The impact of depression and anxiety on pain and quality of life in operated patients with low back pain.

• Main Authors: I-Hui Tsai, 蔡依潓
• Other Authors: Shing-Yaw Wang
• Format: Others
• Language: zh-TW
• Published: 2010
• Online Access: http://ndltd.ncl.edu.tw/handle/96735514970943207448

碩士 === 高雄醫學大學 === 心理學研究所 === 98 === Background: The symptom of low back pain is an important health issue: about 80% of persons worldwide complian about low back pain once in their lives. Surgery is an effective intervention; the pain is significantly alleviated after the surgery, and maintained for a short period of three months to two years. Clinically, an estimate of 15% of the patients continues to feel the pain or relapse after the surgery and this pain significantly disrupts life and daily function. Psychological emotion is an especially important factor. This study aims to follow up a short term of three months after surgery and investigates the effect of psychological emotional factor prior to and one week after the surgery on the prognosis of the surgery. Methods: Fifty patients with low back pain recruited from the neurological department in a teaching hospital in southern Taiwan filled out demographic information, Beck Depression Inventory II (BDI-II） to assess depressive symptoms, State Anxiety Inventory (STAI-S）to assess situational anxiety feelings, Visual Analogue Scale（VAS） to assess pain and Short Form Health Survey 36 (SF-36) to assess physical and mental health. The same inventories were completed a week and three months after the surgery. Results: The state anxiety prior to surgery can predict the pain three months after the surgery; The depressive symptoms a week after the surgery full mediator the relationship between the state anxiety a week after the surgery and the pain three months after the surgery;The depressive symptoms a week after the surgery full mediator the relationship between the state anxiety a week after the surgery and the quality of life in mental component summary three months after the surgery; The state anxiety a week after the surgery partial mediator the relationship between depressive symptoms a week after the surgery and the quality of life in physical component summary three months after the surgery. Discussion：Situational anxiety before the surgery has significant effect on the pain three months after the surgery, depressive symptoms a week after the surgery has significant effect on the pain three months after the surgery, depressive symptoms a week after the surgery has significant effect on the quality of life in mental component summary three months after the surgery, state anxiety a week after the surgery has significant effect on the quality of life in physical component summary three months after the surgery. Therefore, the results suggest depressive symptoms and state anxiety be assessed prior the surgery and discharged from the hospital to provide psychoeducation and intervention to achieve the best prognosis.