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Factors associated with depressive symptoms in patients with chronic low back pain

Jae Yong Ha1, Eun Soo Kim, Hyo Jae Kim

  • 1Department of Rehabilitation Medicine, Seoul Medical Center, Seoul 131-130, Korea.

Annals of Rehabilitation Medicine
|April 17, 2012
PubMed

Insights

Depression is common in Korean chronic low back pain patients, affecting 26%. Factors like female gender, lower socioeconomic status, and other health issues increase risk. Early identification and management are crucial.

Area of Science:

  • Public Health
  • Epidemiology
  • Clinical Medicine

Background:

  • Chronic low back pain (CLBP) is a prevalent condition with significant public health implications.
  • Depressive symptoms frequently co-occur with CLBP, impacting patient quality of life and treatment outcomes.
  • Understanding the specific risk factors for depression in CLBP patients within the Korean population is essential for targeted interventions.

Purpose of the Study:

  • To investigate the prevalence of depressive symptoms among patients with chronic low back pain in Korea.
  • To identify socioeconomic, demographic, and clinical factors associated with depressive symptoms in this patient group.

Main Methods:

  • A cross-sectional study utilizing data from the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV) 2009.
  • Analysis included 1,426 participants diagnosed with chronic low back pain.
  • Multifactorial regression analysis was employed to determine associations between depressive symptoms and various factors.

Main Results:

  • The prevalence of depressive symptoms in patients with chronic low back pain was 26.0% (371 participants).
  • Significant risk factors for depressive symptoms included female gender (OR, 2.691), medical aid beneficiary status (OR, 1.371), dependency in activities of daily living (OR, 1.570), poor perceived health (OR, 2.309), and a cancer diagnosis (OR, 1.803).

Conclusions:

  • The findings highlight a substantial burden of depressive symptoms among Korean patients with chronic low back pain.
  • Clinicians should proactively screen for and manage depressive symptoms in CLBP patients, considering identified risk factors.
  • This research provides a foundation for developing integrated care strategies for co-occurring chronic low back pain and depression.
Abstract

Keywords:
Chronic low back painDepressionNHANES

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