The relationship of pain, sleeping pattern, quality of life, and kinesiopobia with depressive symptoms in patients with lumbar disc hernia

Abstract

Pain, muscle spasms, loss of muscle strength, and deteriorated posture adversely affect the patient's daily life activities and quality of life. Within the scope of this research, we aimed to elucidate pain, sleep quality, quality of life, and kinesiophobia levels in patients with lumbar disc herniation and to determine their relationship with depressive symptoms. The data of 74 patients who applied to our institution between 01/01/2020 – 01/04/2023 with a diagnosis of lumbar disc herniation have been analyzed retrospectively Sociodemographic information form (SIF), Nottingham Health Profile (NHP), Tampa Kinesiophobia Scale (TKS), Pittsburgh Sleep Quality Index (PSQI), Beck Depression Scale (BDS), and Visual Analogue Scale (VAS) were applied to the participants in the study. A statistically significant difference has been achieved between the groups in the VAS pain severity, TAMPA, Pittsburgh sleep quality scale, 1, 2 in the NSP scale, and the sub-dimensions of emotion, sleep, social, physical and energy (p<0.05). All scale scores of patients with depressive symptoms were higher than those without depressive symptoms. A statistically significant relationship existed between BDS scores and all scale scores (p<0.05). The patients' BDS scale score and VAS pain severity, TAMPA, NSP (pain), and NSP (physical) scale scores were low, Pittsburgh, NSP (emotion), NSP (sleep), NSP (social), NSP (energy), NSP 1. It was observed that there was a moderate relationship between the 2 scale scores. Regarding the outcomes of this research, one could say that depressive symptoms negatively affect sleeping patterns and the quality of life of patients with lumbar disc hernia.