Relationship of depression in participants with nonspecific acute or subacute low back pain and no-pain by age distribution

Calvo‐Lobo, César; Fernández, Juan Manuel Vilar; Becerro-de-Bengoa-Vallejo, Ricardo; Iglesias, Marta Elena Losa; Rodríguez‐Sanz, David; Palomo‐López, Patricia; López‐López, Daniel

doi:10.2147/jpr.s122255

Cited by 25 publications

(22 citation statements)

References 29 publications

(46 reference statements)

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“…In addition, our study showed that age and the HV deformity degree were shown as predictors for kinesiophobia symptoms and pain intensity. These findings were in accordance with prior studies reporting that psychological disorders were linked to musculoskeletal conditions, increasing this association with greater age distribution [8][9][10][11][12][13]. In addition, greater instability was shown in older adults under musculoskeletal disorders [14][15][16].…”

Section: Discussionsupporting

confidence: 92%

“…Several psychological disorders, such as depression or sociability and vigor linked to general health-related quality of life alterations, have been associated with musculoskeletal conditions, which may increase with greater age ranges [8][9][10][11][12][13]. In addition, musculoskeletal disorders of the lower limbs may alter body stability, showing a greater instability in older adults [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

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Kinesiophobia and Pain Intensity Are Increased by a Greater Hallux Valgus Deformity Degree- Kinesiophobia and Pain Intensity in Hallux Valgus

Palomo‐López

Becerro-de-Bengoa-Vallejo

Iglesias

et al. 2020

IJERPH

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Background: Hallux valgus (HV) has been previously associated with psychological disorders. Thus, the purposes of this study were to associate kinesiophobia and pain intensity with HV deformity degrees, as well as predict kinesiophobia and pain intensity based on HV deformity and demographic features. Methods: A cross-sectional study was carried out recruiting 100 subjects, who were divided into HV deformity degrees, such as I-no HV (n = 25), II-mild (n = 25), III-moderate (n = 25), and IV-severe (n = 25) HV. Kinesiophobia total and domains (activity avoidance and harm) scores and levels were self-reported by the Tampa Scale of Kinesiophobia (TSK-11). Pain intensity was self-reported by the numeric rating scale (NRS). Results: Statistically significant differences (p < 0.01; η2 = 0.132–0.850) were shown for between-groups comparison of kinesiophobia total and domain scores (activity avoidance and harm) and levels, as well as pain intensity among HV deformity degrees. Post hoc comparisons showed statistically significant differences with a large effect size (p < 0.05; d = 0.85–4.41), showing higher kinesiophobia symptoms and levels and pain intensity associated with greater HV deformity degrees, especially for III-moderate and/or IV-severe HV deformity degrees versus I-no HV and/or II-mild deformity degrees. Both statistically significant prediction models (p < 0.05) for kinesiophobia (R2 = 0.300) and pain intensity (R2 = 0.815) were predicted by greater HV deformity degree and age. Conclusions: Greater kinesiophobia symptoms and levels and pain were associated with higher HV deformity degrees, especially severe and/or moderate HV with respect to no and/or mild HV. The kinesiophobia and pain intensity were predicted by greater HV deformity degree and age.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Kinesiophobia and Pain Intensity Are Increased by a Greater Hallux Valgus Deformity Degree- Kinesiophobia and Pain Intensity in Hallux Valgus

Palomo‐López

Becerro-de-Bengoa-Vallejo

Iglesias

et al. 2020

IJERPH

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“…За даними численних досліджень, депресія поєднується із хронічним болем у 11-50% випадків і супроводжується посиленням болю, зниженням якості життя, підвищенням інвалідності та вартості лікування (Munce and Stewart, 2007;Bair et al, 2008;Calvo-Lobo et al, 2017). При цьому як депресія, так і хронічний біль у жінок спостерігаються частіше, ніж у чоловіків (Bair et al, 2008;Tonelli et al, 2011).…”

Section: вступunclassified

Mutual influence of intensity of pain syndrome and borderline mental disorders in patients with coxarthrosis

Спіріна¹,

Феденко²,

Rokutov³

et al. 2017

Regul. Mech. Biosyst.

