Kayhan Fatih, Albayrak Gezer İlknur, Kayhan Ayşegül, Kitiş Serkan, Gölen Mustafa
a Department of Psychiatry , Faculty of Medicine, Mevlana University , Konya , Turkey .
b Department of Physical Therapy and Rehabilitation , Faculty of Medicine, Selçuk University , Konya , Turkey .
Int J Psychiatry Clin Pract. 2016;20(1):19-23. doi: 10.3109/13651501.2015.1100314. Epub 2015 Nov 2.
We investigated the prevalence of mood and anxiety disorders in patients with chronic low back and neck pain caused by disc herniation and the relationships between pain and mood, and anxiety disorders.
In total, 149 patients with disc herniation and 60 healthy subjects were included. Disc herniation was diagnosed based on a physical examination and magnetic resonance imaging. Mood and anxiety disorders were diagnosed using the Structured Clinical Interview of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition/Clinical Version.
The mean age of the study subjects (n = 209) was 45.96 ± 11.45 years. Seventy (46.6%) patients with disc herniation met the criteria for at least one mood or anxiety disorder. The prevalence rates of mood and anxiety disorders were 16.6% and 35.8%, respectively. The most common specific diagnoses were major depression (n = 25, 16.9%) and generalised anxiety disorder (n = 19, 12.8%).
Mood and anxiety disorders were more commonly seen in patients with lumbar or cervical disc herniation than in those without herniation. No relationship was detected between pain severity and mood or anxiety disorders. However, mood and anxiety disorders were associated with neurological deficits.
我们调查了因椎间盘突出导致慢性腰颈部疼痛患者的情绪和焦虑障碍患病率，以及疼痛与情绪和焦虑障碍之间的关系。
总共纳入了149例椎间盘突出患者和60名健康受试者。椎间盘突出根据体格检查和磁共振成像进行诊断。情绪和焦虑障碍使用《精神障碍诊断与统计手册》第四版/临床版的结构化临床访谈进行诊断。
研究对象（n = 209）的平均年龄为45.96 ± 11.45岁。70例（46.6%）椎间盘突出患者符合至少一种情绪或焦虑障碍的标准。情绪和焦虑障碍的患病率分别为16.6%和35.8%。最常见的具体诊断是重度抑郁症（n = 25，16.9%）和广泛性焦虑障碍（n = 19，12.8%）。
腰椎或颈椎间盘突出患者比无椎间盘突出的患者更常出现情绪和焦虑障碍。未发现疼痛严重程度与情绪或焦虑障碍之间存在关联。然而，情绪和焦虑障碍与神经功能缺损有关。
