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Associations between Combined Psychological and Lifestyle Factors with Pain Intensity and/or Disability in Patients with Chronic Low Back Pain: A Cross-Sectional Study.
- Source :
- Healthcare (2227-9032); Nov2023, Vol. 11 Issue 22, p2928, 13p
- Publication Year :
- 2023
-
Abstract
- Chronic low back pain (CLBP) is common in primary care, causing disability and economic burden globally. We aimed to compare socio-demographic, health, lifestyle, and psychological factors in people with and without CLBP and correlate them with clinical outcomes in people with CLBP. A total of 253 volunteers with and 116 without CLBP provided sociodemographic information, daily habits, medical history, subjective sleep complaints (Penn State Sleep Questionnaire), low back pain intensity, and disability (Quebec Back Pain Disability Scale), as well as the Zung Self-Rating Scale for self-assessment of depression and Self-Rating Anxiety Scale. CLBP diagnosis was linked with female gender and older age, as well as a higher level of sleep complaints such as sleepiness, OSA and insomnia symptoms, and a higher prevalence of moderate to severe depressive symptoms. The combination of moderate to severe depressive symptoms with obstructive sleep apnea or insomnia symptoms was the most important predictive factor for functional disability in CBLP patients (OR 13.686, 95% CI 4.581–40.885; p < 0.001). In conclusion, depressive symptoms and subjective sleep complaints appear to relate to greater CLBP intensity and/or CLBP-related disability in people with CLBP. A holistic approach is crucial for treating chronic CLBP patients, including psychological and sleep issue assessment and management, to improve their quality of life. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHRONIC pain & psychology
LIFESTYLES
LUMBAR pain
STATISTICS
CONFIDENCE intervals
CROSS-sectional method
SELF-evaluation
AGE distribution
ANTHROPOMETRY
HEALTH status indicators
HEALTH outcome assessment
HABIT
ANXIETY testing
SELF-report inventories
CLINICS
VISUAL analog scale
MANN Whitney U Test
PRIMARY health care
SLEEP disorders
SEX distribution
RISK assessment
FUNCTIONAL assessment
T-test (Statistics)
QUESTIONNAIRES
MENTAL depression
QUALITY of life
STATISTICAL hypothesis testing
DESCRIPTIVE statistics
CHI-squared test
SOCIODEMOGRAPHIC factors
ODDS ratio
DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 22279032
- Volume :
- 11
- Issue :
- 22
- Database :
- Complementary Index
- Journal :
- Healthcare (2227-9032)
- Publication Type :
- Academic Journal
- Accession number :
- 173831045
- Full Text :
- https://doi.org/10.3390/healthcare11222928