Association of Pain and Depression in Those With Chronic Low Back Pain

Pakpour, Amir H.; Nikoobakht, Mehdi; Campbell, Paul

doi:10.1097/ajp.0000000000000076

Cited by 20 publications

(15 citation statements)

References 51 publications

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“…Our study confirmed previous observations related to the problem of decreased quality of life, depressive and anxiety symptoms in chronic pain syndromes [2]. Moreover, a relationship between physical and professional activity and clinical symptoms was observed.…”

Section: Discussionsupporting

confidence: 91%

“…Patients have sought medical help from general practitioners and specialists for many years. The consequences of chronic spinal pain such as physical disability, reduction www.journals.viamedica.pl/neurologia_neurochirurgia_polska Anna Babińska et al, Clinical-radiological correlations in patients with low back pain in professional efficiency and social disruption have negative impacts on quality of life in patients and can cause depressive and anxiety symptoms, affecting social relationships and family life [2][3].…”

Section: Introductionmentioning

confidence: 99%

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No association between MRI changes in the lumbar spine and intensity of pain, quality of life, depressive and anxiety symptoms in patients with low back pain

Babińska

Wawrzynek

Czech

et al. 2018

Neurol Neurochir Pol.

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Introduction. The association between changes in magnetic resonance imaging (MRI) and clinical symptoms in patients with low back pain (LBP) is unclear. Aim. To evaluate correlations between combined MRI findings of the lumbar spine (LS) and pain intensity, depressive and anxiety symptoms and quality of life in patients with LBP. Material and methods. 200 subjects (93 men and 107 women; mean age 51.42 ± 13.21 years) with LBP referred for MRI were enrolled in the study. All patients completed the Hospital Anxiety and Depression Scale (HADS), Quality of Life Scales (EQ-5D, EQ-VAS) and the Visual Analogue Scale (VAS). MRI scans were assessed according to a scoring system prepared by the authors, and the total MRI score was calculated. Results. The mean total MRI score was 11.59 ± 6.73 points (range 0-50 points) and was higher in men than in women (p = 0.015). A correlation was observed between total MRI score and age (p < 0.001) and between total MRI score and BMI (p = 0.005). An association was found between total MRI score and EQ-5D (p = 0.012) and HADS-D results (p = 0.003). VAS and HADS-A results did not correlate with MRI score. When multivariate analysis was done, the total MRI score was only significantly related to age and BMI, and association between the total MRI score and EQ-5D or HADS-D results was not confirmed. Decreased quality of life was associated with increased intensity of pain and depressive and anxiety symptoms. Conclusions. Combined MRI changes in LS do not correlate with pain intensity, depressive and anxiety syndromes or quality of life in patients with LBP.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

No association between MRI changes in the lumbar spine and intensity of pain, quality of life, depressive and anxiety symptoms in patients with low back pain

Babińska

Wawrzynek

Czech

et al. 2018

Neurol Neurochir Pol.

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“…Previous studies have shown that chronic low back pain (CLBP) presents an association to a broad range of psychiatric disorders. Anxiety and depression typically are the most common (39)(40)(41).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Depression in Subacute Low Back Pain: A Case Control Study

López

2017

Pain Phys

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Background: Low back pain (LBP) is the most common musculoskeletal disorder affecting the general population and it is believed to be associated with depression. Objective: The study aim was to describe and compare the impact in a sample of people with subacute LBP (SLBP) and patients without LBP with normalized reference values in the light of the scores obtained with regard using the Beck Depression Inventory (BDI). Study Design: This was a case-control study. Settings: Physiotherapist area at a care center. Methods: A sample of 164 participants of a mean age of 41.45 ± 0.97 came to a physical therapy clinic where self-reported data were registered, informants’ professional activity was determined, and the scores obtained were compared in the BDI. Results: Total BDI scores at SLBP and their controls were 21.52 ± 6.93 (11 – 43) and 17.30 ± 5.09 (11 – 30), respectively (P < 0.001). The SLBP patient has 2.12 times more likely to have moderate depression (OR 2.12 (1.07 – 4.18) and 18.82 times more likely to have serious depression (OR 18.82 (1.06 – 331.81) compared to their controls (P < 0.05). Limitations: The study was not a randomized controlled trial. Although primary outcome data were self-reported, the assessor was not blinded. Conclusions: People with SLBP also have a significant increase in depression based on BDI scores, regardless of gender. Key words: Depression, low back pain, musculoskeletal diseases

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“…Notably, the risk of dependence is considerably reduced with careful prescriptions and frequent control by health professionals [ 42 ]. There is some growing evidence indicating that psychosocial factors can strongly influence spine surgery outcomes and can be considered one of the diverse underlying etiologies of FBSS [ 43 ]. Antidepressants such as amitriptyline, duloxetine, and venlafaxine are recommended owing to their antidepressant and specific analgesic effects [ 44 ].…”

Section: Treatmentmentioning

confidence: 99%

Etiology, Evaluation, and Treatment of Failed Back Surgery Syndrome

et al. 2018

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The study aimed to review the etiology of failed back surgery syndrome (FBSS) and to propose a treatment algorithm based on a systematic review of the current literature and individual experience. FBSS is a term that groups the conditions with recurring low back pain after spine surgery with or without a radicular component. Since the information on FBSS incidence is limited, data needs to be retrieved from old studies. It is generally accepted that its incidence ranges between 10% and 40% after lumbar laminectomy with or without fusion. Although the etiology of FBSS is not completely understood, it is possibly multifactorial, and the causative factors may be categorized into preoperative, operative, and postoperative factors. The evaluation of patients with FBSS symptoms should ideally initiate with reviewing the patients’ clinical history (observing “red flags”), followed by a detailed clinical examination and imaging (whole-body X-ray, magnetic resonance imaging, and computed tomography). FBSS is a complex and difficult pathology, and its accurate diagnosis is of utmost importance. Its management should be multidisciplinary, and special attention should be provided to cases of recurrent disc herniation and postoperative spinal imbalance.

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Association of Pain and Depression in Those With Chronic Low Back Pain

Cited by 20 publications

References 51 publications

No association between MRI changes in the lumbar spine and intensity of pain, quality of life, depressive and anxiety symptoms in patients with low back pain

No association between MRI changes in the lumbar spine and intensity of pain, quality of life, depressive and anxiety symptoms in patients with low back pain

Evaluation of Depression in Subacute Low Back Pain: A Case Control Study

Etiology, Evaluation, and Treatment of Failed Back Surgery Syndrome

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