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Abstract
BackgroundLow back pain is a common health issue affecting at least 80% of individuals during their lifetime. It is usually recurrent and develops into chronic low back pain (CLBP).In chronic pain, psychosocial risk factors become relevant, and may explain how individuals respond to pain. CLBP is often comorbid with depression.AimThe aim of this study was to detect if there is an association between depression and functional disability in patients with CLBP.Patients and methodsThis cross-sectional, descriptive preliminary study included 50 patients with CLBP. Pain intensity was measured using visual analogue scale (VAS), functional disability was measured using the Oswestry Disability Index (ODI), and depression assessment was done using Beck depression inventory (BDI) questionnaire II.ResultsThe mean age of the patients was 43.66±13.96 years. Mean scores for VAS, ODI, and BDI were 5.38±2.42, 18.66±7.26, and 22.40±9.20, respectively. A strong positive correlation was found between VAS and each of ODI and BDI (r=0.797 and 0.515, respectively; P=0.000). Similarly, a positive significant linear relation was detected between degree of disability by ODI and severity of depression by BDI (P=0.039).ConclusionDepression strongly influences pain intensity and degree of disability in patients with CLBP. Screening and early management of depression is essential for reducing pain and disability associated with CLBP.
Highlights
Low back pain (LBP) is one of the most common medical problems involving any age worldwide
A strong positive correlation was found between visual analogue scale (VAS) and each of Oswestry Disability Index (ODI) and Beck depression inventory (BDI) (r=0.797 and 0.515, respectively; P=0.000)
A positive significant linear relation was detected between degree of disability by ODI and severity of depression by BDI (P=0.039)
Summary
Low back pain (LBP) is one of the most common medical problems involving any age worldwide. Disability associated with CLBP has been studied extensively, and psychosocial factors that may contribute to pain and disabilities have been studied systematically [3]. Assessment and treatment of CLBP and depression simultaneously are necessary for better outcomes [6] The explanation for this is that pessimistic thoughts activate some specific areas in the brain that cause the person to give more attention to the pain and increase the amplitude of pain felt [7]. Low back pain is a common health issue affecting at least 80% of individuals during their lifetime It is usually recurrent and develops into chronic low back pain (CLBP). Pain intensity was measured using visual analogue scale (VAS), functional disability was measured using the Oswestry Disability Index (ODI), and depression assessment was done using Beck depression inventory (BDI) questionnaire II
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