Quality of Life and Mental Distress in Patients with Chronic Low Back Pain: A Cross-Sectional Study

Hnatešen, Dijana; Pavić, Roman; Radoš, Ivan; Dimitrijević, Iva; Budrovac, Dino; Čebohin, Maja; Gusar, Ivana

doi:10.3390/ijerph191710657

Cited by 11 publications

(7 citation statements)

References 72 publications

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“…Moreover, looking at disability due to low back pain, the study results obtained with the SF-36 questionnaire, which includes the domain of physical functioning, indicate that participants scored the lowest in the area of physical functioning. They stated that their difficulty with physical functioning led them to reduce the time they spent working or caused such discomfort that they could not perform their planned activities [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Epidural Steroid Injection Depending on Discoradicular Contact: A Prospective Randomized Trial

Budrovac

Radoš

Hnatešen

et al. 2023

IJERPH

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Lumbar radicular pain is a major public health and economic problem. It is among the most common reasons for professional disability. The most common cause of lumbar radicular pain is intervertebral disc herniation, which results from degenerative disc changes. The dominant pain mechanisms are direct pressure of the hernia on the nerve root and the local inflammatory process triggered by intervertebral disc herniation. Treatment of lumbar radicular pain includes conservative, minimally invasive, and surgical treatment. The number of minimally invasive procedures is constantly increasing, and among these methods is epidural administration of steroids and local anesthetic through a transforaminal approach (ESI TF). The aim of this research was to examine the effectiveness of ESI TF as measured by a visual analog scale (VAS) and the Oswestry Disability Index (ODI), depending on whether there is contact between the herniated intervertebral disc and the nerve root. In both groups of participants, there was a significant reduction in pain intensity, but there was no significant difference between the groups. In the group with disc herniation and nerve root contact, the only significant reduction was in pain intensity (p < 0.001). There were no significant differences in measurements in other domains of the ODI. In the group without disc herniation and nerve contact, there was a significant difference in all domains except weight lifting. In the group without contact, there was significant improvement after 1 month (p = 0.001) and 3 months (p < 0.001) according to the ODI, while there was no significant improvement in the group with contact. In addition, there were no significant differences in the distribution of participants based on the ODI and whether disc herniation and nerve contact was present. The results suggest that transforaminal epidural administration of steroids is a clinically effective method for treating lumbar radicular pain caused by intervertebral disc herniation in people with and without nerve root contact, without significant differences.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of Epidural Steroid Injection Depending on Discoradicular Contact: A Prospective Randomized Trial

Budrovac

Radoš

Hnatešen

et al. 2023

IJERPH

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“…However, it is necessary to measure the intensity of pain. Even a lower pain intensity can consequently negatively affect the health-related quality of life and lead to a poorer emotional status [ 8 ]. The findings of this study are consistent with Bruns and Disorbio.…”

Section: Discussionmentioning

confidence: 99%

“…The treatment of chronic pain (CP) requires a multimodal and multidisciplinary approach, where pharmacotherapy and analgesics are cornerstones in treatment [ 1 , 2 , 3 ]. Chronic pain presents a severe social burden, being a significant global health issue [ 4 , 5 ] that affects one in five people worldwide [ 6 ], and is associated with a complex interplay of physical, emotional, mental, and spiritual challenges that influence each other and result in poor function, reduced quality of life, and stigma [ 7 , 8 ]. Moreover, chronic pain bears a high economic cost [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Influence of the Cognitive and Emotional Status of Patients with Chronic Pain on Treatment Success (Reduction in Pain Intensity and Adherence to Pharmacotherapy): A Prospective Study

