Ann Rehabil Med.  2011 Oct;35(5):710-718. 10.5535/arm.2011.35.5.710.

Factors Associated with Depressive Symptoms in Patients with Chronic Low Back Pain

• Ha JY
• Kim ES
• Kim HJ
• Park SJ

• KMID: 2267234
• DOI: http://doi.org/10.5535/arm.2011.35.5.710

Abstract

OBJECTIVE
To investigate depressive symptoms and their related factors in patients with chronic low back pain in Korea. METHOD: A cross-sectional study using data from the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV) 2009 was undertaken. The sample consisted of 1,426 participants with chronic low back pain. Multifactorial regression analysis was used to identify the association between depressive symptoms and socioeconomic demographics and other chronic diseases.
RESULTS
Among the 371 (26.0%) patients with depression, significant factors associated with depressive symptoms were female gender (odds ratio [OR], 2.691; 95% confidence interval [CI], 1.724-4.199), medical aid beneficiary (OR, 1.371; 95% CI, 1.039-1.810), a dependent group for activities of daily living (OR, 1.570; 95% CI, 1.180-2.087), 'not good' in the perceived health category (OR, 2.309; 95% CI, 1.730-3.081) and in a cancer group (OR, 1.803; 95% CI, 1.051-3.093).
CONCLUSION
This study provides the foundation for managing patients with chronic low back pain and depressive symptoms. Clinicians managing chronic low back pain should consider risk factors for depressive symptoms.

Keyword

Chronic low back pain; Depression; NHANES

MeSH Terms

Activities of Daily Living
Cross-Sectional Studies
Demography
Depression
Female
Humans
Korea
Low Back Pain
Nutrition Surveys
Risk Factors

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