Longitudinal Associations of PROMIS-29 Anxiety and Depression Symptoms With Low Back Pain Impact in a Sample of U.S. Military Service Members.
Longitudinal Associations of PROMIS-29 Anxiety and Depression Symptoms With Low Back Pain Impact in a Sample of U.S. Military Service Members.
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PROMIS-29 焦虑和抑郁症状与美国军人样本中腰痛影响的纵向关联。
DOI：
10.1093/milmed/usab339
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发表时间：
2023
影响因子：
1.2
通讯作者：
Herman,PatriciaM
中科院分区：
文献类型：
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作者：
Dunbar,MichaelS;Rodriguez,Anthony;Edelen,MariaO;Hays,RonD;Coulter,IanD;Siconolfi,Daniel;Herman,PatriciaM
简介影响分层评分 (ISS) 是衡量慢性腰痛 (LBP) 影响的指标，由九个患者报告结果测量信息系统 (PROMIS-29) 项目组成，但尚无研究检验 ISS 或其与军事样本中心理症状的关联。本研究考察了军人心理症状与 ISS 之间的纵向关联。材料和方法该研究涉及对 18-50 岁患有 LBP 的现役美国军人样本 (n= 733) 进行二次数据分析。参与者在治疗期间的三个时间点完成了 PROMIS-29：基线（时间 1，T1）、治疗第 6 周（时间 2，T2）和治疗第 12 周（时间 3，T3）。 LBP 的影响使用 ISS 进行量化（范围从 8 = 最小影响到 50 = 最大影响）。心理症状通过 PROMIS-29 焦虑和抑郁评分进行评估。单独的自回归交叉滞后模型检查了从 T1 到 T3 ISS 与焦虑、抑郁和情绪困扰评分的相互关系。结果在每个时间点内，ISS 与焦虑和抑郁显着正相关。在自回归交叉滞后模型中，焦虑和抑郁预测下一个时间点的 ISS，并且关联程度相似（例如，焦虑 T2 与 ISS T3：β = 0.12，P< .001；抑郁 T2 与 ISS T3：β = 0.12，P<.001）。 ISS 不能预测任何时间点未来的抑郁或情绪困扰评分，但 T2 时的 ISS 与 T3 时的焦虑评分显着正相关（β = 0.07，P= .04）。 结论 在接受疼痛治疗的军人中，通过 ISS 测量，心理症状一致且前瞻性地预测 LBP 的影响。国际空间站也可能与未来的焦虑有关，但与抑郁无关。 PROMIS-29 焦虑和抑郁项目可能是使用 ISS 来支持 LBP 治疗计划和服务人员监测时需要考虑的有用辅助措施。
IntroductionThe Impact Stratification Score (ISS) is a measure of the impact of chronic low back pain (LBP) consisting of nine Patient-Reported Outcomes Measurement Information System (PROMIS-29) items, but no studies have examined the ISS or its association with psychological symptoms in military samples. This study examines longitudinal associations between psychological symptoms and the ISS among military service members.Material and MethodsThe study involved secondary data analysis of a sample of active duty U.S. military service members aged 18-50 years with LBP (n= 733). Participants completed the PROMIS-29 at three time points during treatment: baseline (time 1, T1), week 6 of treatment (time 2, T2), and week 12 of treatment (time 3, T3). The impact of LBP was quantified using the ISS (ranging from 8 = least impact to 50 = greatest impact). Psychological symptoms were assessed as PROMIS-29 anxiety and depression scores. Separate autoregressive cross-lagged models examined reciprocal associations of ISSs with anxiety, depression, and emotional distress scores from T1 to T3.ResultsWithin each time point, the ISS was significantly and positively correlated with anxiety and depression. In autoregressive cross-lagged models, anxiety and depression predicted the ISS at the next time point and associations were similar in magnitude (e.g., anxiety T2 to ISS T3: β = 0.12,P< .001; depression T2 to ISS T3: β = 0.12,P<.001). The ISS did not predict future depression or emotional distress scores at any time point, but the ISS at T2 was significantly, positively associated with anxiety scores at T3 (β = 0.07,P= .04).ConclusionPsychological symptoms consistently and prospectively predict the impact of LBP as measured by the ISS among service members undergoing pain treatment. The ISS may also be associated with future anxiety but not depression. PROMIS-29 anxiety and depression items may be useful adjunctive measures to consider when using the ISS to support LBP treatment planning and monitoring with service members.