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Editor's Correspondence
April 12, 2004

Discussing the Depression-Pain Dyad With Patients

Arch Intern Med. 2004;164(7):804-805. doi:10.1001/archinte.164.7.804-c

The comprehensive review by Bair and colleagues1 gives further credibility to the depression-pain dyad long observed by primary care physicians. Although I agree with the observation by Bair et al that physicians often evaluate a patient's physical symptoms without exploring the biopsychosocial context of a patient's pain, perhaps a greater issue is the challenge of communicating to such patients the dynamic relationship between pain and mood disorders.