Emotional and disability status in patients with chronic low back pain (original) (raw)
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Psychological Profile of Patients with Chronic Low Back Pain
Journal of Gandhara Medical and Dental Science, 2021
OBJECTIVES: To assess the frequency of depression, anxiety, and stress in patients with Chronic Low Back Pain (CLBP) using Depression Anxiety Stress Scale (DASS-42). METHODOLOGY: This descriptive study was performed from January 2019 to June 2019. All those patients with chronic low back pain with duration of more than 6 months were included. Patients below 20 and above 60 years were excluded to eliminate the effect of extreme ages. The Depression Anxiety Stress Scale (DASS-42) was used in this study. RESULTS: In this study, a total of 127 patients were successfully interviewed. The mean age of the sample was 36.46 (SD±7.38) with a minimum age of 22 years and maximum of 59 years. Out of these 127 patients, 83 (65.4%) were female while 44 (34.6%) were male patients. The minimum duration of chronic low back pain in our patients was 8 months while the maximum was 55 months with a mean of 28 months (SD 9.9). The mean DASS score for depression was 11.8 (SD±4.23), anxiety was 7.5 (SD±2.9)...
Tabari Biomedical Student Research Journal, 2021
Introduction: Chronic pain is one of the most common diseases in today's world, which has a serious influence on the quality of life. Low back pain (LBP) is very common in developed and developing countries. This study aimed to investigate anxiety & depression as a disability factor in chronic LBP in patients referred to the Orthopedic Clinic of Touba Clinic in Sari, Iran in 2018. Material and Methods: The Ronald-Morris Disability Questionnaire was used to assess disability, the Beck Anxiety Questionnaire was used to assess anxiety, the Beck Depression Questionnaire was used to assess depression, the SF-36 was used to assess quality of life, and the Visual Analog Scale was used to assess pain. Results: In this study, 100 patients were studied. Seventy were female and 30 were male. The mean age of patients was 45.05 ± 11.45 years. Sixty five patients suffered from depression and 35 patients had normal depression. The mean score for disability was 14.05, and the mean and standa...
PREVALENCE OF DEPRESSION, ANXIETY and STRESS IN PATIENTS WITH MECHANICAL LOW BACK PAIN
International Journal of Therapies and Rehabilitation Research, 2015
The study is aimed to identify symptoms of depression, anxiety and stress using the DASS Scale in individuals having mechanical low back pain. Method: A cross-sectional study was conducted amongst to 50 patients with mechanical low back pain to assess the level of depression, anxiety and stress using DASS-21. Result: Depression is seen more with the younger age group (48.64%) i.e. 22 people from the age group of 25-35 years have eithermild, moderate or severe depression as compared to the older age group where depression accounts for 15.38% i.e.-5 people from the age group of 36-45 have either-mild, moderate or severe depression. 29.72% (25 people) have severe anxiety in the age group 25-35 years whereas 5.88% (11 people) suffer from severe anxiety in the age group from 36-45. The severity of stress was more in the older age group of 36-45 (23.07%) i.e.-out of 13 people 3 suffered from severe stress as compared to the younger age group (21.62%) i.e.-out of 37 people 8 suffered from severe stress. Conclusion: Depression, anxiety and stress has clearly been shown to influence the clinical course of mechanical low back pain, screening for above symptoms is crucial for optimal physical therapist management.
Journal of Clinical Psycology, 2011
Introduction: Chronic low back pain (CLBP) is one of the most common and challenging manifestations of pain in adults. Meanwhile psychological factors are considered important in development and continuing of physical disability and functional limitations of patients with CLBP. The aim of this research was to determine the psychological factors related to physical disability in patients with CLBP. Method: The present study having a cross-sectional design and was from type of correlational which 279 (81 men, 198 women) eligible CLBP patients more than 3 months (with the mean age 42.44 ±11.77 yr) which patients were refered to Specialized and sub-specialized Neurosurgery Clinic of Poorsina Hospital in Rasht were selected by non probability and consecutive sampling. All patients completed questionnaire of demographic and related low back pain information at the beginning and then they were evaluated by Roland-Morris Disability Questionnaire (RDQ), Visual Analog Scale (VAS), Tampa Scale for Kinesiophobia (TSK), coping strategies questionnaire, catastrophizing subscale (CSQ-CAT), Stanford Depression Scale (CES-D 10) and pain self-efficacy scale. Results: Correlational analyses indicating significant association between physical disability and all predictive factors. The results of stepwise multiple regression analysis showed that psychological factors significantly explained 52% of the variance of physical disability. In the full model higher levels of self-efficacy beliefs, pain intensity, education, and pain-related fear the composite score of values gained from the two scales of catastrophizing and Kinesiophobia, significantly contributed to the prediction of higher levels of physical disability. Conclusion: The findings showed that, regardless of demographic factors, there is a relatively strong relationship between psychological factors and disability. Thus, clinicians must be aware of the powerful effects of self-efficacy, pain-related fear, pain intensity and patient awareness of the health of their spine to reduce disability and managing CLBP patients. Some clinical implications and research guidelines obtained from these results are discussed for prevention and control of physical disability in these patients.
