三级医疗中心患者慢性腰痛、焦虑与抑郁之间的关联

Association between chronic low back pain, anxiety and depression in patients at a tertiary care centre.

作者信息

Sagheer Muhammad Amir, Khan Muhammad Farhan, Sharif Salman

机构信息

Department of Neurosurgery, Liaquat National Hospital, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2013 Jun;63(6):688-90.

PMID:23901665

Abstract

OBJECTIVE

To observe the prevalence of anxiety and depression in chronic low back pain population at a tertiary care centre.

METHODS

The prospective cross-sectional study was conducted using convenience sampling at the Department of Neurosurgery, at Liaquat National Hospital, Karachi, Pakistan, from January to June 2010. The prevalence of anxiety and depression in chronic low back pain patients was studied according to specified age and gender groups using Hospital Anxiety and Depression Scale.

RESULTS

Of the 140 patients in the study, 66 (47.14%) were females and 74 (52.85%) were males.The average age of the patients was 43.02+/-13.34 years. The average duration of symptoms was 4.29+/-3.3 years. Abnormal level of anxiety and depression were found in 77 (55%) and 68 (48.57%) patients respectively. Out of them 54 (38.5%) and 51 (36.4%) were borderline abnormal for anxiety and depression respectively, while 23 (16.4%) and 17 (12.1%) were abnormal for anxiety and depression respectively. Among the males, there were 20 (14.28%) and 23 (16.42%) patients with abnormal levels of the corresponding numbers among the females were 57 (40.71%) and 45 (32.14%). There was a significant association in anxiety (p<0.01) and depression (p<0.01) levels with respect to gender and no significant association with respect to age (p>0.05).

CONCLUSION

Individuals with chronic low back pain were at high risk to experience anxiety and depression.This risk was higher for females.

摘要

目的

观察某三级医疗中心慢性下腰痛人群中焦虑和抑郁的患病率。

方法

2010年1月至6月，在巴基斯坦卡拉奇利亚卡特国家医院神经外科采用便利抽样法进行前瞻性横断面研究。使用医院焦虑抑郁量表，根据特定年龄和性别组研究慢性下腰痛患者中焦虑和抑郁的患病率。

结果

研究中的140例患者中，女性66例（47.14%），男性74例（52.85%）。患者的平均年龄为43.02±13.34岁。症状的平均持续时间为4.29±3.3年。分别有77例（55%）和68例（48.57%）患者存在焦虑和抑郁水平异常。其中，分别有54例（38.5%）和51例（36.4%）患者的焦虑和抑郁处于临界异常水平，而分别有23例（16.4%）和17例（12.1%）患者的焦虑和抑郁为异常水平。男性中，相应水平异常的患者有20例（14.28%）和23例（16.42%），女性中则为57例（40.71%）和45例（32.14%）。焦虑（p<0.01）和抑郁（p<0.01）水平在性别方面存在显著关联，在年龄方面无显著关联（p>0.05）。