慢性非特异性腰痛残疾和工作男性和女性的抑郁症状:一个横截面研究
Jelena Marunica Karšaj1, Frane Grubišić1, Diana Balen1
1University Department of Rheumatology, Physical and Rehabilitation Medicine, Sestre milosrdnice University Hospital Center, Vinogradska cesta 29, Zagreb, 10000, Croatia.
Rheumatology international
|September 26, 2024
概括
慢性腰部疼痛 (LBP) 障碍与工作成年人的抑郁症状,衰老和疼痛强度有关. 建议对抑郁症进行查,以获得有效的,个性化的LBP治疗.
科学领域:
- 公共卫生 公共卫生
- 心理学 心理学 心理学
- 康复医学 康复医学 康复医学
背景情况:
- 慢性非特异性腰痛 (LBP) 显著影响劳动人口的功能能力.
- 心理和心理社会因素在很大程度上影响了慢性LBP的经历和负担.
- 了解残疾严重程度和心理健康之间的相互作用对于有效的LBP管理至关重要.
研究的目的:
- 调查慢性非特异性LBP残疾严重程度和抑郁症状之间的关联.
- 在克罗地亚劳动年龄男性和女性 (35-65岁) 的样本中分析这些关联.
主要方法:
- 使用罗兰莫里斯残疾问卷 (RMDQ) 进行残疾评估.
- 使用贝克抑郁 inventory-II (BDI-II) 来测量抑郁症状.
- 在例行门诊访问期间,从203名患者收集了自我报告的数据.
主要成果:
- 残疾与年龄,工作经验,腰痛持续时间,疼痛强度 (在活动和休息期间) 以及BDI-II分数有显著的正相关性.
- 较高的BDI-II分数与与残疾相关的特定RMDQ问题有显著的关联.
- 增加LBP残疾与更严重的抑郁症状,年龄较大,更长的工作史和更高的疼痛水平密切相关.
结论:
- 慢性非特异性LBP中较高的残疾与显著的抑郁症状,衰老和疼痛强度有关.
- 建议对抑郁症状进行治疗前查,以量身定制多学科的LBP疗法.
- 包括心理支持在内的个性化治疗方法可以提高LBP管理结果.
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