Presented at the 2013 AAPM Annual Meeting « Back

Pain Intensity, Disability, and Depression in Individuals with Chronic Low Back Pain

Márcia De Oliveira Sakamoto Silva Garbi, marshasilva@hotmail.com¹, Hilze Benigno De O. Moura Siqueira¹, Simone Saltareli¹, Fátima A. Faleiros Sousa¹, Priscilla Hortese², (1) University of Sao Paulo, Ribeirão Preto, Sao Paulo, Brazil, (2) Federal University of Sao Carlos, Ribeirão Preto, Sao Paulo, Brazil

The incidence of back pain causes limitations, disability and decreased quality of life in people's lives, configuring a public health problem. Most of the individuals who suffer from chronic back pain have emotional problems like depression, anxiety and hopelessness. The objectives of this study were to evaluate the perception of pain intensity, identify the disability related activities of daily living and depression levels in people with chronic low back pain and correlate pain intensity pain, depression and disability. This is a transversal study descriptive exploratory performed in a pain clinic of a university hospital in an inner city in the state of São Paulo, after approval of the Ethics Committee of the Nursing School of Ribeirão Preto – USP, protocol 1358/2011. The instruments used were: Numeric Rating Scale (0-10 points) for assessing perceived pain intensity, the Roland Morris Disability Questionnaire (0-24 points) and the Beck Depression Inventory (0-63 points). Results: The study included 60 people with chronic back pain. The mean pain intensity was 7.38, the mean disability was 19.87 and the level of depression was 24.98. The results show that the subjects presented high intensity of pain and disability, corroborating findings from other research. The correlation between pain intensity and disability and between pain intensity and depression was positive weak correlation between disability and depression was positive moderate. When considering complexity of this phenomenon, we consider appropriate to know the interrelated variables in order to provide adequate management of chronic low back pain. References: 1) Gorestein C.; Andrade L. Inventário de Depressão de Beck: propriedades psicométricas da versão em português, Revista de Psiquiatria Clínica, v. 25, n. 5, p. 245-250, 1998. 2) Nusbaum, L. et al. Translation, adaptation and validation of the Roland-Morris questionnaire – Brazil Roland-Morris, Brasilian Journal of Medical and Biological Research, v. 34, p. 203-210, 2001. 3) Milani J. P. et al. A qualidade de vida no período pré e pós operatório de pacientes portadores de hérnia de disco lombar. Revista Dor, v. 10, n. 1, p. 33-37, 2009. 4) Meyer K. et al. Association between catastrophizing and self-rated pain and disability in patients with chronic low back pain, Journal of Rehabilitaion Medicine, v. 41, p. 620-625, 2009. 5) Guic E. S. et al. Contribución de Factores Psicosociales a la Cronicidad del Dolor Lumbar, Revista Médica de Chile, v. 130, n. 12, p. 1411-1418, dez 2002. 6) Dunn K. M.; Jordan K. P.; Croft P. R. Contribuitions of prognostic factors for poor outcome in primary care low back pain patients, European Journal of Pain, v. 15, n. 3, p. 313-319, 2011. 7) Caraviello E. Z. et al. Avaliação da dor e função de pacientes com lombalgia tratados com um programa de Escola de Coluna. Acta Fisiátrica, v.12, n. 1, p. 11-14, 2005. 8) Amaral et. al. Prevalência e relação de fatores emocionais e clínicos em pacientes com discopatia degenerativa, Coluna/Columna, v. 9, n. 2, p. 150-156, 2010.

Funding: None