Lopez-Lopez Daniel, Vilar-Fernandez Juan M, Calvo-Lobo Cesar, Losa-Iglesias Marta E, Rodriguez-Sanz David, Becerro-de-Bengoa-Vallejo Ricardo
Department of Health Sciences, Universidade da Coruña Ferrol, Spain.
Modeling, Optimization, and Statistical Inference Research Group,Universidade da Coruña Ferrol, Spain.
Pain Physician. 2017 May;20(4):E499-E505.
Low back pain (LBP) is the most common musculoskeletal disorder affecting the general population and it is believed to be associated with depression.
The study aim was to describe and compare the impact in a sample of people with subacute LBP (SLBP) and patients without LBP with normalized reference values in the light of the scores obtained with regard using the Beck Depression Inventory (BDI).
This was a case-control study.
Physiotherapist area at a care center.
A sample of 164 participants of a mean age of 41.45 ± 0.97 came to a physical therapy clinic where self-reported data were registered, informants' professional activity was determined, and the scores obtained were compared in the BDI.
Total BDI scores at SLBP and their controls were 21.52 ± 6.93 (11 - 43) and 17.30 ± 5.09 (11 - 30), respectively (P < 0.001). The SLBP patient has 2.12 times more likely to have moderate depression (OR 2.12 (1.07 - 4.18) and 18.82 times more likely to have serious depression (OR 18.82 (1.06 - 331.81) compared to their controls (P < 0.05).
The study was not a randomized controlled trial. Although primary outcome data were self-reported, the assessor was not blinded.
People with SLBP also have a significant increase in depression based on BDI scores, regardless of gender.
腰痛（LBP）是影响普通人群的最常见肌肉骨骼疾病，且被认为与抑郁症有关。
本研究旨在根据使用贝克抑郁量表（BDI）获得的分数，描述并比较亚急性腰痛（SLBP）患者样本和无腰痛患者与正常参考值的影响。
这是一项病例对照研究。
一家护理中心的物理治疗区域。
164名平均年龄为41.45±0.97岁的参与者来到一家物理治疗诊所，登记自我报告的数据，确定受试者的职业活动，并比较BDI得分。
SLBP患者及其对照组的BDI总分分别为21.52±6.93（11 - 43）和17.30±5.09（11 - 30）（P < 0.001）。与对照组相比，SLBP患者出现中度抑郁的可能性高2.12倍（OR 2.12（1.07 - 4.18）），出现重度抑郁的可能性高18.82倍（OR 18.82（1.06 - 331.81））（P < 0.05）。
本研究并非随机对照试验。尽管主要结局数据是自我报告的，但评估者并非盲法。
无论性别如何，基于BDI评分，SLBP患者的抑郁也显著增加。
