Kim Tae-Suk, Pae Chi-Un, Hong Chang-Ki, Kim Jung-Jin, Lee Chang-Uk, Lee Soo-Jung, Paik In-Ho, Lee Chul
Department of Psychiatry, The Catholic University of Korea College of Medicine, Seoul, South Korea.
Mil Med. 2006 Nov;171(11):1113-6. doi: 10.7205/milmed.171.11.1113.
The aim of this study was to compare the psychological factors between young Korean conscripts with lumbar disc herniation (LDH) and healthy controls and to evaluate the interrelationships among pain, disability, and psychological factors in LDH conscripts. The subjects consisted of 56 young conscripts with LDH and 76 controls. All subjects completed Beck's Depression Inventory and Spielberger's State-Trait Anxiety Inventory. To evaluate pain intensity and functional disability, the Visual Analogue Scale and the Modified Oswestry Low Back Pain Disability Questionnaire were used. LDH conscripts had more depression and anxiety than the controls. The functional disability of the LDH conscripts was significantly related to the four variables: pain intensity, depression, state anxiety, and trait anxiety. Pain intensity and state anxiety significantly contributed to the functional disability in the LDH conscripts. This study suggests that LDH conscripts have some psychological problems, such as depression and anxiety, in comparison to healthy controls. Furthermore, the pain intensity and state anxiety predict the functional disability in LDH conscripts.
本研究的目的是比较患有腰椎间盘突出症（LDH）的韩国年轻应征入伍者与健康对照组之间的心理因素，并评估LDH应征入伍者中疼痛、残疾和心理因素之间的相互关系。研究对象包括56名患有LDH的年轻应征入伍者和76名对照组。所有受试者均完成了贝克抑郁量表和斯皮尔伯格状态-特质焦虑量表。为评估疼痛强度和功能残疾情况，使用了视觉模拟量表和改良奥斯威斯利腰痛残疾问卷。患有LDH的应征入伍者比对照组有更多的抑郁和焦虑。LDH应征入伍者的功能残疾与四个变量显著相关：疼痛强度、抑郁、状态焦虑和特质焦虑。疼痛强度和状态焦虑对LDH应征入伍者的功能残疾有显著影响。本研究表明，与健康对照组相比，患有LDH的应征入伍者存在一些心理问题，如抑郁和焦虑。此外，疼痛强度和状态焦虑可预测LDH应征入伍者的功能残疾。
