The impact of depression among chronic low back pain patients in Japan

Chronic low back pain (CLBP) is associated with significant disability and reductions in health related quality of life (HRQoL), which can negatively impact overall function and productivity. Depression is also associated with painful physical symptoms, and is often present in patients with chronic...

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Bibliographic Details
Published in:BMC musculoskeletal disorders 2016-10, Vol.17 (1), p.447-447, Article 447
Main Authors: Tsuji, Toshinaga, Matsudaira, Ko, Sato, Hiroki, Vietri, Jeffrey
Format: Article
Language:English
Subjects:
Absenteeism
Adult
Aged
Back pain
Care and treatment
Chronic pain
Chronic Pain - economics
Chronic Pain - psychology
Comorbidity
Cost of Illness
Depression - economics
Depression - etiology
Depression, Mental
Diagnosis
Disability
Dopamine
Efficiency
Female
Generalized linear models
Health Surveys
Humans
Japan
Low back pain
Low Back Pain - economics
Low Back Pain - psychology
Male
Mental depression
Middle Aged
Musculoskeletal diseases
Pain Measurement
Patients
Productivity
Psychological aspects
Quality of Life
Questionnaires
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Summary:Chronic low back pain (CLBP) is associated with significant disability and reductions in health related quality of life (HRQoL), which can negatively impact overall function and productivity. Depression is also associated with painful physical symptoms, and is often present in patients with chronic pain. However, the incremental burden associated with depression or symptoms of depression among CLBP patients is not well understood. The objective of this study was to investigate the impact of depression on HRQoL in CLBP and to assess the relationship between depression and work impairment and healthcare use among CLBP patients in Japan. Data were extracted from the 2014 Japan National Health and Wellness Survey (N = 30,000). CLBP was defined by report of diagnosed low back pain ≥3 months duration. Depression was assessed using the Patient Health Questionnaire (PHQ-9). Measurements assessed included pain, HRQoL, labor force participation, work productivity and healthcare utilization. Patients with depression (PHQ-9 ≥ 10) were compared to patients without depression (PHQ-9 
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-016-1304-4