Back pain and depressive symptoms: A systematic review and meta-analysis

Amiri, Sohrab; Behnezhad, Sepideh; Azad, Esfandiar

doi:10.1177/0091217420913001

Cited by 14 publications

(9 citation statements)

References 72 publications

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“…Regarding sociodemographic factors associated with depressive symptoms among physicians, our study showed that the physicians who reported work-related illness were twice as likely to have depressive symptoms. Other studies found that work-related illnesses, such as workplace accidents or back pain, 60 increased patients' risk of developing depressive symptoms. In contrast, age, gender and monthly income did not show significant results.…”

Section: Explanation Of Results and Contrasting Within The Literaturementioning

confidence: 99%

Relationship between job satisfaction, burnout syndrome and depressive symptoms in physicians: a cross-sectional study based on the employment demand–control model using structural equation modelling

et al. 2022

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ObjectiveTo evaluate the relationship between job satisfaction, burnout syndrome (BS) and depressive symptoms (DS) based on the job demand–control framework model on a nationally representative sample of physicians working in the Peruvian Health System.SettingWe carried out a secondary data analysis of the National Survey of Satisfaction of Users in Health 2016 in Peru.Primary and secondary outcome measuresOur study assessed the development of the predictive model and had two parts: (1) to evaluate the association among the variables based on the job demand–control framework, and (2) to assess the proposed model acceptability using the structural equation modelling approach to estimate goodness-of-fit indices (GOFIs).ParticipantsWe excluded physicians older than 65 years, who did not report income levels or who had missing data related to the workplace. Thus, we analysed 2100 participants.ResultsThe prevalence of DS was 3.3%. Physicians’ work-related illnesses had more probability to result in DS (prevalence ratio=2.23). DS was moderately related to BS dimensions (r>0.50); nevertheless, the relationships between DS and the three job satisfaction scales were weak (r<0.30). The first predictive model based on the variables, DS, BS and job satisfaction, had low GOFIs (comparative fit index (CFI)=0.883; root mean square error of approximation (RMSEA)=0.125). In a second evaluation, we used models with correlated errors obtaining optimal GOFIs (CFI=0.974; RMSEA=0.060).ConclusionsOur study identified a stable model to explain the relationship between job satisfaction, BS and DS among physicians. The results are consistent with the job demand–control framework. They could be applied to decision-making in occupational contexts in Latin American low/middle-income countries.

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Section: Explanation Of Results and Contrasting Within The Literaturementioning

confidence: 99%

Relationship between job satisfaction, burnout syndrome and depressive symptoms in physicians: a cross-sectional study based on the employment demand–control model using structural equation modelling

et al. 2022

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“…Proinflammatory cytokines (IL-1β, IL-6 and TNF-α) may be screening biomarkers in the prediction of treatment response in patients with depression [56]. In addition, the relationship between back pain and depressive symptoms has also been reported by [59]. Overall, the Intervention seems to have a psychological effect by decreasing the symptoms of psychological distress and this could have been a cause of the decrease in IL-1β in the experimental group.…”

Section: Discussionmentioning

confidence: 97%

The effect of mindfulness on the inflammatory, psychological and biomechanical domains of adult patients with low back pain: A randomized controlled clinical trial

Diez

Anitua

Castellanos³

et al. 2022

PLoS ONE

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Objective This study aims to study the effect of mindfulness-based program on the psychological, biomechanical and inflammatory domains of patients with chronic low back pain. Methods A multicentre randomized and controlled clinical trial of parallel groups in patients with chronic low back pain between March 2019 to March 2020. Participants with no experience in mindfulness based intervention, were randomized to receive (36 patients) or not (34 patients) mindfulness-based stress reduction program for chronic back pain (MBSR-CBP). The program was performed in 9 sessions. Patients with chronic low back pain due to symptomatic discopathy (degenerative disc disease or herniated disc) were included. The principal outcome was changes in the blood level of cortisol and cytokines (tumor necrosis factor- α (TNF- α), interleukin-1β (IL-1β), interleukin-6 (IL-6) and interleukin-17 (IL-17)). Secondary outcomes (psychological factors, pain, and quality of life) were measured by validated questionnaires. Results Of the 96 randomized patients, 70 who completed the study were included in the analysis (mean [range] age: 53 [33–73] years; 66% females). MBSR-CBP stopped the increase in cortisol, and reduced pro-inflammatory cytokine IL-1β (p = 0.05). It reduced depression (p = 0.046) and stress (p = 0.0438), perceived pain (p < 0.0001), and limitations related to health (p < 0.0001). It also increased the physical function (p = 0.002) and sleep quality (p = 0.05). Furthermore, it significantly increased life satisfaction (0.006), well-being (p = 0.001) and vitality (p < 0.0001). It also increased self-compassion (p < 0.0001) and significantly reduced the overidentification (p<0.0001) and catastrophization (p = 0.002). Conclusions MBSR-CBP could be part of a multidisciplinary approach in the management of patients suffering from chronic low back pain.

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“…Regarding sociodemographic factors associated with depressive symptoms among physicians, our study showed that the physicians who reported work-related illness were twice at risk of presenting with depressive symptoms. Other studies found that work-related illnesses, such as workplace accidents or back pain 41 , increased the patient's risk of developing depressive symptoms. Contrarily, age, gender, and monthly income did not show signi cant results.…”

Section: Relationship and Comparisons Between Variablesmentioning

confidence: 99%

Relationship between Job Satisfaction, Burnout, and Depressive Symptoms in Physicians: A Cross-sectional Study based on the Employment Demand Control Model

Villarreal-Zegarra

Lázaro-Illatopa

Castillo-Blanco

et al. 2021

Preprint

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We evaluated the relationship between job satisfaction, burnout syndrome, and depressive symptoms among Peruvian physicians using the job demand–control framework. We carried out a secondary data analysis of the National Survey of Satisfaction of Users in Health 2016 in Peru. The first part was based on the association among the variables based on the job demand–control framework. The second part focused on estimating the acceptability of the proposed model based on the study variables through the structural equation modeling technique. A total of 2,100 physicians were included, and the prevalence of depressive symptoms was 3.3%. Physicians who had a work-related illness were more than twice as likely to have depressive symptoms (PR=2.23) compared with those who did not. The first predictive model based on the variables, depressive symptoms, burnout syndrome, and job satisfaction had a low goodness-of-fit index. Therefore, for a second evaluation, models with correlated errors were considered, and optimal goodness-of-fit indices were found (CFI=0.974; RMSEA=0.060). Our study identified a stable model to explain the relationship between job satisfaction, burnout, and depressive symptoms among physicians. The results are consistent with the job demand–control framework and can be applied to decision making in occupational contexts in Peru.

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Back pain and depressive symptoms: A systematic review and meta-analysis

Cited by 14 publications

References 72 publications

Relationship between job satisfaction, burnout syndrome and depressive symptoms in physicians: a cross-sectional study based on the employment demand–control model using structural equation modelling

Relationship between job satisfaction, burnout syndrome and depressive symptoms in physicians: a cross-sectional study based on the employment demand–control model using structural equation modelling

The effect of mindfulness on the inflammatory, psychological and biomechanical domains of adult patients with low back pain: A randomized controlled clinical trial

Relationship between Job Satisfaction, Burnout, and Depressive Symptoms in Physicians: A Cross-sectional Study based on the Employment Demand Control Model

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