Effects of Concurrent Low Back Conditions on Depression Outcomes

Angstman, Kurt B.; Bansal, Shalu; Chappell, Daniel H.; Bock, Frances A.; Rasmussen, Norman H.

doi:10.7556/jaoa.2013.004

Cited by 4 publications

(5 citation statements)

References 39 publications

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“…The relationship between these comorbidities and LBP is consistent with prior work suggesting psychological disorders, 2,[24][25][26]34 disturbances of sleep, [21][22][23] obesity, 17 tobacco use, 16,20 and alcohol use 18,19 are associated with LBP. However, these factors were usually examined separately, and two recent reviews 2,34 noted that heterogeneity among studies of LBP made pooling data and study results difficult.…”

Section: Discussionsupporting

confidence: 87%

“…14,15 Comorbid medical conditions may play a part in developing LBP or in LBP progressing to a chronic or recurrent condition. Tobacco use, 16,17 alcohol use, 18,19 obesity, 20 sleep disturbances, [21][22][23] and mental health disorders 2, [24][25][26] have been identified as risk factors for LBP. Furthermore, people with LBP and medical comorbidities of nicotine dependence, 27 psychological disorders, 24,[26][27][28] sleep disturbance, 29 or alcohol use 18 have shown increased risk for LBP becoming chronic or debilitating.…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for Low Back Pain and Spine Surgery

Kardouni

Shing

Rhon

2016

American Journal of Preventive Medicine

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Risk Factors for Low Back Pain and Spine Surgery

Kardouni

Shing

Rhon

2016

American Journal of Preventive Medicine

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“… 12 CCM was also associated with significant short-term improvements in depression outcomes in patients with comorbid physical conditions. 13 - 15 Also, a prior study in our institution demonstrated that within CCM, patients with PD were able to achieve remission only 25.0% of the time by 6 months compared with a 54.3% remission rate for patients without PD ( P < .001). 16 …”

Section: Introductionmentioning

confidence: 82%

Collaborative Care Management Associated With Improved Depression Outcomes in Patients With Personality Disorders, Compared to Usual Primary Care

Solberg

Deyo-Svendsen

Nylander

et al. 2018

J Prim Care Community Health

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Background: The use of a collaborative care management (CCM) model can dramatically improve short- and long-term treatment outcomes for patients with major depressive disorder (MDD). Patients with comorbid personality disorder (PD) may experience poorer treatment outcomes for MDD. Our study seeks to examine the differences in MDD treatment outcomes for patients with comorbid PD when using a CCM approach rather than usual care (UC). Methods: In our retrospective cohort study, we reviewed the records of 9614 adult patients enrolled in our depression registry with the clinical diagnosis MDD and the diagnosis of PD (Yes/No). Clinical outcomes for depression were measured with Patient Health Questionnaire–9 (PHQ-9) scores at 6 months. Results: In our study cohort, 59.4% of patients (7.1% of which had comorbid PD) were treated with CCM, as compared with 40.6% (6.8% with PD) treated with UC. We found that the presence of a PD adversely affected clinical outcomes of remission within both groups, however, at 6 months patients with PD had significantly lower MDD remission rates when treated with UC as compared with those treated with CCM (11.5% vs 25.2%, P = .002). Patients with PD in the UC group were also noted to have an increased rate of persistent depressive symptoms (PHQ-9 score ≥10) at 6 months as compared with those in the CCM group (67.7% vs 51.7%, P = .004). Conclusions: In patients with comorbid MDD and PD, clinical outcomes at 6 months were significantly improved when treated with CCM compared with UC. This finding is encouraging and supports the idea that CCM is an effective model for caring for patients with behavioral concerns, and it may be of even greater benefit for those patients being treated for comorbid behavioral health conditions.

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“…These mood disorders, such as depression, can reveal itself more in patients who have complications. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

Evaluate the prevalence of depression in type 2 diabetics with microvascular complications

Khodabandehloo

Zarifkar

Eskandari

et al. 2020

J Family Med Prim Care

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Introduction: Diabetes is one of the most common diseases in the world that is accompanied with many microvascular complications. Any chronic disease such as diabetes can cause types of mood disorders such as depression in patients. The aim of this study was to evaluate the prevalence of depression in type 2 diabetics with microvascular complications. Execution Method: In this cross-sectional study, type 2 diabetics with microvascular complications that referred to Hazrat Rasoul Akram Hospital during 2016–2017 were studied. After verification of retinopathy and nephropathy in patients, 100 patients were enrolled in the study and correlated between variables such as age, sex, body mass index, medication, education, retinopathy, nephropathy, marital status, hemoglobin A1c (HbA1c), triglyceride, low-density lipoprotein (LDL) and high-density lipoprotein (HDL), blood pressure, and fasting blood sugar was investigated in patients given the possibility of depression. Results: The results of this study showed that 72% of patients were with depression and by evaluating the mentioned variables with depression disorder it was found that there was a significant relationship between fasting blood sugar, HbA1C, retinopathy, medication, and LDL with depression. Conclusion: Given the high prevalence of depression (72%) in diabetics in this study, it seems that psychiatric consultation is needed to diagnose depression in diabetics.

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Effects of Concurrent Low Back Conditions on Depression Outcomes

Cited by 4 publications

References 39 publications

Risk Factors for Low Back Pain and Spine Surgery

Risk Factors for Low Back Pain and Spine Surgery

Collaborative Care Management Associated With Improved Depression Outcomes in Patients With Personality Disorders, Compared to Usual Primary Care

Evaluate the prevalence of depression in type 2 diabetics with microvascular complications

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