The effects of lower back pain due to herniated disc on sleep, quality of life and depression symptoms

Ümit Ali Malçok

doi:10.22391/fppc.960875

Araştırma Makalesi

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Kaynak Göster

Bel fıtığına bağlı bel ağrısının uyku, yaşam kalitesi ve depresyon belirtileri üzerine olan etkileri

Yıl 2022, Cilt: 7 Sayı: 4, 103 - 108, 19.10.2022

Ümit Ali Malçok

https://doi.org/10.22391/fppc.960875

Cited By: 1

Öz

Giriş: Bu çalışmanın amacı, bel fıtığına bağlı bel ağrısı ile, depresyon, uyku ve yaşam kalitesi arasındaki ilişkinin değerlendirilmesidir.

Yöntem: Bel fıtığına bağlı ağrısı olan 28 olgu ile gönüllü sağlıklı 28 bireyden oluşan kontrol grubu çalışmaya dahil edildi. Tüm gruplara Beck Depresyon Envanteri (BDI) ve Yaşam Kalite İndeksi (SF-36) uygulandı. Ağrı şiddeti Görsel Analog Skalası ile değerlendirildi. Uyku parametreleri ise aktigrafi cihazı ile analiz edildi.

Bulgular: Depresyon ve yaşam kalitesi skorları; iki grup arasında farklılık gösterdi ve bel fıtığı olan hastalarda anlamlı düzeyde yüksek olduğu görüldü. Bununla birlikte ağrı şiddeti ile depresyon arasında pozitif bir korelasyon vardı. Buna karşın ağrı şiddeti ve uyku etkinliği arasında ise negatif korelasyon olduğu görüldü. Bel ağrısı olan olgular, kontrol grubundan daha kötü uyku kalitesi ve düşük uyku etkinliğine (ortalama %71.7) sahipti. Bulguların lojistik regresyon analizinde, depresyon ile Görsel Analog Skala değişkenleri arasında anlamlı bir ilişki olduğu saptandı. (p=0,030; 95% CI:0,021-0,823).

Sonuç: Çalışmamızın sonuçları, bel fıtığı hastalarında, ağrı ile depresyon arasındaki pozitif yönde bir ilişkinin varlığını ortaya koymaktadır. Bununla birlikte, bel ağrısı nedeni ile bozulan uyku kalitesinin de depresyonun şiddetini arttırdığı sonucuna ulaştık. Kronik ağrının hoş olmayan sonuçlarına yönelik bu ilişki, bel fıtığı hastalarının medikal tedavisi ve takibinin planlanmasında ayrıca hastalara cerrahi tedaviden beklentileri anlatılırken de dikkate alınmalıdır.

Anahtar Kelimeler: Bel fıtığı, ağrı, uyku, depresyon, aktigrafi.

Anahtar Kelimeler

Bel fıtığı, ağrı, uyku bozukluğu, depresyon, aktigrafi.

