Western Australian Institute for Medical Research-WAIMR, University ofWestern Australia, B Block, QEII Medical Center, Hospital Avenue, Nedlands, WA 6009, Australia.
Behav Med. 2013;39(3):80-9. doi: 10.1080/08964289.2013.779566.
Little is known about the course of recovery of acute low back pain (LBP) patients as a function of depression. In a prospective study, 286 acute LBP patients were assessed at baseline and followed up over 6 months. Recovery was defined as improvement in the Oswestry Disability Index (ODI). Repeated-measures analysis of covariance was employed with ODI as repeated factor, age, sex, and body mass index as covariates, depression and all other potential prognostic factors as between-subject factors. Of study participants, 18% were classified as depressive (>33 points on the Zung Self-Rating Depression Scale). Of 286 participants, 135 were lost to follow-up. In the longitudinal sample of 151 patients the course of recovery was slower in depressive patients. Depression was associated with LBP especially after 6 weeks and should therefore be included in screening instruments for acute LBP patients to identify those at risk of delayed recovery at an early stage.
关于急性腰痛 (LBP) 患者的恢复过程与抑郁之间的关系，人们知之甚少。在一项前瞻性研究中，286 名急性 LBP 患者在基线时进行了评估，并在 6 个月内进行了随访。恢复定义为 Oswestry 残疾指数 (ODI) 的改善。采用重复测量方差分析，ODI 为重复因素，年龄、性别和体重指数为协变量，抑郁和所有其他潜在预后因素为组间因素。研究参与者中，18%的人被归类为抑郁（Zung 自评抑郁量表 >33 分）。在 286 名参与者中，有 135 名失访。在 151 名纵向样本患者中，抑郁患者的恢复过程较慢。抑郁与腰痛有关，尤其是在 6 周后，因此应将其纳入急性腰痛患者的筛查工具中，以在早期识别那些恢复延迟风险较高的患者。
