Depression in patients with chronic low back pain: A hospital-based study

Namgwa, Kortor Joseph; Agbir, TM; William, Yongu; Daniel, Mue; Cornilius, Elachi

doi:10.4103/1595-1103.182478

Cited by 12 publications

(12 citation statements)

References 5 publications

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“…The incidence of depression among chronic low back pain patients in this study is within the worldwide range 12,14,15,16. Although a strong association between depression and chronic low back pain has been well demonstrated in previous published reports8–11, data on the risk factors that predisposes a patient with chronic low back pain to concomitant depression is very scanty8.…”

Section: Discussionmentioning

confidence: 74%

“…In recent published reports, the prevalence of depression among patients with chronic low back pain ranges from 20 to 64.8%12,14,15,16. The findings in these published reports12,14,15,16 also indicate that depression is not present in every patient with chronic low back pain. This implies that there are risk factors that predispose patients with chronic low back pain to depression.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of risk factors for depression among patients with chronic low back pain in an orthopaedic clinic of a Nigerian teaching hospital

Omoke

Igwe

2019

Afr H. Sci.

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Background Depression compounds the burden of chronic low back pain and has implications on the outcome of treatment. Published reports demonstrated a strong association between depression and chronic low back pain. However, there is very scanty data on predisposing factors for depression among these patients. Objective To determine the risk factors for depression among patients with chronic low back pain in a Nigerian orthopaedic clinic setting. Method Three hundred (300) eligible, consenting and consecutive patients with chronic low back pain in orthopaedic clinic of Federal Teaching Hospital Abakaliki Nigeria were interviewed with Population and Pain Characteristics Questionnaire, General Health Questionnaire (GHQ-12) and Major Depressive Episode of Mini-International Neuropsychiatric Interview (M.I.N.I) over a period of 34 months. Statistically significant factors that emerged from Pearson chi-square test of association were entered into logistic regression analysis to evaluate the risk of each factor when adjusted to other factors. Depression was observed in 61(20.3%) of the patients interviewed. Seven factors for depression among these patients emerged from chi square test of association. Logistic regression analysis identified alcohol consumption, severe pain intensity, hypertension co-morbidity and prior traditional healer care as the independent risk factors for depression among the patients. Conclusion The independent risk factors for depression identified in this study calls for maintaining a high level of suspicion in the patients with these risk factors to facilitate early recognition of depression, and a high priority accorded to them in the measures aimed at addressing depression for a good therapeutic outcome.

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Section: Discussionmentioning

confidence: 74%

Section: Introductionmentioning

confidence: 99%

Analysis of risk factors for depression among patients with chronic low back pain in an orthopaedic clinic of a Nigerian teaching hospital

Omoke

Igwe

2019

Afr H. Sci.

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“…This situation develops as a result of pain. Chronic pain is often accompanied by psychiatric problems, including depression, anxiety, insomnia, and burnout; these problems increase symptoms of pain and decrease the pain threshold 20 , 21 ) . Chronic pain can also cause physical dysfunction and social isolation.…”

Section: Discussionmentioning

confidence: 99%

Comparison among pain, depression, and quality of life in cases with failed back surgery syndrome and non-specific chronic back pain

Şahin

Karahan²,

Devrimsel

et al. 2017

J Phys Ther Sci

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[Purpose] The aim of this study is to compare patients with failed back surgery syndrome (FBSS) with those with non-specific chronic back pain (NSCBP) in terms of pain, depression, and quality of life levels to explain the effects of surgery experience on low-back pain. [Subjects and Methods] A total of 50 patients with FBSS and 51 patients with NSCBP who consecutively applied to the outpatient clinic from September 2012 to April 2013 were included in the study. Patients completed questionnaires on demographics, body mass index, education level, work history, and pain duration (in months). Lumbar pain at rest, during movement, and at night were measured with a visual analogue scale (VAS). The Short Form 36 scale was used for evaluating quality of life, and the Beck Depression Inventory (BDI) was used for assessing depression. [Results] VAS scores reporting pain at rest and at night and BDI scores were significantly higher in the FBSS group than in the NSCBP group. Role limitations due to physical functioning, which is one of the measures of quality of life, were significantly higher in the FBSS group than in the NSCBP group. [Conclusion] These assessments show that surgery experience in patients with ongoing low-back pain makes their pain and depression worse.