Comparison of three measures for detecting psychological disturbance in patients with low back pain
PAIN, 1982
The MMPI Low Back Scale, the 'Conversion V' MMPI profile and the Back Pain Classification Scale were compared for accuracy in detecting psychological disturbance in a sample of 91 patients with low back pain. These patients were classified as to the presence or absence of organic findings and psychological disturbance on the basis of objective and independent evaluations. Hit rates of 37.4%, 64.5~ and 78.0~ were produced by the 3 measures, respectively. The Back Pain Classification Scale was the most accurate measure, and the only scale to exceed base rate. The implications of these findings for clinical practice are discussed.
The detection of psychological disturbance in patients with low back pain
Journal of Psychosomatic Research, 1979
The feasibility of developing a pain scale for detecting psychological disturbance in patients with low back pain was investigated in two studies. In the first study, stepwise discriminant analysis was used to identify the best combination of pain terms that would discriminate the functional group from the organic group. Thirteen pain variables were identified which correctly identified 93.6 % of the cases of low back pain. These pain terms were used to categorize 159 new cases in the second. Cross-validation shrinkage was only 10.6%. One hundred and thirty-two out of 159 cases in the new sample were correctly classified. The advantages of this pain scale over existing methods are discussed, along with implications for clinical orthopedic practice.
Association of Chronic Low Back Pain with Depression and Anxiety
Journal of emerging technologies and innovative research, 2020
Background: Chronic low back pain has a great impact on the mental health of an individual. In current practice in India the tolerant of chronic low back pain is seeking help either from orthopedic surgeon or a physiotherapist or traditional medicine and therefore the objective of all these systems mainly focuses on the alleviation of the physical symptoms and improvement of the functional performance. This study will provide a new insight to treating physician or physiotherapist who assess and manage the psychological component of health along with the physical health to achieve optimal health. Objective: To assess the association of chronic low back pain with anxiety and depression. Methodology: The present study aim to correlate chronic low back pain with depression and anxiety. The subjects participated were screened and were ruled out according to inclusion and exclusion criteria. The demographic data of the subjects was collected and they were also instructed to complete the N...
Pain, 1981
The principal dimensions of the pain experience of 102 patients with chronic low back pain were studied and components of the pain experience were compared to pretreatment measures of emotional disturbance. Responses on the McGill Pain Questionnaire (MPQ) were factor analyzed revealing dimensions of the pain experience that seemed to represent sensory, affective, and evaluative aspects. Patients with high scores on the MMPI hypochondriasis scale portrayed their pain as more intense and as high in terms of affective and evaluative descriptors on the MPQ. Other MMPI scales reflecting emotional disturbance (depression, hysteria) were also associated with a more intense description of pain and higher scores on an affective descriptor dimension. The evaluative descriptive dimension was highly related to the overall intensity of the pain experience. Only the affective dimension was related to emotional disturbance separately from the effects of intensity alone.
The spine journal : official journal of the North American Spine Society
In the assessment and treatment of chronic low back pain (CLBP) patients, the biopsychosocial model is used worldwide. Psychological distress has been reported to have a strong relationship with disability as measured with several instruments. The relationship between psychosocial distress measured with the Symptom Checklist-90-Revised (SCL-90-R) and self-reported disability measured with the Roland Morris Disability Questionnaire (RMDQ) has not been investigated. To analyze the relationship between psychosocial distress measured with the SCL-90-R and self-reported disability measured with the RMDQ in patients with CLBP. This cross sectional study was performed in an outpatient pain rehabilitation setting. The study sample consisted of 152 patients with CLBP. SCL-90-R and RMDQ. All patients admitted for multidisciplinary treatment completed the SCL-90-R and RMDQ before treatment. Pearson's correlation coefficients between SCL-90-R (Global Severity Index and subscales) and RMDQ w...
JPMA. The Journal of the Pakistan Medical Association, 2013
To observe the prevalence of anxiety and depression in chronic low back pain population at a tertiary care centre. The prospective cross-sectional study was conducted using convenience sampling at the Department of Neurosurgery, at Liaquat National Hospital, Karachi, Pakistan, from January to June 2010. The prevalence of anxiety and depression in chronic low back pain patients was studied according to specified age and gender groups using Hospital Anxiety and Depression Scale. Of the 140 patients in the study, 66 (47.14%) were females and 74 (52.85%) were males.The average age of the patients was 43.02+/-13.34 years. The average duration of symptoms was 4.29+/-3.3 years. Abnormal level of anxiety and depression were found in 77 (55%) and 68 (48.57%) patients respectively. Out of them 54 (38.5%) and 51 (36.4%) were borderline abnormal for anxiety and depression respectively, while 23 (16.4%) and 17 (12.1%) were abnormal for anxiety and depression respectively. Among the males, there ...