Kaynakça

1. Andersson GB. Epidemiological features of chronic low-back pain. Lancet. 1999 Aug 14;354(9178):581-5. https://doi.org/10.1016/S0140-6736(99)01312-4
2. Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010;24(6):769-81. https://doi.org/10.1016/j.berh.2010.10.002
3. Katz JN. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. J Bone Joint Surg Am. 2006;88 Suppl 2:21-4. https://doi.org/10.2106/JBJS.E.01273
4. Bogduk N. The lumbar disc and low back pain. Neurosurg Clin N Am. 1991;2(4):791-06.
5. Hart RP, Martelli MF, Zasler ND. Chronic pain and neuropsychological functioning. Neuropsychol Rev. 2000;10(3):131-49. https://doi.org/10.1023/a:1009020914358
6. Hagen EM, Svensen E, Eriksen HR, Ihlebaek CM, Ursin H. Comorbid subjective health complaints in low back pain. Spine (Phila Pa 1976). 2006;31(13):1491-5. https://doi.org/10.1097/01.brs.0000219947
7. Ataoglu S, Ozcetin A, Ataoglu A, Icmeli C, Makarc S, Yagli M. The relationship pain intensity, anxiety, and depression in patients with fibromyalgia and rheumatoid arthritis. Anatolian J Psychiatry 2002;3(4):223-6
8. Morgenthaler T, Alessi C, Friedman L, Owens J, Kapur V, Boehlecke B, et al. Standards of Practice Committee; American Academy of Sleep Medicine. Practice parameters for the use of actigraphy in the assessment of sleep and sleep disorders: an update for 2007. Sleep. 2007;30(4):519-29. https://doi.org/10.1093/sleep/30.4.519
9. Scrimshaw SV, Maher C. Responsiveness of visual analogue and McGill pain scale measures. J Manipulative Physiol Ther. 2001;24(8):501-4. https://doi.org/10.1067/mmt.2001.118208
10. Kocyigit H, Aydemir O, Fisek G, Olmez N, Memis A. Reliability and Validity of the Turkish Version of Short Form-36 (SF-36). Ilac ve Tedavi J 1999;12:102-6.
11. Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006;6:247. https://doi.org/10.1186/1471-2458-6-247
12. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71. https://doi.org/10.1001/archpsyc.1961.01710120031004
13. Hisli N. Use of the Beck Depression Inventory with Turkish university students: reliability, validity and factor analysis. J Psychol 1989;7:3-13.
14. Lopez-Lopez D, Vilar-Fernandez JM, Calvo-Lobo C, Losa-Iglesias ME, Rodriguez-Sanz D, et al. Evaluation of Depression in Subacute Low Back Pain: A Case Control Study. Pain Physician. 2017;20(4):E499-E505.
15. Wong JJ, Tricco AC, Côté P, Rosella LC. The association between depressive symptoms of depression and health outcomes in adults with low back pain with or without radiculopathy: protocol of a systematic review. Syst Rev. 2019;8(1):267. https://doi.org/10.1186/s13643-019-1192-4
16. Smith MT, Huang MI, Manber R. Cognitive behavior therapy for chronic insomnia occurring within the context of medical and psychiatric disorders. Clin Psychol Rev. 2005;25(5):559-92. https://doi.org/10.1016/j.cpr.2005.04.004
17. Pinheiro MB, Ferreira ML, Refshauge K, Ordoñana JR, Machado GC, Prado LR, et al. Symptoms of Depression and Risk of New Episodes of Low Back Pain: A Systematic Review and Meta-Analysis. Arthritis Care Res (Hoboken). 2015;67(11):1591-603. https://doi.org/10.1002/acr.22619
18. Nicassio PM, Wallston KA. Longitudinal relationships among pain, sleep problems, and depression in rheumatoid arthritis. J Abnorm Psychol. 1992;101(3):514-20. https://doi.org/10.1037//0021-843x.101.3.514
19. Koffel E, Kroenke K, Bair MJ, Leverty D, Polusny MA, Krebs EE. The bidirectional relationship between sleep complaints and pain: Analysis of data from a randomized trial. Health Psychol. 2016;35(1):41-9. https://doi.org/10.1037/hea0000245
20. Parmelee PA, Tighe CA, Dautovich ND. Sleep disturbance in osteoarthritis: linkages with pain, disability, and depressive symptoms. Arthritis Care Res (Hoboken). 2015;67(3):358-65. https://doi.org/10.1002/acr.22459
21. Kroenke K, Wu J, Bair MJ, Krebs EE, Damush TM, Tu W. Reciprocal relationship between pain and depression: a 12-month longitudinal analysis in primary care. J Pain. 2011;12(9):964-73. https://doi.org/10.1016/j.jpain.2011.03.003
22. Currie SR, Wang J. Chronic back pain and major depression in the general Canadian population. Pain. 2004;107(1-2):54-60. https://doi.org/10.1016/j.pain.2003.09.015
23. Ong KS, Keng SB. The biological, social, and psychological relationship between depression and chronic pain. Cranio. 2003;21(4):286-94. https://doi.org/10.1080/08869634.2003.11746264
24. Meana M, Cho R, DesMeules M. Chronic Pain: The Extra Burden on Canadian Women. BMC Womens Health. 2004;4 Suppl 1:S17. https://doi.org/10.1186/1472-6874-4-S1-S17
25. Martin JL, Hakim AD. Wrist actigraphy. Chest. 2011;139(6):1514-27. https://doi.org/10.1378/chest.10-1872

The effects of lower back pain due to herniated disc on sleep, quality of life and depression symptoms

Yıl 2022, Cilt: 7 Sayı: 4, 103 - 108, 19.10.2022

Ümit Ali Malçok

https://doi.org/10.22391/fppc.960875

Cited By: 1

Öz

Introduction: This study aims to evaluate the relationship between herniated disc-related low back pain and depression, sleep, and quality of life.

Methods: A control group consisting of 28 patients with herniated disc-related pain and 28 healthy volunteers were included in the study. Beck Depression Inventory (BDI) and Quality of Life Index (SF-36) are applied to all groups. Pain severity was evaluated with the Visual Analogue Scale (VAS). Sleep parameters were analyzed with an actigraphy device.

