Department of Orthopedics, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, China.
Ningbo Institute of Life and Health Industry, University of Chinese Academy of Sciences, Ningbo, China.
Front Public Health. 2022 May 4;10:878865. doi: 10.3389/fpubh.2022.878865. eCollection 2022.
This study aimed to investigate the prevalence of anxiety symptoms among patients with chronic low back pain and explore its related factors.
A cross-sectional study was conducted on patients with chronic low back pain from two general hospitals in China. Anxiety symptoms were assessed by the Generalized Anxiety Disorder-7. Binary logistic regression was used to examine the association between demographic characteristics, pain severity, pain self-efficacy, family functioning and anxiety symptoms.
This study involved 1,172 chronic low back pain patients, with an effective rate of 94.67%. The prevalence of anxiety symptoms among patients with chronic low back pain in China was 23.89%. In the binary logistic regression, patients with more severe pain (OR = 1.15, 95%CI: 1.11-1.18) and pain duration between 15 years (13 years: OR = 2.45, 95%CI: 1.38-4.36; 3~5 years: OR = 2.99, 95%CI: 1.49-6.00) had a higher risk to anxiety symptoms. In contrast, patients with higher monthly income (OR = 0.62, 95%CI: 0.39-0.98), better family functioning (highly functional family: OR = 0.22, 95% CI: 0.13-0.37; moderately dysfunctional family: OR = 0.44, 95% CI: 0.27-0.72) and higher pain self-efficacy (OR = 0.95, 95%CI: 0.94-0.96) had a lower risk to anxiety symptoms.
The prevalence of anxiety symptoms among chronic low back pain patients was high in China. Targeted intervention measures should be taken to reduce anxiety symptoms levels of chronic low back pain patients.
本研究旨在调查中国慢性下背痛患者焦虑症状的患病率，并探讨其相关因素。
采用横断面研究方法，对中国两家综合医院的慢性下背痛患者进行调查。采用广泛性焦虑障碍-7 项量表评估焦虑症状。采用二元逻辑回归分析探讨人口统计学特征、疼痛严重程度、疼痛自我效能、家庭功能与焦虑症状之间的关系。
本研究共纳入 1172 例慢性下背痛患者，有效率为 94.67%。中国慢性下背痛患者焦虑症状的患病率为 23.89%。二元逻辑回归分析结果显示，疼痛程度更严重（OR=1.15，95%CI：1.11-1.18）和疼痛持续时间为 15 年（13 年：OR=2.45，95%CI：1.38-4.36；3~5 年：OR=2.99，95%CI：1.49-6.00）的患者发生焦虑症状的风险更高。而月收入较高（OR=0.62，95%CI：0.39-0.98）、家庭功能较好（功能高度失调家庭：OR=0.22，95%CI：0.13-0.37；功能中度失调家庭：OR=0.44，95%CI：0.27-0.72）和疼痛自我效能较高（OR=0.95，95%CI：0.94-0.96）的患者发生焦虑症状的风险较低。
中国慢性下背痛患者的焦虑症状患病率较高。应采取有针对性的干预措施，降低慢性下背痛患者的焦虑症状水平。
