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慢性非特异性下腰痛患者的性功能障碍——一项多中心回顾性分析

Sexual disability in patients with chronic non-specific low back pain-a multicenter retrospective analysis.

作者信息

Ferrari Silvano, Vanti Carla, Frigau Luca, Guccione Andrew Anthony, Mola Francesco, Ruggeri Martina, Pillastrini Paolo, Monticone Marco

机构信息

Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna: Bologna, Italy.

Department of Economics and Business Sciences, University of Cagliari, Italy.

出版信息

J Phys Ther Sci. 2019 Apr;31(4):360-365. doi: 10.1589/jpts.31.360. Epub 2019 Apr 1.

Abstract

[Purpose] Oswestry Disability Index includes an item (Oswestry Disability Index-8) aiming to assess sexual disability associated to low back pain. The aim of this study is to investigate the percentage of participants who answered the Oswestry Disability Index-8, and the relevance and characteristics of sexual disability due to low back pain in Italian patients. [Participants and Methods] Design: multicenter retrospective analysis. Population: six hundred and ninety-seven outpatients with non-specific low back pain. Variables: pain characteristics (amount, localization, and duration of perceived pain), disability, and psychological variables (anxiety, depression, catastrophizing, kinesiophobia, pain acceptance, and pain vigilance and awareness). [Results] Seventy-seven participants (11.05%) did not answer the Oswestry Disability Index-8. The odds of being not responding to the Oswestry Disability Index-8 item appeared related to age (odds=7.50 for over 60), gender (odds=2.65 for females), and marital status (odds=2.33 for not married). Concerning the psychological variables, Activity Avoidance (coefficient=0.071), Depression (coefficient=0.068), and Rumination (coefficient=0.031) showed a positive impact on sexual disability. [Conclusion] In Italian patients, the percentage of not-responding to Oswestry Disability Index-8 was relatively low. In addition, sexual disability was related to depression, activity avoidance, and rumination.

摘要

[目的]奥斯威斯利功能障碍指数包含一个项目(奥斯威斯利功能障碍指数-8),旨在评估与腰痛相关的性功能障碍。本研究的目的是调查回答奥斯威斯利功能障碍指数-8的参与者的比例,以及意大利患者中因腰痛导致的性功能障碍的相关性和特征。[参与者与方法]设计:多中心回顾性分析。研究对象:697例非特异性腰痛门诊患者。变量:疼痛特征(感知疼痛的程度、部位和持续时间)、功能障碍以及心理变量(焦虑、抑郁、灾难化、运动恐惧、疼痛接受度以及疼痛警觉和意识)。[结果]77名参与者(11.05%)未回答奥斯威斯利功能障碍指数-8。未回答奥斯威斯利功能障碍指数-8项目的几率似乎与年龄(60岁以上几率=7.50)、性别(女性几率=2.65)和婚姻状况(未婚几率=2.33)有关。关于心理变量,活动回避(系数=0.071)、抑郁(系数=0.068)和反复思考(系数=0.031)对性功能障碍有积极影响。[结论]在意大利患者中,未回答奥斯威斯利功能障碍指数-8的比例相对较低。此外,性功能障碍与抑郁、活动回避和反复思考有关。

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