Association of Pain and Depression in Those With Chronic Low Back Pain (original) (raw)
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Sexuality and Disability, 2008
The relation between self-reported pain and sexual functioning was investigated in a national sample of adults between the ages of 25-80. Although it is believed that pain generally has a deleterious effect on sexual functioning, relatively little data are available about the psychosocial correlates of the pain-sexuality link, the pain-sexuality relation among persons not in treatment for pain, or the role of gender as a potential moderator of the relation between psychosocial factors and pain-related interference. The present study involved the screening of chronic pain via the Profile of Chronic Pain: Screen (PCP: S) and the assessment of psychosocial correlates of pain's interfering effects on sexual performance by means of responses on the Profile of Chronic Pain: Extended Assessment Battery (PCP: EA). Results revealed that, although pain did not interfere with sexual functioning in 37% of the respondents, several psychosocial variables from the PCP: EA were linked to pain's interference with sexual activity controlling for the effects of pain severity. Pain-induced fear, impatience, and tangible support all yielded significant main effects. Moreover, the effects of five variables (ignoring, self-talk, task persistence, belief in a medical cure, and control) varied significantly by gender, and the effects of two PCP: EA dimensions (catastrophizing and belief in a medical cure) varied by treatment status. The assessment and treatment implications of the present findings were considered.
Pain Medicine
Background. The aims of the study were to 1) examine the prevalence of sexual functioning difficulties in a chronic pain sample; 2) identify correlates of sexual functioning and relationship satisfaction utilizing pain variables (pain severity and pain interference) and psychological variables (mood, pain-related cognitions, self-efficacy, self-esteem, body-image); and 3) investigate possible sex differences in the correlates of sexual functioning and relationship satisfaction.
Journal of Physical Therapy Science, 2019
Oswestry Disability Index includes an item (Oswestry Disability Index-8) aiming to assess sexual disability associated to low back pain. The aim of this study is to investigate the percentage of participants who answered the Oswestry Disability Index-8, and the relevance and characteristics of sexual disability due to low back pain in Italian patients. [Participants and Methods] Design: multicenter retrospective analysis. Population: six hundred and ninety-seven outpatients with non-specific low back pain. Variables: pain characteristics (amount, localization, and duration of perceived pain), disability, and psychological variables (anxiety, depression, catastrophizing, kinesiophobia, pain acceptance, and pain vigilance and awareness). [Results] Seventy-seven participants (11.05%) did not answer the Oswestry Disability Index-8. The odds of being not responding to the Oswestry Disability Index-8 item appeared related to age (odds=7.50 for over 60), gender (odds=2.65 for females), and marital status (odds=2.33 for not married). Concerning the psychological variables, Activity Avoidance (coefficient=0.071), Depression (coefficient=0.068), and Rumination (coefficient=0.031) showed a positive impact on sexual disability. [Conclusion] In Italian patients, the percentage of not-responding to Oswestry Disability Index-8 was relatively low. In addition, sexual disability was related to depression, activity avoidance, and rumination.
Sexual Dysfunction in Patients with Chronic Pain
Urology & Nephrology Open Access Journal
Objective: Restricted normal activities associated with chronic pain are well documented. In contrast, there is a paucity of reports regarding the association between chronic pain patients and their sexual function. The aim of the present "snapshot" study was to evaluate the prevalence and severity of sexual dysfunction (SD) in a cohort of patients suffering from chronic pain. Methods: 709 patients with chronic pain completed questionnaires assessing demographics, pain-intensity, disability and severity of their SD. A subgroup also completed questionnaires relating to depression and anxiety as well as specific gender-related SD questionnaires. Results: 404 patients (58%) reported pain related SD. No differences in demographic parameters were found between those with and without SD. In contrast, patients with SD exhibited significantly higher scores in pain intensity (VAS), Short-form McGill Pain questionnaire and the Oswestry Disability Index. Patients with SD also consumed significantly higher doses of pain medications. On both numerical and categorical self-report scales of SD severity, women scored slightly but significantly higher than men. A significant correlation was found between pain intensity and SD severity (Pearson's test: r=0.349; p<0.001). The questionnaires completed by a subgroup of patients with SD revealed a mild degree of depression, a moderate anxiety level and a moderate degree of SD in both genders. Conclusion: A significant number of patients with chronic pain suffer from moderate to severe SD, which correlates with pain intensity. These findings are congruent with previous reports and highlight the importance of increased awareness to SD in patients with chronic pain.
Sexual function and associated factors in Iranian patients with chronic low back pain
Spinal Cord, 2014
Study design: Case-control study. Objectives: (i) To describe the prevalence of sexual dysfunction in chronic low back pain (CLBP) patients, (ii) to compare the range of sexual function outcomes between patients with CLBP and healthy controls and (iii) to investigate which factors are associated with sexual function within the cohort of individuals with CLBP. Setting: Low back pain (LBP) clinic of Qazvin University of Medical Sciences, Qazvin, Iran. Methods: A total of 702 patients with CLBP and 888 healthy controls participated in the study. The Female Sexual Function Index (FSFI), International Index of Erectile Function (IIEF) and Premature Ejaculation Diagnostic Tool (PEDT) were used to evaluate sexual function. In addition, quality of life, anxiety, functional status and pain intensity were assessed in patients. Univariate and multiple linear regression analyses were performed for the identification of factors associated with sexual function. Results: The prevalence of sexual problems in female patients with CLBP was 71.1% (n ¼ 177) while the corresponding figure for healthy women was 36.8% (n ¼ 161). Erectile dysfunction was present in 59.5% of male patients and in 24.5% of healthy males. Higher sexual function in both male and female patients with CLBP were being younger, lower duration of back pain, lower BMI, higher education level, being unemployed, physically active shorter sick leave, lower level of pain intensity, lower disability, higher family income, lower levels of depressive and anxiety symptoms, and higher psychical functioning and mental functioning. Conclusions: CLBP patients report considerably higher prevalences of sexual problems compared with healthy controls. Sex therapy and sexual management should be added to routine care and treatment of patients with CLBP.
