Calvo-Lobo Cesar, Vilar Fernández Juan Manuel, Becerro-de-Bengoa-Vallejo Ricardo, Losa-Iglesias Marta Elena, Rodríguez-Sanz David, Palomo López Patricia, López López Daniel
Physical Therapy Department, Motion in Brains Research Group, Instituto de Neurociencias y Ciencias del Movimiento, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, Madrid.
Modeling, Optimization and Statistical Inference Research Group, Universidade da Coruña, A Coruña.
J Pain Res. 2017 Jan 11;10:129-135. doi: 10.2147/JPR.S122255. eCollection 2017.
Nonspecific low back pain (LBP) is the most prevalent musculoskeletal condition in various age ranges and is associated with depression. The aim of this study was to determine the Beck Depression Inventory (BDI) scores in participants with nonspecific LBP and no-pain by age distribution.
A case-control study was carried out following the Strengthening the Reporting of Observational Studies in Epidemiology criteria. A sample of 332 participants, divided into the following age categories: 19-24 (n=11), 25-39 (n=66), 40-64 (n=90), 65-79 (n=124), and ≥80 (n=41) years was recruited from domiciliary visits and an outpatient clinic. The BDI scores were self-reported in participants with nonspecific acute or subacute (≤3 months) LBP (n=166) and no-pain (n=166).
The BDI scores, mean ± standard deviation, showed statistically significant differences (<0.001) between participants with nonspecific acute or subacute LBP (9.590±6.370) and no-pain (5.825±5.113). Significantly higher BDI scores were obtained from participants with nonspecific acute and subacute LBP in those aged 40-64 years (<0.001; 9.140±6.074 vs 4.700±3.777) and 65-79 years (<0.001; 10.672±6.126 vs 6.210±5.052). Differences were not significant in younger patients aged 19-24 (=0.494; 5.000±2.646 vs 8.250±7.498), 25-39 (=0.138; 5.440±5.245 vs 3.634±4.397), and in those aged ≥80 years (=0.094; 13.625±6.1331 vs 10.440±5.591).
Participants with nonspecific acute and subacute LBP present higher BDI depression scores, influenced by age distribution. Specifically, patients in the age range from 40 to 80 years with LBP could require more psychological care in addition to any medical or physical therapy. Nevertheless, physical factors, different outcomes, and larger sample size should be considered in future studies.
非特异性下腰痛（LBP）是各年龄段最常见的肌肉骨骼疾病，且与抑郁症相关。本研究的目的是按年龄分布确定非特异性LBP患者和无疼痛者的贝克抑郁量表（BDI）得分。
按照加强流行病学观察性研究报告标准进行病例对照研究。从上门家访和门诊招募了332名参与者，分为以下年龄组：19 - 24岁（n = 11）、25 - 39岁（n = 66）、40 - 64岁（n = 90）、65 - 79岁（n = 124）和≥80岁（n = 41）。非特异性急性或亚急性（≤3个月）LBP患者（n = 166）和无疼痛者（n = 166）自行报告BDI得分。
BDI得分，均值±标准差，显示非特异性急性或亚急性LBP患者（9.590±6.370）和无疼痛者（5.825±5.113）之间存在统计学显著差异（<0.001）。40 - 64岁（<0.001；9.140±6.074 vs 4.700±3.777）和65 - 79岁（<0.001；10.672±6.126 vs 6.210±5.052）的非特异性急性和亚急性LBP患者的BDI得分显著更高。19 - 24岁（=0.494；5.000±2.646 vs 8.250±7.498）、25 - 39岁（=0.138；5.440±5.245 vs 3.634±4.397）的年轻患者以及≥80岁（=0.094；13.625±6.1331 vs 10.440±5.591）的患者之间差异不显著。
非特异性急性和亚急性LBP患者的BDI抑郁得分更高，受年龄分布影响。具体而言，40至80岁的LBP患者除了任何医疗或物理治疗外，可能还需要更多心理护理。然而，未来研究应考虑物理因素、不同结果和更大样本量。
