Noncyclic Mastalgia: A Chronic Pain Syndrome Needed to be Evaluated in A Multidisciplinary Approach

Background: mastalgia as a chronic pain syndrome and its association with psychological disorders has not been fully addressed. methods: all women with non-cyclic mastalgia attending to our center were screened for psychological disorders using general health questionaire-28 (ghq 28) and those with score > 23 were referred to the psychiatry clinic. results: 60 patients were evaluated. duration of mastalgia (month), days with pain in one month and duration of pain from onset to relief (minute) were 14.35±18.61, 13.01±7.36, and 79.23±180.82, respectively. bilateral (43.33%), intermittent (58.33%), and radiating (58.34%) pain improved spontaneously (48.33%) was the mostcommon characteristic of mastalgia. mean ghq score was 27.36± 12.7 and 50% of the patients had ghq>23. major depressive disorder (35%), mixed anxiety and depression disorder (26.66%) and generalanxiety disorder (21.66%) were three leading diagnoses. conclusion: it is required to respond to patient’s psychological disorder to reach sustain therapeutic results.