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The objective of this study is to evaluate the mutual influence of pain syndrome and borderline psychiatric disorders depending on its intensity and tolerability in patients with coxarthrosis who need endoprosthetics. 76 patients with coxarthrosis aged from 25 to 68 who were hospitalized in the Department of Endoprosthetics at Mechnikov Regional Clinical Hospital in Dnipro City in the period from November 2015 to September 2016 were observed. For diagnosis of psychopathological disorders, and for evaluation of the effectiveness of therapeutic interventions, the following methods were used in our research: clinical and psychopathological (technique SCL-90-R), Tаylor anxiety scale, study of the type of attitude to the disease (LOBI), Dembo-Rubinstein self-esteem scale, Leonhard-Schmieschek questionnaire for assessment of accentuation of personality traits, the Luscher 8-colour test and the Toronto alexithymia scale (TAS). Severity of pain syndrome was assessed using a visual analogue scale of pain (VAS). Forms of borderline mental disorders were diagnosed in 51 patients with coxarthrosis, such as depressive disorder (F 32) – 19 (24.8%), neurasthenia (F 48) – 12 (16.2), anxiety and phobic disorders (F 40–41) – 14 (18.1%), and personality disorders (F 60.5, F 60.6, F 60.7) – 6 (7.6%). In 25 (33.3%) patients clinically-defined forms of mental disorders were identified. Leading syndromes in these disorders were depression – 19 (24.8%) patients, anxiety and phobic – 15 (20.0%), asthenic – 10 (12.4%), hypochondriacal – 7 (9.5%) patients. According to the results of the correlation analysis, a close correlation between the severity of pain syndrome and borderline mental disorders (r = 0.779) was established for patients in the preoperative stage. The average level of pain syndrome on the VAS scale in patients with borderline mental disorders was twice as high as in patients without these disorders (63.4 vs. 32.4 points), but it does not depend on the main psychopathological syndrome. The average level of pain on the VAS scale in patients with borderline mental disorders at the preoperative stage was twice as high as in patients without these disorders (63.4 vs 32.4 points), and after surgical intervention the level decreased only by 5.9 points or 9.3%. In patients with coxarthrosis with detected borderline mental disorders (51 people) the therapy had a complex character and was conducted both at the hospital stage for one month, and in the outpatient stage as "maintenance" therapy for 3 months or more. Therapy of the neurotic state with decompensation lasted on average 6 months. Treatment included psycho-educational and therapeutic arrangements (conversations, lectures, autotraining) and psychopharmatherapy (tranquilizers, antidepressants, antipsychotics in small and medium therapeutic doses). The conducting of simultaneous corrective measures for identified borderline mental disorders in patients of the main groups contributed to a significant reduction in the severity of pain within the six-month period of observation and moved them towards the level of the patients in the control group. Borderline mental disorders that take place in patients with chronic somatic diseases, which include, in particular, coxarthrosis, significantly amplify the severity of the condition, reduce the possibility of adaptation, and thus aggravate the course and the outcome of the main disease.

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“…Depression, a highly prevalent, costly, and disabling condition [6], is commonly seen in patients with subacute LBP [7][8][9]. In 2018, LBP was the first and depressive disorders the third leading worldwide cause of years lived with disability [6].…”

mentioning

confidence: 99%

“…In 2018, LBP was the first and depressive disorders the third leading worldwide cause of years lived with disability [6]. Currently, it is not quite clear whether depression is a cause of LBP: Cross-sectional data among sub-acute patients with LBP indicates that men and women with LBP have significantly higher depression score compared to those with no pain [7]. The prospective findings on the course of acute and subacute LBP suggest that depression might have an adverse effect on the prognosis of LBP [8].…”

mentioning

confidence: 99%

Reliability and construct validity of the modified Finnish version of the 9-item Patient Health Questionnaire, and its’ content validity within biopsychosocial frame among female healthcare workers with sub-acute or recurrent LBP

Suni¹,

Virkkunen

Husu

et al. 2019

Preprint

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Background: Healthcare workers have increased risk for chronic low back pain (LBP) leading to reduced workability. Depression, a highly prevalent, costly and disabling condition, is commonly seen in patients with sub-acute LBP. This study investigated the psychometric properties and content-validity of a modified 9-item Patient Health Questionnaire (PHQ-9-mFIN) in female healthcare workers with sub-acute LBP. Methods: Reliability (internal consistency, test-retest repeatability) was assessed with standard methods. Construct validity of the PHQ-9-mFIN was assessed as level of depression (PHQ-9-mFIN: 0-4 none, 5-9 mild, ≥10 at least moderate) against RAND-36 Health Survey, a valid measure of health-related quality of life (HRQoL). Content validity was determined as the strength of the association between the levels of PHQ-9-mFIN and the selected biopsychosocial factors. Results: The internal consistency of the PHQ-9-mFIN was high (Cronbach’s α=0.82) and the test-retest repeatability scores (n=65) fair: Pearson’s correlation 0.76, Kappa-value 0.42 for the diagnostic criterion (i.e. scores 0-9 vs. 10-27). Construct validity (Spearman correlation) against the Physical and Mental component items and their summary scales of the RAND 36 were much higher for the Mental (range -0.43 to -0.70 and -0.68) than for the Physical (range -0.06 to -0.41 and -0.24), respectively. There was a clear stepwise association (p<0.001) between the levels of depressive symptoms and General health (physical component, range 59.1 to 78.8). The associations with all items of the Mental components were strong and graded (p<0.001). All participants had low scores for Bodily pain regardless of the level of depressive symptoms. There was a strong association (p≤0.003) between levels of PHQ-9-mFIN and multisite pain, lumbar exertion and recovery after work days, neuromuscular fitness in Modified push-ups, workability, and fear of pain related to work. Conclusions: The PHQ-9-mFIN showed adequate reliability, and excellent construct and content validity among female healthcare workers with recurrent LBP and physically strenuous work. Trial registration: NCT01465698

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Relationship of depression in participants with nonspecific acute or subacute low back pain and no-pain by age distribution

Cited by 25 publications

References 29 publications

Kinesiophobia and Pain Intensity Are Increased by a Greater Hallux Valgus Deformity Degree- Kinesiophobia and Pain Intensity in Hallux Valgus

Kinesiophobia and Pain Intensity Are Increased by a Greater Hallux Valgus Deformity Degree- Kinesiophobia and Pain Intensity in Hallux Valgus

Mutual influence of intensity of pain syndrome and borderline mental disorders in patients with coxarthrosis

Reliability and construct validity of the modified Finnish version of the 9-item Patient Health Questionnaire, and its’ content validity within biopsychosocial frame among female healthcare workers with sub-acute or recurrent LBP

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