Assessment of depression, anxiety, sleep disturbance, and quality of life in patients with chronic low back pain in Korea

Abstract

BackgroundChronic low back pain (CLBP) has a significant effect on quality of life and imposes a great economical burden on society. In a number of studies, validated questionnaires had been given to CLBP patients to determine their health-associated quality of life, sleep disturbance, and psychological status. However, such outcome studies had not been performed previously in Korea.MethodsWe used self-report questionnaires to compare CLBP patients with an age- and sex-matched healthy control group. Between September 2012 and August 2013, we enrolled 47 patients who had CLBP for more than 3 months (group P) and 44 healthy age- and sex-matched controls (group C), who completed the following self-report questionnaires: 36-Item Short Form Health Survey (SF-36), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Oswestry Disability Index (ODI), and Pittsburgh Sleep Quality Index (PSQI).ResultsThe scores from the ODI, BDI, and BAI were significantly higher in group P than in group C. The SF-36 scores were significantly lower in group P than in group C, suggesting lower quality of life in group P. The incidence of depression and anxiety was significantly higher in group P than in group C. However, neither the PSQI score nor the incidence of sleep disturbance was significantly different between the groups.ConclusionsPatients with CLBP showed considerable functional disability and significant impairment of psychological status with a low quality of life. Hence, it is important to evaluate CLBP patients to provide adequate psychological support.

Contribution of occupational factors to the incidence and persistence of chronic low back pain among workers: results from the longitudinal VISAT study

“…Thus, ‘non-recognition of work’ could be considered a ‘yellow flag’ in the genesis of CLBP before the well-installed depression described as a major predictive factor of persistent CLBP 47. Indeed, our findings corroborate the large implication of individual factors in CLBP and they notably confirm the major role of depression history (with an OR of 2.5) in the persistence of CLBP as described previously 48 49…”

Assessment of Pain Sensitivity in Patients With Chronic Low Back Pain and Association With HTR2A Gene Polymorphism

“…2 The recurrence or chronicity of low back pain has a negative impact on these patients as it impairs both physical functioning and quality of life. 3 Previous researches mainly focused on the etiology of low back pain. However, a limited number of studies emphasized on the perception of pain and pain threshold of patients with chronic low back pain (CLBP).…”

Clinical Manifestation of Acute, Subacute, and Chronic Low Back Pain in Different Age Groups: Low Back Pain in 35,446 Patients

“…In contrast to this, anxiety scores (GAD) did not differ through pain stages, whereas depression (PHQ‐D) showed significantly higher scores in cLBP. This result implicates that anxiety does not change during the chronicity process; therefore, anxiety might have less impact on pain chronicity than previously assumed …”

“…Hong et al 41 reported increased frequencies of depression and anxiety in cLBP patients. In contrast to this, anxiety scores (GAD) did not differ through pain stages, whereas depression (PHQ-D) showed significantly higher scores in cLBP.…”