Takahashi Natsuko, Kikuchi Shinichi, Konno Shinichi, Morita Satoshi, Suzukamo Yoshimi, Green Joseph, Fukuhara Shunichi
Institute for Health Outcomes and Process Evaluation Research, Tokyo, Japan.
Spine (Phila Pa 1976). 2006 Apr 15;31(8):931-9; discussion 940. doi: 10.1097/01.brs.0000209319.94256.89.
Survey of a random sample of all registered residents of Japan between the ages of 20 and 79 years (n = 2966), focusing on those who had had low back pain (LBP) within the past month (n = 906).
To learn more about the characteristics of people in whom the severity of LBP and the disability attributed to that pain are discrepant.
LBP can cause disability, but levels of pain and of disability can be discrepant. Some people with severe pain are only slightly disabled, some with mild pain are very disabled, and others have no such discrepancy. METHODS.: Severity of LBP was measured with a visual analog scale. Disability was measured with the Roland-Morris Disability Questionnaire, which quantifies disability in many daily activities, not necessarily disability related to employment. The respondents also provided demographic information, and completed the SF-36 and questionnaires about perceived stress, employment, and satisfaction with employment.
In about 45% of those patients with LBP, the severity of the pain and level of disability attributed to that pain were discrepant. People with a high level of disability despite only mild pain were older, felt more stress, were more depressed, worked more overtime, and were less satisfied with their job content, income, working conditions, and relationships with coworkers. People with little disability despite severe pain were the opposite in all those respects.
A group of patients with LBP can be identified for whom the most appropriate interventions should consider psychosocial factors.
对年龄在20至79岁之间的所有日本注册居民进行随机抽样调查（n = 2966），重点关注过去一个月内有腰痛（LBP）的人群（n = 906）。
进一步了解腰痛严重程度与该疼痛所致残疾程度不一致的人群特征。
腰痛可导致残疾，但疼痛程度和残疾程度可能不一致。一些疼痛严重的人残疾程度轻微，一些疼痛轻微的人残疾程度严重，还有一些人则不存在这种差异。方法：使用视觉模拟量表测量腰痛严重程度。使用罗兰-莫里斯残疾问卷测量残疾程度，该问卷可量化许多日常活动中的残疾情况，不一定是与就业相关的残疾。受访者还提供了人口统计学信息，并完成了SF-36以及关于感知压力、就业和工作满意度的问卷。
在约45%的腰痛患者中，疼痛严重程度与该疼痛所致残疾程度不一致。尽管疼痛轻微但残疾程度高的人年龄较大，感到压力更大，更抑郁，加班更多，对工作内容、收入、工作条件以及与同事的关系满意度更低。在所有这些方面，尽管疼痛严重但残疾程度低的人情况则相反。
可以识别出一组腰痛患者，针对他们，最恰当的干预措施应考虑心理社会因素。
