A public health concern: Chronic low back pain and the relationship between pain, quality of life, depression, anxiety, and sleep quality
Keywords:Chronic low back pain, sleep disorder, quality of life
Aim: Chronic low back pain (CLBP) is a common condition of the musculoskeletal system and a public health concern. CLBP patients suffer from conditions such as muscle weakness and numbness, resulting in diminished quality of life (QoL), poor functioning, psychological disorders and sleep disorders related to disabling pain. The aim of the current study was to reveal relationship between CLBP and patients’ health related QoL, anxiety, depression, and sleep disturbances. Methods: Seventy-three patients with CLBP and 73 healthy controls participated in this questionnaire-based cross-sectional study. The Short form McGill Pain Questionnaire, Roland-Morris disability, Short form-36 (SF-36), Beck Depression (BDI) and anxiety inventory (BAI) and the Pittsburgh Sleep Quality Index (PSQI) were used in the study group, and SF-36, BDI, BAI and PSQI were used in the control group. The relationships between QoL, depression, anxiety, and sleep disorders were examined in the two groups. Results: Two groups did not differ in terms of demographic characteristics (P>0.05). In the sub-scales of SF-36, except vitality and mental health, a significant difference was detected between the study and control groups (P<0.001). The depression, anxiety and PSQI scores did not differ between the two groups (P>0.05). Conclusion: CLBP affects QoL negatively. This should be considered when managing CLBP.
Bento TPF, Genebra CVDS, Maciel NM, Cornelio GP, Simeão SFAP, Vitta A. Low back pain and some associated factors: is there any difference between genders? Braz J Phys Ther. 2020;24(1):79-87.
Uchmanowicz I, Kołtuniuk A, Stępień A, Uchmanowicz B, Rosińczuk J. The influence of sleep disorders on the QoL in patients with chronic low back pain. Scand J Caring Sci. 2019;33(1):119-27.
Tsuji T, Matsudaira K, Sato H, Vietri J. The impact of depression among chronic low back pain patients in Japan. BMC Musculoskel Disord. 2016;17(1):447-55.
Panahi R, Mohammadi B, Kazemi SS, Geshti MRSN. Low Back Pain, Disability and QoL among University Students. International Journal of Muscoloskeletal Pain Prevention 2016;1(4):173-77.
Ucurum SG, Kalkan AC. Relationship between pain, kinesiophobia an quality of life in patients with low back pain [Article in Turkish] Ege Tıp Derg. 2018;57(3):131-35.
Yakut Y, Yakut E, Bayar K, Uygur F. Reliability and validity of the Turkish version short-form McGill pain questionnaire in patients with rheumatoid arthritis. Clin Rheumatol. 2007;26(7):1083-7.
Kucukdeveci AA, Tennant A, Elhan AH, Niyazoglu H. Validation of the Turkish version of the Roland-Morris Disability Questionnaire for use in low back pain. Spine. 2001;26(24):2738-43.
Hisli N. Validation of the Beck Depression Inventory: Turkish sample of Psychiatric Outpatients. J Turk Physcol. 1987;6:118-22.
Ulusoy M, Sahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric properties. J Cogn Psychother. 1998;12:163-72.
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pitts¬burgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28(2):193-213.
Kocyigit H, Aydemir O, Fisek G, Olmez N, Memiş A. Validity and reliability of Turkish version of Short form 36: A study of a patients with rheumatoid disorder. [Article in Turkish] J Drug Ther. 1999;12:102–6.
Mutubuki EN, Beljon Y, Maas ET, Huygen FJPM, Ostelo RWJG, van Tulder MW, et al. The longitudinal relationships between pain severity and disability versus health-related QoL and costs among chronic low back pain patients. Qual Life Res. 2020;29(1):275-87.
Fernandez M, MChiro, Colodro-Conde L, Hartvigsen J, Ferreira ML, Refshauge KM, et al. Chronic low back pain and the risk of depression or anxiety symptoms: insights from a longitudinal twin study. Spine J. 2017;17(7):905-12.
Ünal Ö, Akyol Y, Tander B, Ulus Y, Terzi Y, Kuru Ö. The relationship of illness perceptions with demographic features, pain severity, functional capacity, disability, depression, and QoL in patients with chronic low back pain. Turk J Phys Med Rehabil. 2019;65(4):301-8.
Park SM, Kim HJ, Jang S, Kim H, Chang BS, Lee CK, et al. Depression is Closely Associated With Chronic Low Back Pain in Patients Over 50 Years of Age: A Cross-sectional Study Using the Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-2). Spine. 2018;43(18):1281-87.
Namgwa KJ, Terkura A, William Y, Daniel MD, Cornilius EI. Depression in patients with chronic low back pain: Ahospital-based study. Niger J Surg Res 2016;17(1):1-4.
Sribastav SS, Peiheng H, Jun L, Zemin L, Fuxin W, Jianru, et al. Interplay among pain intensity, sleep disturbance and emotion in patients with non-specific low back pain. PeerJ. 2017;5:e3282.
Calvo Lobo C, Vilar-Fernández JM, Losa-Iglesias ME, López-López D, Rodríguez-Sanz D, Palomo-López P, et al. Depression Symptoms Among Older Adults With and Without Subacute Low Back Pain. Rehabil Nurs. 2019;44(1):47-51.
Oliveira DS, Vélia Ferreira Mendonça L, Sofia Monteiro Sampaio R, Manuel Pereira Dias de Castro-Lopes J, Ribeiro de Azevedo LF. The Impact of Anxiety and Depression on the Outcomes of Chronic Low Back Pain Multidisciplinary Pain Management-A Multicenter Prospective Cohort Study in Pain Clinics with One-Year Follow-up. Pain Med. 2019;20(4):736-46.
Omoke NI, Igwe MN. Analysis of risk factors for depression among patients with chronic low back pain in an orthopaedic clinic of a Nigerian teaching hospital. Afr Health Sci. 2019;19(1):1727-35.
Gokçek E, Akelma H, Kaydu A. Assessment of Sleep and Life Qualities of Patient with Chronic Low Back Pain; Single-Centered, Prospective Observational Study. Int J Med Sci Clin Inven. 2019;6:4251-7.
Sezgin M, Hasanefendioğlu EZ, Sungur MA, Incel NA, Çimen ÖB, Kanık A, et al. Sleep quality in patients with chronic low back pain: a cross-sectional study assesing its relations with pain, functional status and QoL. J Back Musculoskelet Rehabil. 2015;28(3):433-41.
Hong JH, Kim HD, Shin HH, Huh B. Assessment of depression, anxiety, sleep disturbance, and QoL in patients with chronic low back pain in Korea. Korean J Anesthesiol. 2014;66(6):444-50.
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