Disability, emotional distress and well‐being among patients with lumbar spondylolisthesis

Abstract

Aim and objective To explore the disability, emotional distress and well‐being of patients with lumbar spondylolisthesis. Background Few studies have investigated the correlations between disability, emotional distress and well‐being of patients with lumbar spondylolisthesis. Design This study used a cross‐sectional research design. Methods Participants were 133 patients aged over 50 years who were experiencing lumbar spondylolisthesis. The research instruments included a demographic information questionnaire; the Numeric Rating Scale (NRS); the Charlson Comorbidity Index (CCI); the Chinese versions of the Oswestry Disability Index (ODI), State‐Trait Anxiety Inventory‐State (STAI‐S) and Center for Epidemiological Study‐Depression (CES‐D); and the Psychological Well‐being (PWB) Scale. Emotional distress was measured by the STAI‐S and CES‐D. Pearson's correlations coefficient, multiple linear regression and a mediating effect model were introduced to explore correlations between the variables and predictors of psychological well‐being, and details of the methods are reported in coherence to STROBE criteria. Results Eighty‐six participants (64.6%) had moderate and severe anxiety, and 42 (31.6%) experienced depression. Participants reported medium to high levels of well‐being; “satisfaction with interpersonal relationships” was rated the highest and “physical and mental health” the lowest. Disability, depression and anxiety had significant negative correlations with well‐being. Depression and anxiety mediated the relationship between disability and well‐being. Moreover, depression, family support, educational background and anxiety were predictors of well‐being, accounting for 39.1% of the total variance. Conclusions Disability and emotional distress among patients with lumbar spondylolisthesis had a negative impact on well‐being. Anxiety and depression were closely correlated with and substantially influenced well‐being. Relevance to clinical practice Health professionals will enhance the understanding of important factors influencing well‐being among patients with lumbar spondylolisthesis. This study suggests the conduct of depression and anxiety evaluations at outpatient clinics and prior to surgery, so that clinicians will be aware of the emotional distress status of patients with lumbar spondylolisthesis and, therefore, enhance their well‐being.

Psychosocial factors and well-being among adults with Charcot–Marie–Tooth disease: A cross-sectional study.

“…Specifically, studies have found that social support, friendships with other people with disabilities, adaptability, and self-efficacy are all linked to higher well-being in clinical populations (Börsbo et al, 2010; Silverman et al, 2017). In contrast, experiencing disability discrimination and higher levels of anxiety have been negatively associated with well-being (Hackett et al, 2020; Hsu et al, 2019). As such, psychosocial factors may be critical to consider when examining well-being among individuals with Charcot–Marie–Tooth (CMT) disease.…”

Postural stability, body composition and functional ability of the lower extremity in patients with lumbar degenerative spondylolisthesis

“…This assumption is linked to aging, heredity, the impact of the activity, and occupation which are key factors in the assessment procedures of functional abilities (Sharma et al, 2015;Duruöz et al, 2013). Studies have shown significant relationships between age, gender, occupation, and the development of degenerative spondylolisthesis (Kamal & Rouhi, 2019& Hsu et al, 2019.…”