Impact of pain catastrophizing on disability in patients with low back pain mediated by anxiety and depression
10.3760/cma.j.cn114798-20220110-00027
- VernacularTitle:焦虑、抑郁情绪在疼痛灾难化认知影响腰痛患者活动功能的中介作用
- Author:
Rongmin BIAN
1
;
Wei SHEN
;
Rong YANG
;
Hong CHEN
;
Qian SHI
;
Zhaoxin WANG
;
Jianwei SHI
;
Wenya YU
;
Yipeng LYU
;
Qiao CHU
Author Information
1. 上海市宝山区张庙街道长江路社区卫生服务中心，上海 200431
- Keywords:
Low back pain;
Pain catastrophizing;
Disability;
Emotion;
Mechanism
- From:
Chinese Journal of General Practitioners
2022;21(10):953-958
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of anxiety and depressive symptoms in mediation of pain catastrophizing on disability in patients with low back pain.Methods:A cross-sectional survey was conducted among 97 patients with low back pain in the Changjiang Subdistrict community health center from July to October 2021. Oswestry Disability Index, pain catastrophic subscale in Coping Strategies Questionnaire-24, Generalized Anxiety Disorder Scale-short version, Patient Health Depression Questionnaire-short version were used to evaluate the activity dysfunction, pain catastrophic cognition and anxiety and depression levels of patients,respectively. Path analysis was implemented to test the mediation model, and the indirect effects were assessed using the bootstrap procedure with bias-corrected 95 %CI. Results:Results suggested significant positive correlations among pain catastrophizing, anxiety, depressive symptoms and disability of patients. In addition, both anxiety and depressive symptoms significantly mediated the impact of pain catastrophizing on disability (standardized indirect effects were 0.183 and 0.197, P<0.05). Patients with higher levels of pain catastrophic cognition showed higher levels of anxiety and depressive symptoms (β=0.757, 0.720; P<0.01), and reported more severe motor dysfunction (β=0.241, 0.274; P<0.05). Conclusions:Our findings suggest that anxiety and depression may be the psychological pathways through which pain catastrophizing predicts disability in patients with low back pain. Effective psychological interventions, such as emotion regulation and stress reduction strategies should be considered in treatment and supportive care for patients with low back pain.
