0.96 (0.70–1.33) | |||||
Model 2 | 2.21 (1.79–2.74)* | 2.97 (2.29–3.85)* | 3.41 (2.52–4.62)* | 3.11 (2.44–3.97)* | 1.41 (1.00–1.97)‡ | |||||
Model 3 | 1.40 (1.05–1.87)‡ | 1.78 (1.29–2.47)* | 1.90 (1.23–2.92)† | 2.17 (1.61–2.93)* | 0.99 (0.67–1.45) | |||||
% (95% CI) | ||||||||||
Migraines | Yes | No | Yes | No | Yes | No | Yes | No | Yes | No |
n = 107 | n = 409 | n = 55 | n = 263 | n = 49 | n = 165 | n = 86 | n = 261 | n = 28 | n = 232 | |
17.4 (14.4–20.9) | 7.0 (6.3–7.7) | 8.9 (6.8–11.5) | 4.3 (3.8–4.9) | 8.0 (5.9–10.3) | 2.9 (2.5–3.4) | 14.5 (11.8–18.0) | 4.3 (3.8–4.9) | 5.8 (3.9–8.5) | 4.4 (3.8–5.0) | |
Odds ratios (95% CI) | ||||||||||
Model 1 | 2.80 (2.16–3.62)* | 2.18 (1.57–3.02)* | 2.85 (1.98–4.09)* | 3.80 (2.85–5.07)* | 1.35 (0.87–2.08) | |||||
Model 2 | 2.62 (2.00–3.44)* | 1.92 (1.38–2.66)* | 2.49 (1.71–3.64)* | 3.30 (2.41–4.50)* | 1.66 (1.07–2.57)‡ | |||||
Model 3 | 2.02 (1.43–2.86)* | 0.95 (0.60–1.48) | 1.53 (0.97–2.42) | 2.55 (1.75–3.72)* | 1.17 (0.71–1.94) | |||||
% (95% CI) | ||||||||||
Yes | No | Yes | No | Yes | No | Yes | No | Yes | No | |
Any pain condition | n = 351 | n = 166 | n = 220 | n = 98 | n = 164 | n = 52 | n = 269 | n = 79 | n = 125 | n = 135 |
11.3 (10.2–12.6) | 5.0 (4.3–5.8) | 6.9 (6.1–7.9) | 2.8 (2.3–3.4) | 5.4 (4.6–6.4) | 1.6 (1.2–2.1) | 8.7 (7.7–9.9) | 2.2 (1.8–2.8) | 4.6 (3.8–5.5) | 4.4 (3.7–5.3) | |
Odds ratios (95% CI) | ||||||||||
Model 1 | 2.42 (1.96–2.99)* | 2.59 (2.01–3.33)* | 3.63 (2.53–5.19)* | 4.17 (3.16–5.50)* | 1.04 (0.79–1.36) | |||||
Model 2 | 2.44 (1.96–3.04)* | 2.38 (1.82–3.09)* | 3.43 (2.37–4.95)* | 3.85 (2.88–5.17)* | 1.53 (1.14–2.06)† | |||||
Model 3 | 1.80 (1.40–2.31)* | 1.32 (0.97–1.81) | 2.22 (1.43–3.44)* | 2.97 (2.11–4.19)* | 1.19 (0.86–1.66) |
Note: AUD = alcohol use disorder, CI = confidence interval, GAD = generalized anxiety disorder, MDE = major depressive episode, PAD = panic disorder, PTSD = posttraumatic stress disorder.
Model 1 = unadjusted odds ratio; Model 2 = odds ratio adjusted for age, sex, marital status, rank, Canadian Forces type, education, income, ethnicity; Model 3 = odds ratio adjusted for age, sex, marital status, rank, Canadian Forces type, education, income, ethnicity, all other mental disorders excluding the mental disorder of interest; Yes = prevalence rate of those who have the mental disorder of interest among each physical condition; No = prevalence of those who have the mental disorder of interest among those without the physical condition. Musculoskeletal problems = fibromyalgia and musculoskeletal problems; n = unweighted n. % and 95% CI were bootstrapped and weighted using Statistics Canada population weights. % computed using weighted counts rounded to base 20 as per Statistics Canada data release rules.
↵* p < 0.001.
↵† p < 0.01.
↵‡ p < 0.05.