Relationship between depressive symptoms and acute low back pain at first medical consultation, three and six weeks of primary care

Käser, A.; Melloh, Markus

doi:10.1080/13548506.2013.780131

Cited by 22 publications

(15 citation statements)

References 47 publications

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“…The inclusion criteria were: Spanish subjects, aged >18 years, and normal (no pain) participants or participants with nonspecific acute or subacute LBP 11,12,14,15,17. A nonspecific pain condition was defined as soreness of mechanical origin 17.…”

Section: Methodsmentioning

confidence: 99%

“…Furthermore, LBP was considered as pain predominantly located in the posterior trunk region, between the subcostal line and the upper part of the iliac bones 12–15. Finally, acute and subacute LBP were categorized as pain of <12 weeks’ duration,14,15 in keeping with The Quebec Task Force on Spinal Disorders LBP categorization, as acute (<2–4 weeks), subacute (up to 12 weeks), and chronic (>12 weeks) 17,18…”

Section: Methodsmentioning

confidence: 99%

“…Second, the BDI scores were self-reported in participants with acute or subacute LBP (n=166) and no-pain (n=166) 11,12,14,15,19. The BDI questionnaire comprises 21 items.…”

Section: Methodsmentioning

confidence: 99%

“…Health practitioners should consider depressive symptoms at the first consultation to improve acute and subacute LBP treatment 14. Approximately 72% of total costs per patient with subacute LBP in primary care are related to depression and emotional distress 15…”

Section: Introductionmentioning

confidence: 99%

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Relationship of depression in participants with nonspecific acute or subacute low back pain and no-pain by age distribution

Calvo‐Lobo¹,

Fernández²,

Becerro-de-Bengoa-Vallejo³

et al. 2017

JPR

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Background and purposeNonspecific low back pain (LBP) is the most prevalent musculoskeletal condition in various age ranges and is associated with depression. The aim of this study was to determine the Beck Depression Inventory (BDI) scores in participants with nonspecific LBP and no-pain by age distribution.MethodsA case–control study was carried out following the Strengthening the Reporting of Observational Studies in Epidemiology criteria. A sample of 332 participants, divided into the following age categories: 19–24 (n=11), 25–39 (n=66), 40–64 (n=90), 65–79 (n=124), and ≥80 (n=41) years was recruited from domiciliary visits and an outpatient clinic. The BDI scores were self-reported in participants with nonspecific acute or subacute (≤3 months) LBP (n=166) and no-pain (n=166).ResultsThe BDI scores, mean ± standard deviation, showed statistically significant differences (p<0.001) between participants with nonspecific acute or subacute LBP (9.590±6.370) and no-pain (5.825±5.113). Significantly higher BDI scores were obtained from participants with nonspecific acute and subacute LBP in those aged 40–64 years (p<0.001; 9.140±6.074 vs 4.700±3.777) and 65–79 years (p<0.001; 10.672±6.126 vs 6.210±5.052). Differences were not significant in younger patients aged 19–24 (p=0.494; 5.000±2.646 vs 8.250±7.498), 25–39 (p=0.138; 5.440±5.245 vs 3.634±4.397), and in those aged ≥80 years (p=0.094; 13.625±6.1331 vs 10.440±5.591).ConclusionParticipants with nonspecific acute and subacute LBP present higher BDI depression scores, influenced by age distribution. Specifically, patients in the age range from 40 to 80 years with LBP could require more psychological care in addition to any medical or physical therapy. Nevertheless, physical factors, different outcomes, and larger sample size should be considered in future studies.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…Second, the BDI scores were self-reported in participants with acute or subacute LBP (n=166) and no-pain (n=166) 11,12,14,15,19. The BDI questionnaire comprises 21 items.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Relationship of depression in participants with nonspecific acute or subacute low back pain and no-pain by age distribution

Calvo‐Lobo¹,

Fernández²,

Becerro-de-Bengoa-Vallejo³

et al. 2017

JPR

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show abstract

“…In other musculoskeletal conditions it has been shown that anxiety and depression are more common in these populations than the general population, with figures ranging from 16-30% in those living with musculoskeletal conditions (16)(17)(18) compared with 3.3-7.8% in the general UK population (19). This has led to further work to investigate the effects of psychological changes on the management and treatment of these conditions (20)(21)(22). It has been shown that increased levels of anxiety and depression are associated with greater persistence of the condition (22), increased acute pain (21), slower recovery (20) and greater risk of re-occurrence (23).…”

Section: Introductionmentioning

confidence: 99%

Investigating the prevalence of anxiety and depression in people living with patellofemoral pain in the UK: the Dep-Pf Study

Wride

Bannigan

2019

Scandinavian Journal of Pain

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Abstract Background and aims Patellofemoral pain (PFP) is a common knee condition causing pain around or behind the kneecap which is exacerbated by certain activities. Traditionally it has been viewed as a self-limiting condition. Recent research proves this is not the case and the evidence for poor long-term outcomes is growing. Whilst the evidence base for PFP treatment and the understanding of its aetiology is improving, it remains a complex and difficult to treat condition. In many physical conditions, it has been shown that anxiety and depression negatively affect both their management and duration. It is unclear how prevalent anxiety and depression are in PFP. This study aimed to identify the prevalence of anxiety and depression in people living with PFP in the UK. Methods In order to investigate this, a cross-sectional online survey was undertaken. Four hundred participants with self-reported symptoms of PFP were recruited through a tailored social media campaign, using modified snowball sampling. Eligibility criteria were (i) aged between 18 and 44, (ii) self-reported symptoms of PFP (using accepted criteria) (iii) resident in the UK. Exclusion criteria were previous history of patella dislocation or previous surgery to affected knee. The survey recorded demographic information, previous treatment for both PFP and anxiety and depression, the Hospital Anxiety and Depression Scale and the Anterior Knee Pain Scale. Ethical approval was gained from a University of Plymouth Ethics Committee. Results Half (49.5%; n=198) of respondents were classified as experiencing anxiety and 20.8% (n=83) as experiencing depression. The levels of anxiety and depression identified in this study are higher than those found in the general population (5.9–7.8% and 3.3–7.8%, respectively). This mirrors results which have been reported in other studies into PFP in different settings and with other musculoskeletal conditions, such as osteoarthritis and contracted shoulder. Conclusions Anxiety and depression are more common in people living with PFP than in the general population. These findings support the need for greater research into the effects of psychological factors, such as anxiety and depression, in PFP. A key area of future research will be to determine whether these psychological factors affect treatment outcomes in people living with PFP. Implications This is the first study to investigate the prevalence of anxiety and depression in people living with patellofemoral pain in the UK. This study shows that anxiety and depression are very common in people living with patellofemoral pain. The need for further work into the effects of psychological factors in patellofemoral pain is indicated.

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Pain and depression

Iannitelli¹,

Tirassa²

2016

An Introduction to Pain and Its Relation to Nervous System Disorders

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Relationship between depressive symptoms and acute low back pain at first medical consultation, three and six weeks of primary care

Abstract: Reciprocal effects of depressive symptoms and LBP seem to depend on time under medical treatment. Health practitioners should screen for and treat depressive symptoms at the first consultation to improve the LBP treatment.

Cited by 22 publications

References 47 publications

Relationship of depression in participants with nonspecific acute or subacute low back pain and no-pain by age distribution

Relationship of depression in participants with nonspecific acute or subacute low back pain and no-pain by age distribution

Investigating the prevalence of anxiety and depression in people living with patellofemoral pain in the UK: the Dep-Pf Study

Pain and depression

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