SIP Press Area

• At present, 150 million people are experiencing chronic pain across Europe, approximately equal to the population of France and Germany combined 
• Recognising and addressing pain in mental health settings and policies are essential to meet the needs of people with both pain and mental health conditions 

• SIP has published a Joint Statement including nine recommendations that call upon EU and national policy makers to ensure a range of aspects related to pain and mental health are acknowledged in health policy 

Brussels, 11 October 2023 – On 10 October 2023, experts were invited to share their insights at a panel discussion on “Pain and Mental Health: A Societal Impact of Pain (SIP) Event” hosted by MEP Marianne Vind and MEP Tomislav Sokol and attended by representatives from Pain Alliance Europe, the European Psychiatric Association, the European Federation of Neurological Associations, the Europe Region World Physiotherapy, the European Cancer Organisation and the Global Alliance of Mental Health Illness Advocacy Networks. During the event, experts explored the close relationship between pain and mental health, the quality of and access to safe pain management, the link between pain, mental health and employment, and how can all be integrated into mental health policies. Additionally, different EU Stakeholders shed a light on topics such as inclusion, inequalities, stigma, mental health and physical activity, and mental health in minority groups.   

In Europe there are approximately 740 million people, most of whom experience an episode of severe pain at some point in their life. For approximately 20 percent, that pain persists for longer than three months and will be chronic pain. Therefore, at present, 150 million people are experiencing chronic pain across Europe, approximately equal to the population of France and Germany combined. Chronic pain is more prevalent in women than in men, with some estimates suggesting that women are twice as likely to experience chronic pain as men. 

Mental health conditions and chronic pain frequently co-occur and influence each other, creating a vicious cycle of disability. Both pain and mental health conditions cause reduced quality of life, mobility and social participation across the lifespan. When treated in isolation, the treatment of mental health conditions is less successful if patients also have chronic pain, and the treatment of chronic pain is less successful if patients also have a mental health condition. Unfortunately, pain is not routinely assessed or addressed in people with mental health conditions. At the same time, mental health conditions like depression are often underrecognised and thus undertreated in people with chronic pain. 

Recognising and addressing pain in mental health settings and policies are essential to optimise meeting the needs of people with both pain and mental health conditions. Under the umbrella of the Societal Impact of Pain (SIP) Platform, a gathering of ten European professional and patient organisations have developed a Joint Statement on the close link between pain and mental health. The nine recommendations call upon EU and national policy makers to ensure a range of aspects related to pain and mental health are acknowledged in health policy: 

1. Include an assessment of pain interference in people living with mental health conditions, such as major depression, anxiety, bipolar disorder, schizophrenia, psychosis, and substance use disorders.
2. Better integrate pain and mental health services instead of treating them in isolation in separate services.
3. Allocate adequate funding for research on the relationship between mental health and pain.
4. Provide early access to pain management programmes for people with a high risk of developing chronic pain and those with chronic pain, to serve as a preventive programme for mental health conditions.
5. Provide training to healthcare professionals in the strong bidirectional relationship between pain and mental health outcomes.
6. Involve people with lived experience of mental health conditions and illnesses featuring pain, in developing integrated services.
7. Recognise that good work conditions can have a positive impact on physical and mental wellbeing and therefore, prevention of work absence and the reintegration and adaptation of people living with pain and/or mental health conditions into the workforce should be supported.
8. Ensure that the biological, psychological, and social factors of pain are comprehensively addressed in mental health policies, in order to address the needs of people both living with chronic pain and mental health conditions.
9. Support cultural change in all countries, to reduce stigma in public and private conversations about mental health and pain, through awareness campaigns, including campaigns targeted specifically at healthcare providers, as well as the general public.

Event Images:

Event Video Report:

• At present, 150 million people are experiencing chronic pain across Europe, approximately equal to the population of France and Germany combined 
• Recognising and addressing pain in mental health settings and policies are essential to meet the needs of people with both pain and mental health conditions 

• SIP has published a Joint Statement including nine recommendations that call upon EU and national policy makers to ensure a range of aspects related to pain and mental health are acknowledged in health policy 

Brussels, 11 October 2023 – On 10 October 2023, experts were invited to share their insights at a panel discussion on “Pain and Mental Health: A Societal Impact of Pain (SIP) Event” hosted by MEP Marianne Vind and MEP Tomislav Sokol and attended by representatives from Pain Alliance Europe, the European Psychiatric Association, the European Federation of Neurological Associations, the Europe Region World Physiotherapy, the European Cancer Organisation and the Global Alliance of Mental Health Illness Advocacy Networks. During the event, experts explored the close relationship between pain and mental health, the quality of and access to safe pain management, the link between pain, mental health and employment, and how can all be integrated into mental health policies. Additionally, different EU Stakeholders shed a light on topics such as inclusion, inequalities, stigma, mental health and physical activity, and mental health in minority groups.   

