Psychological factors: anxiety, depression, and somatization symptoms in low back pain patients.
Psychological factors: anxiety, depression, and somatization symptoms in low back pain patients.
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DOI：
10.2147/jpr.s40740
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发表时间：
2013
影响因子：
2.7
通讯作者：
Khan S
中科院分区：
文献类型：
--
作者：
Bener A;Verjee M;Dafeeah EE;Falah O;Al-Juhaishi T;Schlogl J;Sedeeq A;Khan S
确定下腰痛（LBP）的患病率，调查LBP患者的社会人口学特征，并检查其与焦虑、抑郁和躯体化等心理困扰的相关性。在2742例患者中，2180例同意参加这项横断面研究（应答率为79.5%）。调查于2012年3月至10月期间在基层医疗保健访问者中进行，并收集了社会人口学详细信息和LBP特征。一般健康问卷-12用于确定可能的病例。焦虑用广泛性焦虑障碍-7进行评估，抑郁用患者健康问卷-9进行评估，躯体化用患者健康问卷-15进行测量。研究样本包括52.9%的男性和47.1%的女性。下腰痛的患病率为59.2%，其中男性为46.1%，女性为53.9%。在卡塔尔人（57.9%）、妇女（53.9%）、家庭主妇（40.1%）和月收入较高的个人（53.9%）中，下腰痛明显较高。躯体化症状在LBP患者中的发生率最高（14.9%），其次为抑郁（13.7%）和焦虑（9.5%）。在伴有躯体化的LBP患者中，最常报告的症状是“头痛”（41.1%）和“手臂、腿部或关节疼痛”（38.5%）。抑郁性腰痛患者最常见的症状是“想自杀或想伤害自己”（51.4%）和“感到沮丧、抑郁或绝望”（49.2%）。“无法停止或控制担忧”（40.2%），“对不同的事情担心太多”（40.2%）和“感觉害怕，好像可怕的事情可能会发生”（40.2%）是LBP患者最常见的焦虑症状。LBP患者的心理困扰，如焦虑（9.5%对6.2%），抑郁（13.7%对8.5%）和躯体化（14.9%对8.3%）显着较高。该研究样本中LBP的患病率与其他研究相当。此外，LBP患者的心理困扰，如焦虑，抑郁和躯体化，比无LBP患者更普遍。
To determine the prevalence of low back pain (LBP), investigate the sociodemographic characteristics of patients with LBP, and examine its association with psychological distress such as anxiety, depression, and somatization. Of the 2742 patients approached, 2180 agreed to participate in this cross-sectional study (79.5% response rate). The survey was conducted among primary health care visitors from March to October 2012 and collected sociodemographic details and LBP characteristics. General Health Questionnaire-12 was used to identify the probable cases. Anxiety was assessed with Generalized Anxiety Disorder-7, depression was assessed with Patient Health Questionnaire-9, and somatization was measured with Patient Health Questionnaire-15. The study sample consisted of 52.9% males and 47.1% females. The prevalence of LBP was 59.2%, comprising 46.1% men and 53.9% women. LBP was significantly higher in Qataris (57.9%), women (53.9%), housewives (40.1%), and individuals with higher monthly income (53.9%). Somatization (14.9%) was observed more in LBP patients, followed by depression (13.7%) and anxiety disorders (9.5%). The most frequently reported symptoms were “headaches” (41.1%) and “pain in your arms, legs, or joints” (38.5%) in LBP patients with somatization. The most frequent symptoms among depressed LBP patients were “thinking of suicide or wanting to hurt yourself” (51.4%) and “feeling down, depressed, or hopeless” (49.2%). “Not being able to stop or control worrying” (40.2%), “worrying too much about different things” (40.2%), and “feeling afraid as if something awful might happen” (40.2%) were the most common anxiety symptoms in LBP patients. Psychological distress such as anxiety (9.5% versus 6.2%), depression (13.7% versus 8.5%), and somatization (14.9% versus 8.3%) were significantly higher in LBP patients. The prevalence of LBP in this study sample was comparable with other studies. Furthermore, psychological distress such as anxiety, depression, and somatization were more prevalent in LBP patients compared to patients without LBP.