The Mediating Role of Depression and Negative Partner Responses in Chronic Low Back Pain and Relationship Satisfaction

Waxman, Samantha E.; Tripp, Dean A.; Flamenbaum, Ricardo

doi:10.1016/j.jpain.2007.12.007

Cited by 51 publications

(47 citation statements)

References 65 publications

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“…However, our sample does not deviate markedly from the Danish population who report having a spinal condition in relation to gender, age, educational level, and employment status [21]. Also, the prevalence of both anxiety and depression in this sample of LSF patients is equal to that found in the literature among a similar group of patients [10,12,13,38]. However, further research with a larger group of participants should be done and might uncover further knowledge on the use of an ISG in patients undergoing LSF.…”

Section: Limitationsmentioning

confidence: 49%

“…However, disadvantages do exist; users must have access to the Internet, and in order to be an active and contributing user, the individual must be comfortable reading, writing, and sharing with others. Introducing ISG to patients undergoing LSF has the potential to create a platform for peer support, taking geography out of the equation and accommodating the well-known symptoms of anxiety and depression [10][11][12][13] because information has been shown to reduce these symptoms [14]. One RCT found that outcomes in spinal fusion patients in a peer-support group, i.e., a face-to-face back-café group, were superior in terms of daily functioning compared with two other groups receiving training regimens; moreover, this was a lasting effect and was present 2 years after surgery [11].…”

Section: Introductionmentioning

confidence: 99%

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Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study (Preprint)

Strøm¹,

Høybye²,

Laursen³

et al. 2018

Preprint

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Background: Use of the Internet within a healthcare context offers possibilities, not only to provide information, but also to establish support online. Internet Support Groups (ISGs) are often used by patients with cancer or depression, offering potentials and advantages not provided by face-to-face support. Use of an ISG could be beneficial in patients undergoing lumbar spine fusion (LSF), accommodating isolation after surgery, providing a sense of social life, and contributing to the overall health-related quality of life providing peer support. However, research indicates that LSF patients are often not Internet users, as they often belong to the low-income group, have low education, and are of older age. However, knowledge of LSF patients' use of ISG is limited. Objective: This study describes and analyses the use of an ISG in Danish patients undergoing instrumented LSF due to degenerative spine disorders. Method: A prospective, randomized controlled trial of 114 patients, half of whom were randomized to receive access to an ISG and half to a control group with no access. This study is a prospective cohort where the population comprised those patients randomized to access the ISG (n=57). Sociodemographic characteristics (gender, age, marital status, employment status, and level of education) and information on psychological wellbeing (symptom of anxiety and depression) were obtained at baseline, 1-5 weeks prior to surgery, and the use of the ISG was registered from baseline until 3 months after surgery. Results: Eight participants were excluded. Thus, 49 participants comprised the study population, with a mean age of 53 years (range 29-77), 57% female, 84% not living alone, 70% unemployed, and the majority (69%) had secondary education as their highest education. Approximately one-third of the participants had symptoms of depression (33%), and one-third had symptoms of anxiety (31%), half of these overlapped, having both anxiety and depression. A total of 43 of the 49 participants (88%) took the opportunity to access the ISG. We found no correlations between sociodemographic data and the degree to which participants accessed the ISG. Women were more prone to be active users (P=0.04) and more often contributed with posts to the ISG. Finally, participants who were active users and contributed with posts or comments had more interactions (P<0.001) and pageviews (P<0.001). Conclusions: Sociodemographic characteristics were not predictors of ISG use in this study.

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Section: Limitationsmentioning

confidence: 49%

Section: Introductionmentioning

confidence: 99%

Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study (Preprint)

Strøm¹,

Høybye²,

Laursen³

et al. 2018

Preprint

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“…Yazıcı ve arkadaşlarının [19] yaptığı bir çalışmada ise kronik bel, boyun ve diz ağrısı olan hastalarda anksiyete ve depresyon düzeyinin yüksek olduğu ve yaşam kalitesini olumsuz etkilediği bulunmuştur. Yine literatürde boyun veya bel ağrısı ile depresyon arasındaki iliş-kiyi gösteren birçok çalışma vardır [20][21]. Bizim çalışmamız-da da sağlıklı bireylerle karşılaştırıldığında, kronik servikal MAS tanılı hastalarda depresyon görülme oranının daha fazla olduğu, tespit edildi.…”

Section: Discussionunclassified

Pain, Depression and Quality of Life in Patients with Chronic Cervical Miyofascial Pain Syndrome

