Open Journal Systems

Cover Image

Evaluation of the relationship between disability and pain severity with anxiety and depression in chronic low back pain patient: Research and review

Narges Beyraghi, Maryam Hosseinzadeh, Masood Hashemi, Yashar Nasiri Moghaddam

Abstract


Background: Chronic disabling physical and mental symptoms contribute to substantial health-care costs and reduced human productivity. Low back pain (LBP) and depression are leading causes of years lived with disability in every country. Almost half of chronic LBP individuals have comorbid depression and anxiety conditions with a higher risk in female gender. This is a very common comorbidity, and the psychological comorbidities have a negative impact on chronicity of LBP symptoms. Psychological distress and depressed mood have been reported to be correlated with chronicity and persisting disability of chronic LBP. The aim of this study is to investigate the correlation of pain and disability and associated factors in a subgroup of depressed and anxious individual with chronic LBP (CLBP). Materials and Methods: A total of 74 CLBP participants in a university pain clinic with depression or anxiety diagnosis were enrolled. Hospital anxiety depression scale (HADS) for depression and anxiety, visual analog scale for pain severity, and Oswestry disability index were recorded for disability evaluation. Correlation and regression analysis was used to evaluate the effect of different factors on disability and depression. Results: Around 49 women and 25 men participated in this study. Duration of CLBP was 12.97 ± 9.27, and scores of depression and anxiety were 14.24 ± 3.41 and 12.95 ± 2.74, respectively. Disability and pain severity was 32.62 ± 9.9 and 5.67 ± 1.34, respectively. There was a significant relationship between disability and other scores. Pain and depression had a signifi cant correlation with disability, and the eff ect of depression (β = 0.357) on disability was more than pain (β = 0.331). Conclusion: Due to our results, there is a signifi cant relationship between psychiatric (depression and anxiety) and clinical factors (disability and pain) in patients with CLBP. The score of disability was higher than pain intensity and depression was the most important predictor factor of disability which must be recognized and treated in CLBP patients. Our results support that depression can predict disability and to some extend pain severity in CLBP patients.


Keywords


Chronic low back pain; depression; disability; pain

Full Text:

ABSTRACT PDF

References


Abrishami M, Zamharir ZA, Ghorbanzadeh S. Association of periodontal diseases to anxiety and stress. Int J Contemp Dent Med Rev 2015;2015:Article ID: 040115.

Selye H. Stress in Health and Disease. Boston: Butterworths;1976.

LeResche L, Dworkin SF. Th e role of stress in infl amatory disease, including periodontal disease: Review of concepts and current findings. Periodontol 2000;30:91-103.

Carranza FA, Newman MG. Clinical Periodontology. 8th ed. Philadelphia, PA: Saunders; 1996. p. 58-109.

Chrousos GP, Gold PW. The concepts of stress and stress system disorders. Overview of physical and behavioral homeostasis. JAMA 1992;267:1244-52.

da Silva AM, Newman HN, Oakley DA. Psychosocial factors in inflammatory periodontal diseases. A review. J Clin Periodontol 1995;22:516-26.

Mousavi-Jazi M, Abdolrazeghi M. Assessment of Anxiety and Depression on Periodontal Disease. Thesis, No. 4349. Dentistry.Dental Medicine-Tehran University of Medial Science; 2009. p. 5.

Marques-Vidal P, Milagre V. Are oral health status and care associated with anxiety and depression? A study of Portuguese health science students. J Public Health Dent 2006;66:64-6.

Saletu A, Pirker-Frühauf H, Saletu F, Linzmayer L, Anderer P, Matejka M. Controlled clinical and psychometric studies on the relation between periodontitis and depressive mood. J Clin Periodontol 2005;32:1219-25.

Dumitrescu AL, Kawamura M. Involvement of psychosocial factors in the association of obesity with periodontitis. J Oral Sci 2010;52:115-24.

Dumitrescu AL, Dogaru BC, Dogaru CD. Self-control and self confidence: Their relationship to self-rated oral health status and behaviours. Oral Health Prev Dent 2009;7:155-62.

Persson GR, Persson RE, MacEntee CI, Wyatt CC, Hollender LG, Kiyak HA. Periodontitis and perceived risk for periodontitis in elders with evidence of depression. J Clin Periodontol 2003;30:691-6.

Vettore MV, Leão AT, Monteiro Da Silva AM, Quintanilha RS, Lamarca GA. The relationship of stress and anxiety with chronic periodontitis. J Clin Periodontol 2003;30:394-402.

Solis AC, Lotufo RF, Pannuti CM, Brunheiro EC, Marques AH, Lotufo-Neto F. Association of periodontal disease to anxiety and depression symptoms, and psychosocial stress factors. J Clin Periodontol 2004;31:633-8.

Eitner S, Wichmann M, Paulsen A, Holst S. Dental anxiety - An epidemiological study on its clinical correlation and effects on oral health. J Oral Rehabil 2006;33:588-93.

Ng SK, Leung WK. A community study on the relationship of dental anxiety with oral health status and oral health related quality of life. Community Dent Oral Epidemiol 2008;36:347-56.

McGrath C, Bedi R. The association between dental anxiety and oral health-related quality of life in Britain. Community Dent Oral Epidemiol 2004;32:67-72.

Deinzer R, Förster P, Fuck L, Herforth A, Stiller-Winkler R, Idel H. Increase of crevicular interleukin 1beta under academic stress at experimental gingivitis sites and at sites of perfect oral hygiene. J Clin Periodontol 1999;26:1-8.

Deinzer R, Rüttermann S, Möbes O, Herforth A. Increase in gingival inflammation under academic stress. J Clin Periodontol 1998;25:431-3.

Genco RJ, Ho AW, Grossi SG, Dunford RG, Tedesco LA. Relationship of stress, distress and inadequate coping behaviors to periodontal disease. J Periodontol 1999;70:711-23.

Deinzer R, Hilpert D, Bach K, Schawacht M, Herforth A. Effects of academic stress on oral hygiene - A potential link between stress and plaque - associated disease? J Clin Periodontol 2001;28:459-64.

Nicolau B, Marcenes W, Hardy R, Sheiham A. A life course approach to assess the relationship between social and psychological circumstances and gingival status in adolescents. J Clin Periodontol 2003;30:1038-45.

Vanderas AP, Kavvadia K, Papagiannoulis L. Urinary catecholamine levels andgingivitis in children. J Periodontol 1998;69:554-60.

Monteiro da Silva AM, Newman HN, Oakley DA, O’Leary R. Psychosocialfactors, dental plaque levels and smoking in periodontitis patients. J Clin Periodontol 1998;25:517-23.

Ng SK, Keung Leung W. A community study on the relationship between stress, coping, aff ective dispositions and periodontal attachment loss. Community Dent Oral Epidemiol 2006;34:252-66.

Castro GD, Oppermann RV, Haas AN, Winter R, Alchieri JC. Association between psychosocial factors and periodontitis: A case - control study. J Clin Periodontol 2006;33:109-14.

Aleksejuniené J, Holst D, Eriksen HM, Gjermo P. Psychosocial stress, lifestyle and periodontal health. J Clin Periodontol 2002;29:326-35.

Hugoson A, Ljungquist B, Breivik T. The relationship of some negative events and psychological factors to periodontal disease in an adult Swedish population 50 to 80 years of age. J Clin Periodontol 2002;29:247-53.


Refbacks

  • There are currently no refbacks.
x
Message