Dimitrijević Iva, Hnatešen Dijana, Radoš Ivan, Budrovac Dino, Raguž Marija
Clinical Department of Pain Management, University Hospital Osijek, 31000 Osijek, Croatia.
Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia.
Healthcare (Basel). 2024 Dec 15;12(24):2531. doi: 10.3390/healthcare12242531.
Low back pain has frequently been mentioned as the most common sort of chronic pain, and numerous studies have confirmed its influence on the health-related quality of life (HRQoL). Despite a great deal of research demonstrating the important part that psychological factors play in explaining HRQoL, a therapeutic setting that prioritizes the physical domain still predominates. For this reason, the aim of this study is to assess the relationship between age, pain intensity, pain catastrophizing, depression, anxiety, pain-related anxiety, chronic pain acceptance and the psychological and physical dimensions of HRQoL in patients with chronic low back pain (CLBP).
Data were collected from 201 patients with CLBP using sociodemographic data, the SF-36 Health Status Questionnaire (SF-36), the Hospital Anxiety and Depression Scale (HADS), the Pain Anxiety Symptoms Scale Short Form 20 (PASS-20), the Pain Catastrophizing Scale (PCS), the Chronic Pain Acceptance Questionnaire (CPAQ-8) and the Numeric Pain Rating Scale (NRS). The linear regression model for the dependent variable of Physical Health (SF-36 PhyH) was statistically significant (F (7, 201) = 38.951, < 0.05), explaining 57.6% of the variance regarding the Physical Health dimension of HRQL in patients with CLBP.
The linear regression model for the dependent variable of Psychological Health (SF-36 PsyH) was statistically significant (F (7, 200) = 39.049, < 0.05), explaining 57.7% of the variance regarding the Psychological Health dimension of HRQL in patients with CLBP.
The findings of this study confirm that age, pain intensity, depression, pain-related anxiety and chronic pain acceptance are significant predictors of the physical dimension of HRQoL, while pain intensity, anxiety and depression proved to be significant predictors of the psychological dimension of HRQoL in patients with CLBP.
下腰痛常被提及为最常见的慢性疼痛类型，众多研究已证实其对健康相关生活质量（HRQoL）的影响。尽管大量研究表明心理因素在解释HRQoL方面发挥着重要作用，但以身体领域为优先的治疗环境仍然占据主导。因此，本研究的目的是评估慢性下腰痛（CLBP）患者的年龄、疼痛强度、疼痛灾难化、抑郁、焦虑、疼痛相关焦虑、慢性疼痛接受度与HRQoL的心理和身体维度之间的关系。
使用社会人口统计学数据、SF - 36健康状况问卷（SF - 36）、医院焦虑抑郁量表（HADS）、疼痛焦虑症状量表简表20（PASS - 20）、疼痛灾难化量表（PCS）、慢性疼痛接受问卷（CPAQ - 8）和数字疼痛评分量表（NRS），收集了201例CLBP患者的数据。身体健康（SF - 36 PhyH）作为因变量的线性回归模型具有统计学意义（F(7, 201) = 38.951，< 0.05），解释了CLBP患者HRQL身体健康维度方差的57.6%。
心理健康（SF - 36 PsyH）作为因变量的线性回归模型具有统计学意义（F(7, 200) = 39.049，< 0.05），解释了CLBP患者HRQL心理健康维度方差的57.7%。
本研究结果证实，年龄、疼痛强度、抑郁、疼痛相关焦虑和慢性疼痛接受度是CLBP患者HRQoL身体维度的重要预测因素，而疼痛强度、焦虑和抑郁被证明是CLBP患者HRQoL心理维度的重要预测因素。