In Europe there are approximately 740 million people, most of whom experience an episode of severe pain at some point in their life. For approximately 20 percent, that pain persists for longer than three months and will be chronic pain. Therefore, at present, 150 million people are experiencing chronic pain across Europe, approximately equal to the population of France and Germany combined. Chronic pain is more prevalent in women than in men, with some estimates suggesting that women are twice as likely to experience chronic pain as men. 

Mental health conditions and chronic pain frequently co-occur and influence each other, creating a vicious cycle of disability. Both pain and mental health conditions cause reduced quality of life, mobility and social participation across the lifespan. When treated in isolation, the treatment of mental health conditions is less successful if patients also have chronic pain, and the treatment of chronic pain is less successful if patients also have a mental health condition. Unfortunately, pain is not routinely assessed or addressed in people with mental health conditions. At the same time, mental health conditions like depression are often underrecognised and thus undertreated in people with chronic pain. 

Recognising and addressing pain in mental health settings and policies are essential to optimise meeting the needs of people with both pain and mental health conditions. Under the umbrella of the Societal Impact of Pain (SIP) Platform, a gathering of ten European professional and patient organisations have developed a Joint Statement on the close link between pain and mental health. The nine recommendations call upon EU and national policy makers to ensure a range of aspects related to pain and mental health are acknowledged in health policy: 

1. Include an assessment of pain interference in people living with mental health conditions, such as major depression, anxiety, bipolar disorder, schizophrenia, psychosis, and substance use disorders.
2. Better integrate pain and mental health services instead of treating them in isolation in separate services.
3. Allocate adequate funding for research on the relationship between mental health and pain.
4. Provide early access to pain management programmes for people with a high risk of developing chronic pain and those with chronic pain, to serve as a preventive programme for mental health conditions.
5. Provide training to healthcare professionals in the strong bidirectional relationship between pain and mental health outcomes.
6. Involve people with lived experience of mental health conditions and illnesses featuring pain, in developing integrated services.
7. Recognise that good work conditions can have a positive impact on physical and mental wellbeing and therefore, prevention of work absence and the reintegration and adaptation of people living with pain and/or mental health conditions into the workforce should be supported.
8. Ensure that the biological, psychological, and social factors of pain are comprehensively addressed in mental health policies, in order to address the needs of people both living with chronic pain and mental health conditions.
9. Support cultural change in all countries, to reduce stigma in public and private conversations about mental health and pain, through awareness campaigns, including campaigns targeted specifically at healthcare providers, as well as the general public.

Event Images:

Event Video Report:

SIP Joint Statement on Pain and Mental Health

European professional and patient organisations publish a Joint Statement on Pain and Mental Health, ahead of the upcoming European Commission European Mental Health Strategy.

Brussels, 22 May 2023 – Under the umbrella of the Societal Impact of Pain (SIP) Platform, a gathering of ten European professional and patient organisations have developed a Joint Statement on the close link between pain and mental health. The nine recommendations call upon EU and national policy makers to ensure a range of aspects related to pain and mental health are acknowledged in health policy.

In Europe there are approximately 740 million people, most of whom experience an episode of severe pain at some point in their life. For approximately 20 percent, that pain persists for longer than three months and will  be  chronic  pain.  Therefore,  at  present,  150  million  people  are  experiencing  chronic  pain  across  Europe, approximately equal to the population of  France and Germany combined. Chronic pain is more prevalent in women than  in  men,  with  some  estimates  suggesting  that women  are  twice  as  likely  to  experience  chronic pain as men.

