الفهرس | Only 14 pages are availabe for public view |
Abstract Background: low back pain (LBP) is a common health issue affecting at least 80% of individuals during their lifetime. It is usually recurrent and develops into chronic LBP (CLBP). In chronic pain, psychosocial risk factors become relevant, and may explain how individuals respond to pain. CLBP is often co-morbid with depression. Aim of the Work: the aim of this study was to detect if there was an association between depression and functional disability in CLBP patients. Patients and Methods: this cross-sectional, descriptive preliminary study included 50 patients with CLBP. Pain intensity measured using Visual analogue scale (VAS), Functional disability was measured using the Oswestry Disability Index (ODI) and depression assessment using Beck depression inventory questionnaire (BDI-II). Results: mean age of patients was (43.66 ± 13.96) years. Mean scores for VAS, ODI and BDI were 5.38 ± 2.42, 18.66 ± 7.26 and 22.40 ± 9.20 respectively. A strong positive correlation was found between VAS and each of ODI and BDI (r = 0.797, 0.515 respectively, P = 0.000). Similarly, a positive significant linear relation was detected between degree of disability by ODI and degree of depression by BDI (P = 0.039). Conclusion: degree of disability can strongly cause depression in patients with CLBP. Recommendations: the physicians should always be alert to a concomitant psychiatric disturbance that could justify the chronic nature of pain complained of. The attending physician must be aware of any life events that are particularly stressful for the patient, so that psychosocial help could be made available at the appropriate time. |