Schizophrenia in People living with Chronic pain

Key things to know What the evidence shows
How common is it? Not established schizophrenia-among-pain patients
Is it more common among people living with chronic pain? Pain prevalence in schizophrenia 34.7%, but similar to controls overall
Are people living with chronic pain at higher risk? Association exists, but not excess pain overall
How much higher is the risk? Schizophrenia → clinical pain 34.7%; RR 0.99 vs controls
How often can it be missed? High
Does it show up differently among people living with chronic pain? Somewhat
How might it look different? Pain communication/help-seeking may differ; antipsychotics and comorbid illness complicate assessment
What commonly occurs alongside it? Depression; physical illness
What can it be confused with? Medication effects; somatic conditions; depression
Common screening tool PQ-16 self-assessment → clinical evaluation
Separate screening tool for people living with chronic pain None
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