Results: Depression and quality of life scores differed between the two groups, and they were observed as significantly higher in the group with herniated disc. Moreover, there was a positive correlation between pain severity and depression. On the other hand, there was a negative correlation between pain intensity and sleep efficiency. Subjects with low back pain had worse sleep quality and lower sleep efficiency (mean 71.7%) than the control group. The logistic regression analysis found a significant relationship between depression and VAS pain variables (p=0.030; 95% CI: 0.021-0.823).

Conclusions: Our study's results reveal a relationship between pain and depression in herniated disc patients. Moreover, it was concluded that the deteriorated sleep quality due to low back pain also increased the severity of depression. This relationship related to the unpleasant consequences of chronic pain should be taken into account when planning the medical treatment and follow-up of patients with herniated disc, and also when explaining their expectations from surgical treatment.

Keywords: Herniated disc, pain, sleep, depression, actigraphy.

Anahtar Kelimeler

Herniated disc, pain, sleep, depression, actigraphy.

Kaynakça

1. Andersson GB. Epidemiological features of chronic low-back pain. Lancet. 1999 Aug 14;354(9178):581-5. https://doi.org/10.1016/S0140-6736(99)01312-4
2. Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Pract Res Clin Rheumatol. 2010;24(6):769-81. https://doi.org/10.1016/j.berh.2010.10.002
3. Katz JN. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences. J Bone Joint Surg Am. 2006;88 Suppl 2:21-4. https://doi.org/10.2106/JBJS.E.01273
4. Bogduk N. The lumbar disc and low back pain. Neurosurg Clin N Am. 1991;2(4):791-06.
5. Hart RP, Martelli MF, Zasler ND. Chronic pain and neuropsychological functioning. Neuropsychol Rev. 2000;10(3):131-49. https://doi.org/10.1023/a:1009020914358
6. Hagen EM, Svensen E, Eriksen HR, Ihlebaek CM, Ursin H. Comorbid subjective health complaints in low back pain. Spine (Phila Pa 1976). 2006;31(13):1491-5. https://doi.org/10.1097/01.brs.0000219947
7. Ataoglu S, Ozcetin A, Ataoglu A, Icmeli C, Makarc S, Yagli M. The relationship pain intensity, anxiety, and depression in patients with fibromyalgia and rheumatoid arthritis. Anatolian J Psychiatry 2002;3(4):223-6
8. Morgenthaler T, Alessi C, Friedman L, Owens J, Kapur V, Boehlecke B, et al. Standards of Practice Committee; American Academy of Sleep Medicine. Practice parameters for the use of actigraphy in the assessment of sleep and sleep disorders: an update for 2007. Sleep. 2007;30(4):519-29. https://doi.org/10.1093/sleep/30.4.519
9. Scrimshaw SV, Maher C. Responsiveness of visual analogue and McGill pain scale measures. J Manipulative Physiol Ther. 2001;24(8):501-4. https://doi.org/10.1067/mmt.2001.118208
10. Kocyigit H, Aydemir O, Fisek G, Olmez N, Memis A. Reliability and Validity of the Turkish Version of Short Form-36 (SF-36). Ilac ve Tedavi J 1999;12:102-6.
11. Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006;6:247. https://doi.org/10.1186/1471-2458-6-247
12. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-71. https://doi.org/10.1001/archpsyc.1961.01710120031004
13. Hisli N. Use of the Beck Depression Inventory with Turkish university students: reliability, validity and factor analysis. J Psychol 1989;7:3-13.
14. Lopez-Lopez D, Vilar-Fernandez JM, Calvo-Lobo C, Losa-Iglesias ME, Rodriguez-Sanz D, et al. Evaluation of Depression in Subacute Low Back Pain: A Case Control Study. Pain Physician. 2017;20(4):E499-E505.
15. Wong JJ, Tricco AC, Côté P, Rosella LC. The association between depressive symptoms of depression and health outcomes in adults with low back pain with or without radiculopathy: protocol of a systematic review. Syst Rev. 2019;8(1):267. https://doi.org/10.1186/s13643-019-1192-4
16. Smith MT, Huang MI, Manber R. Cognitive behavior therapy for chronic insomnia occurring within the context of medical and psychiatric disorders. Clin Psychol Rev. 2005;25(5):559-92. https://doi.org/10.1016/j.cpr.2005.04.004
17. Pinheiro MB, Ferreira ML, Refshauge K, Ordoñana JR, Machado GC, Prado LR, et al. Symptoms of Depression and Risk of New Episodes of Low Back Pain: A Systematic Review and Meta-Analysis. Arthritis Care Res (Hoboken). 2015;67(11):1591-603. https://doi.org/10.1002/acr.22619
18. Nicassio PM, Wallston KA. Longitudinal relationships among pain, sleep problems, and depression in rheumatoid arthritis. J Abnorm Psychol. 1992;101(3):514-20. https://doi.org/10.1037//0021-843x.101.3.514
19. Koffel E, Kroenke K, Bair MJ, Leverty D, Polusny MA, Krebs EE. The bidirectional relationship between sleep complaints and pain: Analysis of data from a randomized trial. Health Psychol. 2016;35(1):41-9. https://doi.org/10.1037/hea0000245
20. Parmelee PA, Tighe CA, Dautovich ND. Sleep disturbance in osteoarthritis: linkages with pain, disability, and depressive symptoms. Arthritis Care Res (Hoboken). 2015;67(3):358-65. https://doi.org/10.1002/acr.22459
21. Kroenke K, Wu J, Bair MJ, Krebs EE, Damush TM, Tu W. Reciprocal relationship between pain and depression: a 12-month longitudinal analysis in primary care. J Pain. 2011;12(9):964-73. https://doi.org/10.1016/j.jpain.2011.03.003
22. Currie SR, Wang J. Chronic back pain and major depression in the general Canadian population. Pain. 2004;107(1-2):54-60. https://doi.org/10.1016/j.pain.2003.09.015
23. Ong KS, Keng SB. The biological, social, and psychological relationship between depression and chronic pain. Cranio. 2003;21(4):286-94. https://doi.org/10.1080/08869634.2003.11746264
24. Meana M, Cho R, DesMeules M. Chronic Pain: The Extra Burden on Canadian Women. BMC Womens Health. 2004;4 Suppl 1:S17. https://doi.org/10.1186/1472-6874-4-S1-S17
25. Martin JL, Hakim AD. Wrist actigraphy. Chest. 2011;139(6):1514-27. https://doi.org/10.1378/chest.10-1872