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“…The maximum score for FABQ-PA is 24 and the minimum is 0, with higher scores indicating stronger fear avoidance beliefs related to physical activity. FABQ-W has 11 items, each having a Likert scale ranging from 0 (completely disagree) to 6 (completely agree), but four items [8,13,14,16] are distractors, and do not contribute to total score. The maximum score for FABQ-W is 42 and minimum score is 0, with higher scores indicating stronger fear avoidance beliefs related to work activities.…”

Section: Igbo Roland Morris Disability Questionnaire (Igbo-rmdq)mentioning

confidence: 99%

“…Anxiety and depression may however have less in uence on work-related disability outcomes such as return to work or sick leave in people with CLBP in high income countries (10)(11)(12). A 40% prevalence rate of depression measured with the hospital anxiety and depression scale have been reported among literate patients living with CLBP in an urban Nigerian population (13). Limited studies have explored the in uence of anxiety and depression on CLBP-disability among people with limited literacy in Nigeria who may have one of the greatest burdens of CLBP globally.…”

Section: Introductionmentioning

confidence: 99%

Should the Hospital Anxiety and Depression Scale Be Cross-culturally Used, and Should It Be Interviewer-administered to Illiterate People? Findings From a Cross-cultural Adaptation and Validation Study in Nigeria

Igwesi-Chidobe¹,

Muomah²,

Sorinola³

et al. 2021

Preprint

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BackgroundNo available measure of anxiety and depression exists for illiterate non-English speaking Igbo Nigerians who have one of the greatest global burden of back pain. This study translated, culturally adapted and psychometrically tested the hospital anxiety and depression scale (HADS) in rural and urban Nigerian populations with chronic low back pain (CLBP). MethodsHADS was translated forwards and backwards by clinical and non-clinical translators; appraised by an expert review committee; and pre-tested among twelve rural Nigerian dwellers with CLBP. Cronbach’s alpha, intraclass correlation coefficient, Bland–Altman plots and minimal detectable change were investigated amongst 50 rural and urban Nigerian dwellers with CLBP. Construct validity was investigated using Roland Morris Disability Questionnaire, World Health Organisation Disability Assessment Schedule, Fear Avoidance Beliefs Questionnaire and eleven-point box scale of pain intensity; and exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) using randomly selected 200 adults with CLBP in rural Nigeria. ResultsThere was difficulty achieving cross-cultural equivalence with western idioms. Internal consistency, intra class correlation coefficients, standard error of measurements, and minimal detectable change were good. Igbo-HADS correlated at least moderately with generic self-reported disability, self-reported back pain-specific disability, fear avoidance beliefs and pain intensity. The EFA produced a two-factor structure and cross-loading of items. The CFA showed no good fit indices for the Igbo-HADS EFA structure, and the original two-factor and one-factor structures identified in the literature. ConclusionIgbo-HADS measures emotional distress. However, the suitability of the HADS for assessing anxiety and depression, or emotional distress in this particular population is doubtful.

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Depression in patients with chronic low back pain: A hospital-based study

Cited by 12 publications

References 5 publications

Analysis of risk factors for depression among patients with chronic low back pain in an orthopaedic clinic of a Nigerian teaching hospital

Analysis of risk factors for depression among patients with chronic low back pain in an orthopaedic clinic of a Nigerian teaching hospital

Comparison among pain, depression, and quality of life in cases with failed back surgery syndrome and non-specific chronic back pain

Should the Hospital Anxiety and Depression Scale Be Cross-culturally Used, and Should It Be Interviewer-administered to Illiterate People? Findings From a Cross-cultural Adaptation and Validation Study in Nigeria

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