Dündar¹

2015

Ann Clin Anal Med

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ÖzetAmaç: Bu çalışmanın amacı kronik servikal miyofasiyal ağrı sendromlu (MAS) hastalarda depresyon, ağrı ve disabilite seviyesini araştırmak ve yaşam kalitesi ile ilişkisini belirlemektir. Gereç ve Yöntem: 40 kronik servikal MAS'lı hasta ve yaş ve cinsiyet açısından benzer 40 sağlıklı kontrol çalışmaya dahil edildi. Hastalar ve kontroller görsel anolog skala (GAS) ile gece, istirahat ve hareket ağrısı açısından değerlendirildi. Fonksiyonel disabiliteyi hesaplamak için boyun disabilite indeksi (BDİ) kullanıldı. Yaşam kalitesi kısa form-36 (SF-36) ile ölçüldü. Hastaların ve kontrol grubunun emosyonel durumları Beck depresyon ölçeği (BDÖ) ile değerlendirildi. Bulgular: Hastalar ve kontroller arasın-da demografik veriler açısından fark yoktu. Kronik servikal MAS'lı hastaların SF-36 skorları kontrollerden daha düşüktü. Hastalarda BDİ, BDÖ ve GAS skorları kontrollere göre yüksekti. Kronik servikal MAS'lı hastaların BDÖ skorları ile SF-36'nın alt parametreleri arasında negatif ve çok yakın bir ilişki bulundu (fiziksel işlevler (r:-0,599, p<0,001), fiziksel problemlere bağlı olarak rollerde engellenme (r:-0,558, p<0,001), bedensel acı (r:-0,540, p<0,001), genel sağ-lık algısı (r:-0,708, p<0,001), yaşam enerjisi (r:-0,692, p<0,001), sosyal işlev-ler (r:-0,559, p<0,001), duygusal sorunlara bağlı olarak rollerde engellenme (r: -0,537, p<0,001) ve ruhsal sağlık (r: -0,787, p<0,001). Tartışma: Kronik servikal MAS'lı hastalarda BDÖ skorları sağlıklı kontrollere göre daha yüksektir ve yaşam kalitelerini olumsuz etkiler. Kronik servikal MAS'lı hastaların psikiyatrik yönden değerlendirmeleri yaşam kalitelerini artıracak ve tedavi sonuçları-nın iyileşmesini sağlayacaktır. Anahtar KelimelerKronik Servikal Miyofasyal Ağrı Sendromu; Depresyon; Yaşam Kalitesi Abstract Aim: The aim of this study was to investigate the levels of depression, pain and disability in patients with chronic cervical miyofascial pain syndrome (MPS) and to determine their association with quality of life. Material and Method: Forty patients with Cervical MPS and 40 age and sex-matched healthy controls enrolled in this study. The social and demographic characteristics of the patients and controls were examined. All patients and controls were evaluated with respect to pain (at night, rest and movement) and assessed by visual analog scale (VAS). Neck disability index (NDI) was used to calculate functional disability. Quality of life was evaluated with the the Short Form 36 Health Survey (SF-36). Also all of the patients and controls underwent Beck depression inventory (BDI). Results: There was no statistical difference between the patients and control cases according to demographical data. The SF-36 scores of the study patients were lower than controls. NDI, BDI and VAS scores were higher in the patients with chronic cervical MPS compared to controls. BDI scores of the patients with chronic cervical MPS were negatively and closely associated with subparameters of the SF-36 (physical function (r:-0,599, p<0.001), role limitations due to physical functioning (r:-0...

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“…Chronic LBP, with increased disability and decreased quality of life, causes significant healthcare costs (1,2).…”

Section: Introductionmentioning

confidence: 99%

The effects of the number of physical therapy sessions on pain, disability,and quality of life in patients with chronic low back pain

Ökmen¹,

Koyuncu²,

Uysal³

et al. 2017

Turk J Med Sci

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Materials and methods PatientsSeventy patients who had applied to the Physical Therapy and Rehabilitation Education and Research Hospital with LBP were evaluated. Patients who were 25-75 years old and who had LBP for at least 3 months were included. The exclusion criteria were: patients with certain surgical indications (motor, sensory, or reflex impairment), history of epilepsy, pregnancy, cardiac failure, respiratory failure, Background/aim: The aim of this study was to investigate and compare the effect of different physical therapy (PT) session numbers on pain, impairment. and quality of life in patients with chronic low back pain (LBP). Materials and methods:In this prospective, randomized-controlled, single-blind trial, a total of 60 patients with chronic LBP were divided into 2 groups with simple randomization within the scope of the study. A PT program of a total of 10 sessions was applied for patients in Group 10 (n = 30) and a total of 15 sessions for patients in Group 15 (n = 30). The main outcome measures were fingertip-tofloor distance (FFD), a visual analog scale (VAS), the modified Oswestry Disability Index (mODI), and the Nottingham Health Profile (NHP). Results:We found statistically significant differences in both groups between the before-treatment (BT) and after-treatment (AT) results in terms of all evaluation parameters. We detected significant differences between the 2 groups in terms of AT VAS, mODI, NHP Pain, and NHP Total; however, no significant differences were found in terms of FFD and the other NHP subdimension levels. Conclusion:We determined that 15 treatment sessions were more effective than 10 sessions on pain and disability in patients with chronic LBP.

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The Mediating Role of Depression and Negative Partner Responses in Chronic Low Back Pain and Relationship Satisfaction

Cited by 51 publications

References 65 publications

Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study (Preprint)

Lumbar Spine Fusion Patients’ Use of an Internet Support Group: Mixed Methods Study (Preprint)

Pain, Depression and Quality of Life in Patients with Chronic Cervical Miyofascial Pain Syndrome

The effects of the number of physical therapy sessions on pain, disability,and quality of life in patients with chronic low back pain

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