Anxiety and Depression Disorders in Chronic Non-Specific Low Back Pain in Lomé (Togo)

Abstract

Chronic non-specific low back pain has an important psychological impact. Objectives: To determine the prevalence of anxiety and depressive disorders (ADD) and factors associated to their apparition in patients suffering from chronic non-specific low back pain in rheumatological consultation in Lomé. Patients and Methods: It was a cross-sectional study, conducted from October 1 st , 2015 to 31 st March 2016. This study focused on all patients suffering from common chronic low back pain without psychiatric history in the Rheumatology Ward at the Sylvanus Olympio's Teaching Hospital of Lomé and who have given their consent. The psychological evaluation was carried out through Hamilton scale. The processing, the statistical treatment and analysis of our data have been carried out using Epiinfo software, version 7.1.5. The investigation was approved by the local Ethics Committee. Results: 48 (39 women and 09 men) out of 123 patients with chronic lower back pain presented anxiety and depressive disorders (ADD) accounting for a prevalence rate of 39%. Their average age was 50.3 years old. The most frequent ADD was: psychic anxiety (58.6%), depressive mood (51.3%), difficulties to feel asleep (47.9%) and disturbed or agitated sleep (43.1%). Factors associated with the anxiety and depressive disorders in common chronic low back pain were: female gender (p = 0.02), dependent children (p = 0.02), occupation (reseller (p = 0.002), liberal profession (p = 0.009), monthly financial income (p = 0.002), surroundings family (0.009), medical history (p = 0.0002) and pain's intensity > 7 (p = 0.04). Conclusion: This study shows the high frequency of anxiety and depressive disorders in common chronic low back pain and their influence by socio-economic and demographic factors.

Association of Chronic Low Back Pain and Depression at a Tertiary Care Setting of Pakistan

“…This is proven by Hung et al 27 who found that depression contributes significantly with disability among patients with CLBP. Kakpovi et al 28 and Hiyama et al 14 observed similar results in their studies that depression was significantly associated with CLBP. Hulsbusch et al 17 did not find such an association between depression and pain severity.…”

Correlation of disability with anxiety and depression in patients with chronic non-specific neck pain: a cross-sectional observational study

“…[12][13][14] Also, the influence of anxiety and depression is studied in chronic back pain and chronic non-specific low back pain. [15][16][17] But the relationship between neck disability due to chronic neck pain, anxiety, and depression in nonspecific neck pain has not been thoroughly investigated. Hence, as there is paucity in the literature, this study was planned to investigate the relationship between neck disability, anxiety, and depression in non-specific neck pain.…”

Qualite de vie du Personnel Hospitalier Lombalgique A Lome (Togo)

“…Degré d'incapacité des soignants lombalgiques (score d'Owestry) Domaines d'incapacité sévère ou extrême Nombre (%) La douleur m'empêche de me tenir debout plus d'une heure / plus d'une demi-heure 15(18,9) …”