Analysis of the depression and anxiety status and related risk factors in patients with lumbar disc herniation.

Shujie Tang,Yong Shang,Chenchen Zhang,Wenzhi Mu

doi:10.12669/pjms.35.3.299

Shujie Tang, Yong Shang + Show 2 more

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https://doi.org/10.12669/pjms.35.3.299

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Abstract

Objectives:To evaluate the depression and anxiety status and related risk factors in patients with lumbar disc herniation, and help spine surgeons better identify those patients who need psychological care.Methods:A cross-sectional study was performed on patients with lumbar disc herniation treated in our hospital between October 2015 and August 2018. Visual analog scale and Oswestry disability index were used to assess pain intensity and lumbar function, and Zung self-rating depression and anxiety scale were employed to evaluate the depression and anxiety status of the patients, and the demographic and clinical data including age, gender, marital status, occupation type, employment status, education level, surgery history, herniation type, disease duration, and insurance status were collected for analysis.Results:In the current study, 165 patients were enrolled based on the inclusion and exclusion criteria. In multivariate logistic regression analysis, gender (p=0.03), pain intensity (p=0.01), self-rating anxiety scale (SAS) (p=0.00), and disease duration (p=0.001) were identified as independent risk factors for depression status, and pain intensity (p=0.02), disease duration (p=0.002) and SDS (Zung self-rating depression scale) (p=0.003) were independent risk factors for anxiety status in patients with lumbar disc herniation. There was a significant correlation between Zung self-rating depression and anxiety scale in patients with lumbar disc herniation (p<0.05).Conclusion:Psychological intervention is critical for patients with lumbar disc herniation, especially for those female patients with severe pain and longer disease duration.

Highlights

Low back pain (LBP), as one of the most common diseases, is being experienced by about 70% of people at some point in their life.[1]
We found that depression and anxiety in the enrolled patients was 33.3% and 37.6%, respectively, indicating the rate of Lumbar disc herniation (LDH) patients with abnormal psychological conditions was high, and these patients should be given more psychological care
We confirmed female sex, higher self-rating anxiety scale (SAS) scores, higher pain intensity and longer disease duration were independent risk factors for depression, and higher pain intensity, longer disease duration and higher self-rating depression scale (SDS) scores were independent risk factors for anxiety in LDH patients, which may facilitate physicians better identify the patients with poor psychological conditions

Summary

Introduction

Low back pain (LBP), as one of the most common diseases, is being experienced by about 70% of people at some point in their life.[1] It affects the quality of life in patients, and imposes a high economic burden on social health care system.[2] LBP is associated with psychological disturbance including depression and anxiety, which influence the outcomes of treatment adversely.[3] the improvement of the anxiety and depression status can help individuals control and manage pain in LBP.[4] Lumbar disc herniation (LDH), which accounts for 50% of LBP patients, is the most common lumbar spinal disorder.[5] Subsequently, psychological analysis should be paid high attention to in the treatment of LDH

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