Toplam 25 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Konular	Klinik Tıp Bilimleri
Bölüm	Araştırma Makalesi (Original Article)
Yazarlar	Ümit Ali Malçok 0000-0002-1272-9654
Yayımlanma Tarihi	19 Ekim 2022
Gönderilme Tarihi	14 Temmuz 2021
Kabul Tarihi	29 Eylül 2022
Yayımlandığı Sayı	Yıl 2022Cilt: 7 Sayı: 4

Kaynak Göster

APA	Malçok, Ü. A. (2022). The effects of lower back pain due to herniated disc on sleep, quality of life and depression symptoms. Family Practice and Palliative Care, 7(4), 103-108. https://doi.org/10.22391/fppc.960875
AMA	Malçok ÜA. The effects of lower back pain due to herniated disc on sleep, quality of life and depression symptoms. Fam Pract Palliat Care. Ekim 2022;7(4):103-108. doi:10.22391/fppc.960875
Chicago	Malçok, Ümit Ali. “The Effects of Lower Back Pain Due to Herniated Disc on Sleep, Quality of Life and Depression Symptoms”. Family Practice and Palliative Care 7, sy. 4 (Ekim 2022): 103-8. https://doi.org/10.22391/fppc.960875.
EndNote	Malçok ÜA (01 Ekim 2022) The effects of lower back pain due to herniated disc on sleep, quality of life and depression symptoms. Family Practice and Palliative Care 7 4 103–108.
IEEE	Ü. A. Malçok, “The effects of lower back pain due to herniated disc on sleep, quality of life and depression symptoms”, Fam Pract Palliat Care, c. 7, sy. 4, ss. 103–108, 2022, doi: 10.22391/fppc.960875.
ISNAD	Malçok, Ümit Ali. “The Effects of Lower Back Pain Due to Herniated Disc on Sleep, Quality of Life and Depression Symptoms”. Family Practice and Palliative Care 7/4 (Ekim 2022), 103-108. https://doi.org/10.22391/fppc.960875.
JAMA	Malçok ÜA. The effects of lower back pain due to herniated disc on sleep, quality of life and depression symptoms. Fam Pract Palliat Care. 2022;7:103–108.
MLA	Malçok, Ümit Ali. “The Effects of Lower Back Pain Due to Herniated Disc on Sleep, Quality of Life and Depression Symptoms”. Family Practice and Palliative Care, c. 7, sy. 4, 2022, ss. 103-8, doi:10.22391/fppc.960875.
Vancouver	Malçok ÜA. The effects of lower back pain due to herniated disc on sleep, quality of life and depression symptoms. Fam Pract Palliat Care. 2022;7(4):103-8.