Do Patients of Chronic Low Back Pain have Psychological Comorbidities?

Background Individuals with chronic pain have been reported to have an increased incidence of psychological morbidities. We aimed to examine the prevalence of anxiety, depression, disability, alexithymia, insomnia, and sleep quality in patients having chronic low back pain (LBP) and study their asso...

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Autores principales:	Kritika Singhal, Krishna Prasad Muliyala, Abhijit P. Pakhare, Prateek Behera, John Ashutosh Santoshi
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	low back pain psychological comorbidity anxiety depression alexithymia insomnia Medicine R
Acceso en línea:	https://doaj.org/article/105a05f12b02441fb4a267be887c580b
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spelling	oai:doaj.org-article:105a05f12b02441fb4a267be887c580b2021-12-02T19:15:53ZDo Patients of Chronic Low Back Pain have Psychological Comorbidities?2231-07702249-446410.1055/s-0041-1734385https://doaj.org/article/105a05f12b02441fb4a267be887c580b2021-09-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1734385https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Background Individuals with chronic pain have been reported to have an increased incidence of psychological morbidities. We aimed to examine the prevalence of anxiety, depression, disability, alexithymia, insomnia, and sleep quality in patients having chronic low back pain (LBP) and study their association with the severity of pain and any disability arising from it. Methods This descriptive study was conducted in a tertiary care teaching hospital setting. Fifty adults with nonspecific LBP of > 6-week duration were included. Study instruments employed were patient health questionnaire-9 for depression, generalized anxiety disorder-7 for anxiety, visual analogue scale (VAS) score for pain, Oswestry disability index (ODI) to assess disability, Toronto alexithymia scale-20 for alexithymia, and insomnia severity index and Pittsburgh sleep quality index for insomnia. Descriptive results were expressed as numbers, means, and proportions. Association study between variables was performed using Fisher’s exact test. Results Mean ODI score was 31.54% (95% CI, 26.09–36.99); mean VAS score was 6.08 (95% CI, 5.35–6.81). Insomnia of varying severity was found in 29 patients. Sleep quality was reported as good by 23 patients. One patient had alexithymia. There was significant association between the level of disability and depression, anxiety, insomnia, and sleep quality. The severity of pain had significant association with insomnia but the association with anxiety, depression, alexithymia, and sleep quality was not significant. Conclusions Patients with chronic LBP do have associated psychological comorbidities of varying extent. A “patient-centric” approach when treating patients with chronic LBP is necessary, so that appropriate evaluation of psychiatric and psychosocial comorbidities, sleep problems, and quality of life is done as part of their routine management to ensure the desired outcomes.Kritika SinghalKrishna Prasad MuliyalaAbhijit P. PakharePrateek BeheraJohn Ashutosh SantoshiThieme Medical and Scientific Publishers Pvt. Ltd.articlelow back painpsychologicalcomorbidityanxietydepressionalexithymiainsomniaMedicineRENAvicenna Journal of Medicine, Vol 11, Iss 03, Pp 145-151 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	low back pain psychological comorbidity anxiety depression alexithymia insomnia Medicine R
spellingShingle	low back pain psychological comorbidity anxiety depression alexithymia insomnia Medicine R Kritika Singhal Krishna Prasad Muliyala Abhijit P. Pakhare Prateek Behera John Ashutosh Santoshi Do Patients of Chronic Low Back Pain have Psychological Comorbidities?
description	Background Individuals with chronic pain have been reported to have an increased incidence of psychological morbidities. We aimed to examine the prevalence of anxiety, depression, disability, alexithymia, insomnia, and sleep quality in patients having chronic low back pain (LBP) and study their association with the severity of pain and any disability arising from it. Methods This descriptive study was conducted in a tertiary care teaching hospital setting. Fifty adults with nonspecific LBP of > 6-week duration were included. Study instruments employed were patient health questionnaire-9 for depression, generalized anxiety disorder-7 for anxiety, visual analogue scale (VAS) score for pain, Oswestry disability index (ODI) to assess disability, Toronto alexithymia scale-20 for alexithymia, and insomnia severity index and Pittsburgh sleep quality index for insomnia. Descriptive results were expressed as numbers, means, and proportions. Association study between variables was performed using Fisher’s exact test. Results Mean ODI score was 31.54% (95% CI, 26.09–36.99); mean VAS score was 6.08 (95% CI, 5.35–6.81). Insomnia of varying severity was found in 29 patients. Sleep quality was reported as good by 23 patients. One patient had alexithymia. There was significant association between the level of disability and depression, anxiety, insomnia, and sleep quality. The severity of pain had significant association with insomnia but the association with anxiety, depression, alexithymia, and sleep quality was not significant. Conclusions Patients with chronic LBP do have associated psychological comorbidities of varying extent. A “patient-centric” approach when treating patients with chronic LBP is necessary, so that appropriate evaluation of psychiatric and psychosocial comorbidities, sleep problems, and quality of life is done as part of their routine management to ensure the desired outcomes.
format	article
author	Kritika Singhal Krishna Prasad Muliyala Abhijit P. Pakhare Prateek Behera John Ashutosh Santoshi
author_facet	Kritika Singhal Krishna Prasad Muliyala Abhijit P. Pakhare Prateek Behera John Ashutosh Santoshi
author_sort	Kritika Singhal
title	Do Patients of Chronic Low Back Pain have Psychological Comorbidities?
title_short	Do Patients of Chronic Low Back Pain have Psychological Comorbidities?
title_full	Do Patients of Chronic Low Back Pain have Psychological Comorbidities?
title_fullStr	Do Patients of Chronic Low Back Pain have Psychological Comorbidities?
title_full_unstemmed	Do Patients of Chronic Low Back Pain have Psychological Comorbidities?
title_sort	do patients of chronic low back pain have psychological comorbidities?
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/105a05f12b02441fb4a267be887c580b
work_keys_str_mv	AT kritikasinghal dopatientsofchroniclowbackpainhavepsychologicalcomorbidities AT krishnaprasadmuliyala dopatientsofchroniclowbackpainhavepsychologicalcomorbidities AT abhijitppakhare dopatientsofchroniclowbackpainhavepsychologicalcomorbidities AT prateekbehera dopatientsofchroniclowbackpainhavepsychologicalcomorbidities AT johnashutoshsantoshi dopatientsofchroniclowbackpainhavepsychologicalcomorbidities
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Do Patients of Chronic Low Back Pain have Psychological Comorbidities?

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