Mental health conditions and chronic pain frequently co-occur and influence each other, creating a vicious cycle of disability. Both pain and mental health conditions cause reduced quality of life, mobility and social participation across the lifespan. When treated in isolation, the treatment of mental health conditions is less successful if patients also have chronic pain, and the treatment of chronic pain is less successful if patients also have a mental health condition. Unfortunately, pain is not routinely assessed or addressed in people with mental health conditions. At the same time, mental health conditions like depression are often underrecognised and thus undertreated in people with chronic pain.

Both chronic pain and mental health conditions are best conceptualised as experiences involving complex interactions between biological, psychological, and social factors. Contemporary management of pain places a large focus on bio-psycho-social assessment and treatment, where all these factors are addressed when relevant to each individual patient.

Recognising and addressing pain in mental health settings and policies are essential to optimise meeting the needs of people with both pain and mental health conditions.

The SIP Joint Statement calls upon EU and national policy makers to:

1. Include an assessment of pain interference in people living with mental health conditions, such as major depression, anxiety, bipolar disorder, schizophrenia, psychosis, and substance use disorders.
2. Better integrate pain and mental health services instead of treating them in isolation in separate services.
3. Allocate adequate funding for research on the relationship between mental health and pain.
4. Provide early access to pain management programmes for people with a high risk of developing chronic pain and those with chronic pain, to serve as a preventive programme for mental health conditions.
5. Provide training to healthcare professionals in the strong bidirectional relationship between pain and mental health outcomes.
6. Involve people with lived experience of mental health conditions and illnesses featuring pain, in developing integrated services.
7. Recognise that good work conditions can have a positive impact on physical and mental wellbeing and therefore, prevention of work absence and the reintegration and adaptation of people living with pain and/or mental health conditions into the workforce should be supported.
8. Ensure that the biological, psychological, and social factors of pain are comprehensively addressed in mental health policies, in order to address the needs of people both living with chronic pain and mental health conditions.
9. Support cultural change in all countries, to reduce stigma in public and private conversations about mental health and pain, through awareness campaigns, including campaigns targeted specifically at healthcare providers, as well as the general public.

SIP Chair Patrice Forget said: ‘Working in silos is a thing of the past. Educating in silos is also a thing of the past. We need to help people and the system move towards integrated, multidisciplinary, patient-centred care and research. And we need to do it now, given the massive societal impact of pain and mental health issues.’

SIP Co-Chair and President of Pain Alliance Europe (PAE) Deirdre Ryan said: ‘The true impact of pain and mental health in Europe is immeasurable, for several reasons. Stigma and lack of access to treatment mean people who are suffering don’t seek help, and when they do face considerable waiting times if there are in fact services to help. Data collection through registries and coding systems such as ICD-11 are not compulsory or endorsed by the EU so the real figures are not being captured. What we can agree on from what is visible is that people are needlessly suffering in an age of technology and innovation. Pain and Mental health should be addressed from the societal impact it has on every one of us and our loved ones, across policy areas and silos.’

EFIC Advocacy Chair Paul Cameron said: ‘The SIP Joint Statement on Pain and Mental Health is a welcome recognition of the challenges faced by people with long standing pain and co-existing mental health issues.  I welcome any positive movement on the improvement on pain assessment, treatment and care of all of those suffering from these challenging and distressing conditions that impact on not only the individual themselves, but on their families as well.’

-ENDS-

Note for Editors:

The ‘Societal Impact of Pain’ (SIP) platform is a multi-stakeholder partnership led by the European Pain Federation EFIC and Pain Alliance Europe (PAE), which aims to raise awareness of pain and change pain policies. The scientific framework of the SIP platform is under the responsibility of EFIC and the strategic direction of the project is defined by both partners.

For more information, please contact:

Ángela Cano Palomares, Project Manager, Societal Impact of Pain (SIP) Europe, at European Pain Federation EFIC – angela.palomares@efic.org

Deirdre Ryan, President at PAE – info@pae-eu.eu

The SIP Joint Statement has been developed and co-signed by the following organisations:

• Council of Occupational Therapists for the European Countries (COTEC)
• Euro Youth Mental Health (EYMH)
• Europe Region World Physiotherapy
• European Brain Council (EBC)
• European Cancer Organisation (ECO)
• European Federation of Neurological Associations (EFNA)
• European Federation of Psychologists Associations (EFPA)
• European Psychiatric Association (EPA)
• GAMIAN-Europe
• The Societal Impact of Pain (SIP) Platform

Download the SIP Joint Statement on Pain and Mental Health here.