Dampak Depresi Terhadap Intensitas Nyeri dan Disabilitas pada Pasien dengan Chronic Low Back Pain

Ivana Felicia; Arwinder  Singh

doi:10.36452/jkdoktmeditek.v31i2.3478

Authors

Ivana Felicia Fakultas Kedokteran, Universitas Tarumanagara, Jakarta, Indonesia
Arwinder Singh Fakultas Kedokteran, Universitas Tarumanagara, Jakarta, Indonesia

DOI:

https://doi.org/10.36452/jkdoktmeditek.v31i2.3478

Keywords:

depression, disability, pain intensity, chronic low back pain

Abstract

Introduction: Low back pain (LBP) is a common health issue
experienced by nearly 80% of people throughout their lives. This
condition often recurs and can become chronic low back pain (CLBP) if
it lasts for more than 3 months, with a prevalence of approximately 23%
and causing disability in about 11-12% of the population. CLBP is often
associated with depression, which can worsen pain intensity, function,
and patient recovery. Purpose: This study aims to analyze the
relationship between depression and CLBP, as well as the factors that
influence it. Methods: The study uses a cross-sectional analytical
observation method with consecutive sampling of 170 respondents. Data
were collected through interviews and questionnaires, including pain
intensity measurement using the Numeric Rating Scale, depression levels
using the Beck Depression Inventory-II, and disability levels using the
Oswestry Disability Index. Data collection was conducted at Sumber
Waras Hospital and dr. Mintohardjo Naval Hospital. Results: The study
results show the highest prevalence of LBP in individuals over 65 years
old (47.65%), and the majority of respondents were female (70.59%).
There is a significant relationship between pain intensity and depression
(p < 0.001) and between disability and depression (p < 0.001). Pain
duration was not significantly associated with depression (p = 0.211).
Conclusion: In conclusion, pain intensity and disability level are
significantly associated with the incidence of depression in CLBP
patients.

References

Cahya S A, Mardi Santoso W, Husna M, Munir B, Nandar Kurniawan S. LOW BACK PAIN. JPHV (Journal of Pain, Vertigo and Headache) [Internet]. 2021 Mar 1;2(1):13–7. Available from: https://jphv.ub.ac.id/index.php/jphv/article/view/17

Novy TC, Grace Fonda, Andrew Suwadi. Cases, prevalence and treatment of low back pain at bandung pain rehab. Indonesian Journal of Physical Medicine and Rehabilitation. 2023 Jun 28;12(01):52–60.

Casiano VE, Sarwan G, Dydyk AM, Matthew ;, Affiliations V. Back Pain [Internet]. 2024 Jan [cited 2024 Nov 19]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538173/

Nassar N, Assaf N, Farrag D, Ibrahim D, Al-Sheekh A. Depression in patients with chronic low back pain. Egyptian Rheumatology and Rehabilitation. 2019 Jan;46(1):48–54.

Park HJ, Choi JY, Lee WM, Park SM. Prevalence of chronic low back pain and its associated factors in the general population of South Korea: a cross-sectional study using the National Health and Nutrition Examination Surveys. J Orthop Surg Res [Internet]. 2023;18(1):29. Available from: https://doi.org/10.1186/s13018-023-03509-x

Yani JA, Kartasura K, Sukoharjo K, Tengah J, Risky Adha F, Rosella Komalasari D. VALIDITY AND RELIABILITY OF THE NUMERIC RATING SCALE IN NON-MYOGENIC LOW BACK PAIN PATIENTS [Internet]. 2024 [cited 2024 Dec 9]. Available from: https://proceedings.ums.ac.id/index.php/apc/article/view/4396

Phedy P, Djaja YP, Tobing SDAL, Gatam L, Librianto D, Fachrisal, et al. Cross-cultural adaptation and psychometric validation of the Indonesian version of the Oswestry Disability Index. European Spine Journal. 2021 Apr 2;30(4):1053–62.

Ginting H, Näring G, van der Veld WM, Srisayekti W, Becker ES. Validating the Beck Depression Inventory-II in Indonesia’s general population and coronary heart disease patients. International Journal of Clinical and Health Psychology [Internet]. 2013;13(3):235–42. Available from: https://www.sciencedirect.com/science/article/pii/S1697260013700280

Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. The Lancet [Internet]. 2018 Jun 9;391(10137):2356–67. Available from: https://doi.org/10.1016/S0140-6736(18)30480-X

Wong AYL, Karppinen J, Samartzis D. Low back pain in older adults: risk factors, management options and future directions. Scoliosis Spinal Disord [Internet]. 2017;12(1):14. Available from: https://doi.org/10.1186/s13013-017-0121-3

Abdelbasset WK, Sulieman A. An Overview on Low Back Pain and Functional Disability: Associated Risk Factors and Management. Journal of Disability Research. 2022;1(1).

Wáng YXJ, Wáng JQ, Káplár Z. Increased low back pain prevalence in females than in males after menopause age: Evidences based on synthetic literature review. Vol. 6, Quantitative Imaging in Medicine and Surgery. AME Publishing Company; 2016. p. 199–206.

Gupta G, Nandini N. Prevalence of low back pain in non working rural housewives of Kanpur, India. Int J Occup Med Environ Health. 2015 Mar 13;

Alfalogy E, Mahfouz S, Elmedany S, Hariri N, Fallatah S. Chronic Low Back Pain: Prevalence, Impact on Quality of Life, and Predictors of Future Disability. Cureus. 2023 Sep 22;

Saulata H, Barus J, Surilena S. PERANAN INTENSITAS NYERI TERHADAP ASPEK PSIKOLOGIS PENDERITA NYERI NEUROMUSKULOSKELETAL KRONIS NON KANKER RUMAH SAKIT ATMA JAYA. Callosum Neurology. 2019 May 5;2(2):52–9.

Tsuji T, Matsudaira K, Sato H, Vietri J. The impact of depression among chronic low back pain patients in Japan. BMC Musculoskelet Disord. 2016 Oct 27;17(1):1–9.

Froud R, Patterson S, Eldridge S, Seale C, Pincus T, Rajendran D, et al. A systematic review and meta-synthesis of the impact of low back pain on people’s lives. BMC Musculoskelet Disord. 2014 Dec 21;15(1):50.

Stoeckel KJ, Litwin H. The impact of social networks on the relationship between functional impairment and depressive symptoms in older adults. Int Psychogeriatr [Internet]. 2015/05/06. 2016;28(1):39–47. Available from: https://www.cambridge.org/core/product/108BFCAD90B81F839452059F1266A569

Jiang Y, Wang Y, Wang R, Zhang X, Wang X. Differences in pain, disability, and psychological function in low back pain patients with and without anxiety. Front Physiol. 2022 Nov 3;13.

Campbell P, Hope K, Dunn K. The pain, depression, disability pathway in those with low back pain: a moderation analysis of health locus of control. J Pain Res. 2017 Sep;Volume 10:2331–9.

Fried EI, Nesse RM. The Impact of Individual Depressive Symptoms on Impairment of Psychosocial Functioning. PLoS One. 2014 Feb 28;9(2):e90311.

Grabovac I, Dorner TE. Association between low back pain and various everyday performances. Wien Klin Wochenschr. 2019 Nov 6;131(21–22):541–9.

Berger M, Bertrand AM, Robert T, Chèze L. Measuring objective physical activity in people with chronic low back pain using accelerometers: a scoping review. Vol. 5, Frontiers in Sports and Active Living. Frontiers Media SA; 2023.