Depression Impacts the Course of Recovery in Patients with Acute Low-Back Pain

Little is known about the course of recovery of acute low back pain (LBP) patients as a function of depression. In a prospective study, 286 acute LBP patients were assessed at baseline and followed up over 6 months. Recovery was defined as improvement in the Oswestry Disability Index (ODI). Repeated...

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Bibliographic Details
Published in:Behavioral medicine (Washington, D.C.) D.C.), 2013-07, Vol.39 (3), p.80-89
Main Authors: Melloh, Markus, Elfering, Achim, Käser, Anja, Salathé, Cornelia Rolli, Barz, Thomas, Aghayev, Emin, Röder, Christoph, Theis, Jean-Claude
Format: Article
Language:English
Subjects:
acute back pain
Acute Pain - complications
Acute Pain - diagnosis
Acute Pain - psychology
Adult
Adult and adolescent clinical studies
Back pain
Biological and medical sciences
Body Composition
Depression
Depression - complications
Depression - psychology
Disability
Disability Evaluation
Diseases of the osteoarticular system
Diseases of the spine
Female
Follow-Up Studies
Humans
Longitudinal Studies
Low back pain
Low Back Pain - complications
Low Back Pain - diagnosis
Low Back Pain - psychology
Male
Medical sciences
Medical screening
Mental depression
Middle Aged
Miscellaneous
Mood disorders
Patients
prognosis
Prospective Studies
prospective study recovery
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Recovery
Recovery of Function
Screening
Screening Tests
Statistical Analysis
Treatment Outcome
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Summary:Little is known about the course of recovery of acute low back pain (LBP) patients as a function of depression. In a prospective study, 286 acute LBP patients were assessed at baseline and followed up over 6 months. Recovery was defined as improvement in the Oswestry Disability Index (ODI). Repeated-measures analysis of covariance was employed with ODI as repeated factor, age, sex, and body mass index as covariates, depression and all other potential prognostic factors as between-subject factors. Of study participants, 18% were classified as depressive (>33 points on the Zung Self-Rating Depression Scale). Of 286 participants, 135 were lost to follow-up. In the longitudinal sample of 151 patients the course of recovery was slower in depressive patients. Depression was associated with LBP especially after 6 weeks and should therefore be included in screening instruments for acute LBP patients to identify those at risk of delayed recovery at an early stage.
ISSN:0896-4289
1940-4026
DOI:10.1080/08964289.2013.779566