Jundishapur Journal of Chronic Disease Care, 2021
Background: Chronic pain is recognized as an important public health concern that leads to significant economic and social problems. Thus, identifying variables affecting the psychological adaptation of patients with chronic pain is necessary to prepare an effective intervention and treatment program. Objectives: This study investigated the mediating role of sexual self-esteem in the relationship between marital quality and psychological adaptation to disease in women with chronic pain. Methods: This descriptive-analytic study of correlation type was conducted on 200 women with chronic pain admitted to orthopedic centers in Ardabil City, Iran. The participants were selected using the available sampling method. The Psychological Adaptation questionnaire, the Sexual Self-Esteem scale, and the Marital Relationship Quality questionnaire were used to collect data. The standard mean, standard deviation, Pearson correlation, and multiple regressions were used for data analysis. Results: Th...
Profile of sexuality in Moroccan chronic low back pain patients
BMC Musculoskeletal Disorders, 2013
Background: Sexual life had an important role in preserving the good quality of life for patients and for their partner. Chronic Low Back Pain (CLBP) as other musculoskeletal diseases may affect all aspects of life including sexual functioning. The purpose of this study is to describe the impact of CLBP on the sexual life of patients and to identify the factors that affect their Sexual Quality of Life (SQOL). Methods: One hundred CLBP sexually active patients were included. Patients and disease Characteristics were collected. Impact on sexual life (sexual intercourse and SQOL) was also assessed. Univariate and multivariate analysis were performed to analyze significant determinants associated with the SQOL disturbance. Results: Eighty one percent of our patients complained about sexual difficulties related to CLBP. Libido decrease and painful intercourse position were reported respectively in 14.8 and 97.5% of cases. The most pain generating position was supine. Mean of sexual intercourse frequency decrease was at −10.4 ± 4.8 per month. SQOL score mean was at 44.6 ± 17.4%. Men suffered more than women from sexual problems (respectively 90% vs. 72%; p = 0.02). Men had worse SQOL than women (respectively 38.9 ± 17.2 vs. 50.3 ± 15.7%; p = 0.001). Univariate and multivariate analysis showed that advanced age (p = 0.009), poor functional status (p = 0.03), male gender (p = 0.03) and sexual intercourse frequency decrease (p = 0.005) were the independent variables associated with the SQOL disturbance.
Correlation Between Chronic Low Back Pain and Female Sexual Function
Coluna/Columna, 2020
Objective To correlate chronic low back pain with female sexual function. Methods This is a cross-sectional study. Thirty-two women aged between 18 and 44 years old, with body mass index (BMI) between 18.5 kg/m2 and 29.9 kg/m2, with a medical diagnosis of chronic low back pain and sexually active in the last six months were selected. The patients underwent a physical therapy evaluation and responded to two questionnaires: the Roland-Morris Disability Questionnaire and the Female Sexual Quotient (QS-F). Pearson’s correlation test was used to assess the impact of chronic low back pain on sexual activity. Results The mean age was 30.31 years old (±.7.10) and the mean BMI was 24.54 Kg/m2 (±3.06). The mean Roland-Morris Disability Questionnaire score was 5.2 ( ± 3.28), indicating that the patients did not have significant disability. The mean QS-F score was 60.37 (±14.48), classified as “unfavorable to normal”. The correlation test showed a low correlation between chronic low back pain a...
Coital positions and sexual functioning in patients with chronic pain
1999
The objectives of this study were to describe (1) coital positions adopted by chronic back pain patients, and to describe sexual function as assessed by Derogatis Inventory of Sexual Functioning (DISF). In addition, patients were asked questions regarding effects of sexual intercourse on severity of pain, influence of pain over sexual functioning, and perceived factors causing sexual problems. This is a subset (45 patients) of a larger study (70 patients) describing sexual functioning. These 45 patients responded to additional questions as described above. Mean age of the patients was 55.7 years (range 36-74 years). There were 40 male patients. Twenty-five patients (56%) were married. Mean duration of pain was 145.2 months. Thirty-two patients (27 male and 5 female) were sexually active. Eighty-one percent of male and 100% of female patients, who were sexually active, preferred "male superior" position. Of those sexually active, 41 % performed sexual intercourse while sitting on a chair. A majority of patients were experiencing problems in all domains of sexual functioning except for fantasy. Thirty-nine patients (87%) reported that pain extremely interfered in performing sexual intercourse. Twenty-nine patients (64%) reported worsening of pain due to sexual intercourse. Majority (n = 34) of the patients (76%) had fear of failure to perform and 25 patients (56%) reported fear of aggravating pain due to sexual activity. There is need for further research in this area.
The Journal of Rheumatology, 2011
Objective. To determine whether musculoskeletal pain was associated with impaired sexual function in a population sample of middle-aged and older men. Methods. The European Male Ageing Study (EMAS), a multicenter population-based study of men aged 40-79 years, was used to investigate this hypothesis. A questionnaire asked about the presence and duration of musculoskeletal pain, allowing subjects to be classified into 1 of 3 groups: those reporting chronic widespread pain (CWP), those reporting pain but not CWP ("some pain"), and those with no pain. Subjects completed a sexual function questionnaire from which 3 domains were considered: overall sexual functioning (OSF), sexual functioning-related distress (SFD), and change in sexual functioning compared to 1 year ago (CSF).