Relationship Between Depression and Lower Back Pain Among Patients at the University of North Sumatra Hospital

DOI

10.2991/978-94-6463-310-8_7How to use a DOI?

Abstract

Background

Lower back pain (LBP) is a common health problem that can significantly impact the quality of life of an individual. Meanwhile, depression is a mental health disorder often associated with certain physical conditions. Several studies revealed a significant relationship between depression scores and LBP. Patients with more severe or prolonged LBP tend to have higher scores due to the psychological effects of chronic pain. Depression has also been shown to worsen LBP, where individuals with depressive symptoms are more prone to intense LBP. Psychological conditions, such as stress, anxiety, and depression, can increase the body’s sensitivity to pain, thereby causing a decrease in the coping abilities of patients. In treating LBP, it is important to consider patients’ psychological and mental factors, such as depression scores. Furthermore, effective care must include proper management of pain, as well as mental and emotional conditions. Understanding the relationship between depression scores and LBP can help healthcare professionals design appropriate and holistic patient therapeutic plans.

Method

This was a correlational analytic study with a cross-sectional approach, which analyzed the relationship between several independent and dependent variables using the PHQ-9 instrument. Furthermore, the participants were selected using consecutive non-probability sampling involving 150 LBP patients receiving treatment at the Neurology Outpatient Installation of USU Hospital in Medan. The data collected in this study were statistically analyzed using Spearman’s correlation and Eta tests.

Results

This study found that age (p= 0.001, r= -267), pain duration (p= <0.001, r= 0.442), and pain level (p= <0.001, r= 0.448) correlated with depression scores in LBP patients. Furthermore, gender (r= 0.324, Fcalc= 16.91, Ftable= 3.91) and smoking status (r= 0.324, Fcalc= 6.31, Ftable= 3.91) also correlated with depression scores.

Conclusion

Based on the results, there was a relationship between depression scores and LBP, highlighting the need for special attention in the treatment and education of this case.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Download article (PDF)

TY  - CONF
AU  - David Adrian Gultom
AU  - Elmeida Effendy
AU  - Nazli Mahdinasari Nasution
PY  - 2023
DA  - 2023/12/18
TI  - Relationship Between Depression and Lower Back Pain Among Patients at the University of North Sumatra Hospital
BT  - Proceedings of the 6th International Conference of Neuroscience, Neurology and Psychiatry Universitas Sumatera Utara (ICONAP 2023)
PB  - Atlantis Press
SP  - 53
EP  - 57
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-310-8_7
DO  - 10.2991/978-94-6463-310-8_7
ID  - Gultom2023
ER  -