Farajirad Elnaz, Tohidi Hadi, Farajirad Mohammad
Department of Neurosurgery, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
Asian J Neurosurg. 2016 Jul-Sep;11(3):287-91. doi: 10.4103/1793-5482.175618.
Low back pain (LBP) is one of the most common complaints of patients referred to the clinics. Studies indicated that psychosocial factors have great impact on the patients' complaints and disability. The aim of this study was to evaluate a broad range of psychiatric disorders in patients with chronic LBP (CLBP) and compare them with those of the control group.
We applied Symptom Checklist 90-R to compare 50 CLBP patients in the case group with 100 participants without it in the control group. The questionnaire measured somatization, obsessive-compulsive disorder, depression, anxiety, phobic anxiety, hostility, interpersonal sensitivity, paranoid ideation, and psychoticism.
Average "global severity index" was 1.10 in the case and 0.5 in the control group. Average "positive symptom total" was 45.26 in the case and 27.41 in the control group. Average "positive symptom distress index" was 2.50 in the case and 1.50 in the control group. Average scores for all test dimensions were significantly different between the two groups (P = 0.00).
All dimensions were significantly more common in CLBP patients. Therefore, early diagnosis and treatment of these disorders may improve the outcome of CLBP.
下腰痛（LBP）是转诊至诊所的患者最常见的主诉之一。研究表明，社会心理因素对患者的主诉和残疾有很大影响。本研究的目的是评估慢性下腰痛（CLBP）患者中广泛的精神障碍，并将其与对照组患者的精神障碍进行比较。
我们应用症状自评量表90修订版（Symptom Checklist 90-R），将病例组的50例CLBP患者与对照组的100名无下腰痛的参与者进行比较。该问卷测量躯体化、强迫症、抑郁、焦虑、恐惧焦虑、敌意、人际敏感、偏执观念和精神质。
病例组的平均“总体严重程度指数”为1.10，对照组为0.5。病例组的平均“阳性症状总分”为45.26，对照组为27.41。病例组的平均“阳性症状痛苦指数”为2.50，对照组为1.50。两组所有测试维度的平均得分均有显著差异（P = 0.00）。
所有维度在CLBP患者中均明显更为常见。因此，这些障碍的早期诊断和治疗可能会改善CLBP的治疗效果。
