Depression and anxiety as major determinants of neck pain: a cross-sectional study in general practiceReportar como inadecuado




Depression and anxiety as major determinants of neck pain: a cross-sectional study in general practice - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Musculoskeletal Disorders

, 10:13

First Online: 26 January 2009Received: 28 August 2008Accepted: 26 January 2009

Abstract

BackgroundAlthough psychosocial factors are known to be highly linked with neck pain, current therapies focus on somatically based interventions such as medicinal or manipulatory therapies. This study examines how socio-demographic, psychosocial and medical history and health-promoting lifestyle factors interact with neck pain in general practice patients.

MethodsThis is a cross-sectional survey including 448 patients from a general practice setting in Germany. Participants completed a comprehensive questionnaire including the Neck Pain and Disability Scale German version NPAD-d and the Hospital Anxiety and Depression Scale. Crude and adjusted regression analyses were done to assess the relationship between neck pain and socio-demographic, psychosocial and medical history and health-promoting lifestyle factors.

ResultsBoth in crude and adjusted regression analyses, depression and anxiety were highly significantly linked with increasing levels of neck pain. Educational level, deficits in social support and physical exercise were associated with neck pain in bivariate analyses, but these associations did not persist with adjustment for depression and anxiety. When investigating levels of depression and anxiety by NPAD-d quartile subgroups, those who were identified to have depressive mood or to be anxious were very likely to be in the group with the highest levels of neck pain.

ConclusionThe higher the neck pain level, the more attention should be paid to psychosocial distress as a related burden. Further research is needed to elucidate the causality and the direction of the association between psychosocial distress and neck pain and to determine the benefit of psychosocial interventions.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-10-13 contains supplementary material, which is available to authorized users.

Eva Blozik, Daria Laptinskaya contributed equally to this work.

Download fulltext PDF



Autor:

Fuente: https://link.springer.com/







Documentos relacionados