Emotional Effects on Factors Associated with Chronic Low Back Pain
Emotional Effects on Factors Associated with Chronic Low Back Pain
复制标题
DOI：
10.2147/jpr.s223190
复制
发表时间：
2019-01-01
影响因子：
2.7
通讯作者：
Mandai, Nozomu
中科院分区：
文献类型：
--
作者：
Ouchi, Koichi;Watanabe, Mayumi;Mandai, Nozomu
目的：慢性下腰痛(CLBP)对患者、社会和经济都有深远的影响，但其病因尚不清楚。众所周知，心理因素或社会压力会影响CLBP；因此，对其根本原因的调查需要多因素的方法。我们通过基于互联网的调查确定了与CLBP相关的因素。为了预防CLBP，我们需要了解其病因和背景。患者和方法：共有1000名患有(+)和不患有(-)CLBP的参与者回答了日本骨科学会背痛评估问卷(JOABPEQ)，该问卷评估了CLBP的五个领域：下腰痛、腰椎功能、步行能力、社会生活功能和心理健康。我们还对参与者进行了一份新的问卷调查，其中包括五个不同的领域：身体、生活方式、情感、饮食和社交。为了评估心理因素对CLBP的影响，我们增加了两个原始因素，即大喊和HIE，这两个因素尚未被研究。HIE是“感觉冷”或“冷”的传统概念(意义)。结果：多因素Logistic回归分析筛选出与CLBP相关的4个因素(睡眠、室温、大喊和HIE)。使用JOABPEQ对这些因素中的每一个进行心理健康领域的评估。CLBP(+)和CLBP(-)患者的OUTHUT和HIE因子不同。CLBP(-)受试者在睡眠和HIE因子上也有差异。结论：在心理诱因效应中，情绪是所有提取的四个因素的共同之处。没有公共的物理除数。因此，我们假设急性下腰痛可能在心理应激或其他情绪因素如大喊或缺氧缺血性脑病的存在下发展为CLBP。因此，在CLBP的预防和治疗中，我们需要同时考虑生理和心理因素的影响。此外，适当的心理应激评估和治疗可能是降低CLBP的有效方法。
Purpose: Although chronic low back pain (CLBP) has profound effects on patients, society, and economy, its causes are difficult to identify. Psychogenic effects or social stress is known to affect CLBP; hence, investigation of its underlying causes requires a multifactorial approach. We determined the factors associated with CLBP by using an Internet-based survey. To prevent CLBP, we need to understand its cause and background.Patients and methods: A total of 1000 participants either with (+) or without (-) CLBP answered the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ), which assesses five domains of CLBP: low back pain, lumbar function, walking ability, social life function and mental health. We also administered a new questionnaire for participants, that comprised five different domains: Body, Lifestyle, Emotion, Diet, and Social. To evaluate psychogenic effects on CLBP, we added two original factors, namely outshout and HIE, which have not yet been studied. HIE is a traditional concept (sense) of "feeling cold" or "chilly." All participants completed both questionnaires.Results: Multivariate logistic regression analysis extracted four factors (sleep, room temperature, outshout, and HIE) that were associated with CLBP. The mental health domain was assessed using the JOABPEQ for each of these factors. The factors outshout and HIE differed between CLBP (+) and CLBP (-) patients. CLBP (-) participants also showed a difference in Sleep and HIE factors.Conclusion: Among psychogenic effects, Emotion was common to all the four extracted factors. There was no common physical divisor. Therefore, we hypothesized that acute low back pain might develop into CLBP in the presence of psychological stress or other emotional factors such as outshout or HIE. Hence, we need to consider both physical and psychogenic effects in the prevention and treatment of CLBP. Furthermore, appropriate evaluation and treatment of psychological stress may be effective in reducing CLBP.