School of Nursing, Fudan University, Shanghai, China.
School of Nursing, Nanjing University of Chinese Medicine, Nanjing, China.
Pain Pract. 2019 Jun;19(5):510-521. doi: 10.1111/papr.12772. Epub 2019 Mar 12.
Chronic low back pain (CLBP) has become a worldwide health concern, and emotional distress is an important issue for CLBP management. However, it remains poorly understood how emotional distress happens and develops. This study aimed to systematically explore the correlates of emotional distress in patients with CLBP.
The study was a multisite, cross-sectional survey with a sample of 252 patients with CLBP in urban communities. A battery of questionnaires was used to collect data. Univariate analysis, Pearson correlation analysis, and hierarchical linear regression analysis were performed.
The mean score of emotional distress among 252 patients with CLBP was 13.85 ± 6.50. Hierarchical regression analysis indicated that the demographic factors, psychobehavioral factors, and social support of patients with CLBP were associated with their emotional distress, uniquely explaining 16.5%, 18.4%, and 6.2% of the variance, respectively. Five factors were found to be associated with patients' emotional distress: pain intensity (β = 0.257, P < 0.001), passive coping (β = 0.297, P < 0.001), active coping (β = -0.254, P < 0.001), self-efficacy (β = -0.155, P = 0.005), and social support (β = -0.268, P < 0.001).
Patients with CLBP suffered from clinically significant emotional distress. Patients' demographics, psychobehavioral factors, and social support were all related to emotional distress. The findings help us to identify the characteristics of patients with CLBP at high risk for emotional distress and to formulate corresponding countermeasures.
This study aimed to explored the correlates of emotional distress of patients with chronic low back pain (CLBP) by hierarchical linear regression analysis. The study found that patients' demographic factors, psycho-behavioral factors, and social support were associated with their emotional distress, uniquely explaining 16.5%, 18.4%, and 6.2% of the variance, respectively. Pain intensity, passive coping, active coping, self-efficacy, and social support were detected as significant correlates.
慢性下背痛（CLBP）已成为全球关注的健康问题，情绪困扰是 CLBP 管理的重要问题。然而，情绪困扰是如何发生和发展的仍知之甚少。本研究旨在系统地探讨 CLBP 患者情绪困扰的相关因素。
本研究是一项多地点、横断面调查，样本为城市社区 252 例 CLBP 患者。使用一整套问卷收集数据。进行单变量分析、皮尔逊相关分析和分层线性回归分析。
252 例 CLBP 患者的情绪困扰平均得分为 13.85±6.50。分层线性回归分析表明，CLBP 患者的人口统计学因素、心理行为因素和社会支持与他们的情绪困扰相关，分别独特地解释了 16.5%、18.4%和 6.2%的方差。发现五个因素与患者的情绪困扰相关：疼痛强度（β=0.257，P<0.001）、被动应对（β=0.297，P<0.001）、积极应对（β=-0.254，P<0.001）、自我效能（β=-0.155，P=0.005）和社会支持（β=-0.268，P<0.001）。
CLBP 患者患有明显的情绪困扰。患者的人口统计学特征、心理行为因素和社会支持均与情绪困扰相关。这些发现有助于我们识别 CLBP 患者中情绪困扰风险较高的特征，并制定相应的对策。
本研究通过分层线性回归分析，探讨了慢性下背痛（CLBP）患者情绪困扰的相关因素。研究发现，患者的人口统计学因素、心理行为因素和社会支持与他们的情绪困扰相关，分别独特地解释了 16.5%、18.4%和 6.2%的方差。疼痛强度、被动应对、积极应对、自我效能和社会支持被检测为显著相关因素。