Hnatešen

Radoš

Dimitrijević

et al. 2022

IJERPH

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This prospective study aimed to determine the cognitive and emotional status among patients with chronic pain and to examine the potential influence on the treatment success, measured by the reduction in pain intensity and adherence to pharmacotherapy. A total of seventy patients were followed for two months. The results of the comparison between patients who did and did not follow the physician’s instructions regarding adherence to pharmacotherapy showed a significant difference in cognitive status and a reduction in pain intensity. Patients who followed the physician’s instructions on taking analgesics had significantly higher scores on the Montreal Cognitive Assessment (MoCA) of cognitive status and a substantially higher reduction in pain intensity. Scores on the MoCA test provide statistically significant indications regarding patients’ decision to follow instructions regarding adherence to pharmacotherapy. Scores on the MoCA test, anxiety, age, and pain intensity (measured with a numeric rating scale—NRS) on admission were identified as potential predictors for the reduction in pain intensity. The linear regression model was statistically significant (χ2 = 40.0, p < 0.001), explained between 43.5% and 61.1% of variance regarding the reduction in pain intensity. The findings of this study show that cognitive status, measured with MoCA, and emotional status, measured with the Depression, Anxiety, and Stress Scale (DASS-21), significantly influence the reduction in pain intensity and adherence to pharmacotherapy. The results suggest that cognitive and emotional status may be potential predictors of treatment success. This finding points to the importance of a biopsychosocial approach in the treatment of chronic pain, where an important emphasis can be placed on the psychosocial determinants of pain.

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“…For each individual, it is a unique sensory experience determined by location, duration, and type, which can vary depending on each person's personal experiences (Hadi & McHugh, 2019). The International Association for the Study of Pain defines chronic pain as pain that persists beyond the normal tissue healing time, which is typically assumed to be three months (Hnatešen, 2022).…”

Section: Introductionmentioning

confidence: 99%

“…Fatigue, irritability, sleep disorders, and decreased appetite are physical symptoms often associated with chronic pain (Raja, 2020). In chronic pain, emotional, motivational, cognitive, and psychosocial factors may be more severe than the pain itself (Hnatešen, 2022). Studying this phenomenon requires attention to its physical, psychological, social, and spiritual aspects.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of Mindfulness-Based Cognitive Therapy on Quality of Life and Resilience in Women with Chronic Pain

Pouryounes Abkenar,

Ebrahimi Looyeh,

Shamsaldini

2024

AFTJ

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Objective: The present study aimed to examine the effectiveness of mindfulness-based cognitive therapy on the quality of life and resilience of women suffering from chronic pain. Method: This was a quasi-experimental study using a pre-test, post-test, and follow-up design with a control group. The sample consisted of 120 women with chronic pain who visited medical centers in Tonekabon, from which 30 were selected through simple random sampling and randomly assigned to either the experimental group or the control group (15 per group). Data were collected using the Quality of Life Questionnaire (Ware & Sherbourne, 1992) and the Connor-Davidson Resilience Scale (2003). The experimental group received eight weekly sessions based on the Kabat-Zinn protocol (2003). During this period, the control group did not receive any training. Data were analyzed using repeated measures and SPSS software version 22. Findings: The results indicated that mindfulness-based cognitive therapy significantly improved the quality of life (F=15.25, p<0.001) and resilience (F=38.86, p<0.001) of women with chronic pain. Conclusion: It can be concluded that mindfulness-based cognitive therapy enhances the quality of life and resilience of women with chronic pain and therefore, this therapy can be utilized to alleviate the problems faced by women with chronic pain.

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Quality of Life and Mental Distress in Patients with Chronic Low Back Pain: A Cross-Sectional Study

Cited by 11 publications

References 72 publications

Effectiveness of Epidural Steroid Injection Depending on Discoradicular Contact: A Prospective Randomized Trial

Effectiveness of Epidural Steroid Injection Depending on Discoradicular Contact: A Prospective Randomized Trial

Influence of the Cognitive and Emotional Status of Patients with Chronic Pain on Treatment Success (Reduction in Pain Intensity and Adherence to Pharmacotherapy): A Prospective Study

The Effectiveness of Mindfulness-Based Cognitive Therapy on Quality of Life and Resilience in Women with Chronic Pain

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