期刊
GENERAL HOSPITAL PSYCHIATRY
卷 43, 期 -, 页码 63-70出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.genhosppsych.2016.09.008
关键词
Back pain; Chronic back pain; Mental health; Mental illness; Depression; Psychosis; Anxiety; Sleep problems; Stress sensitivity; Low- and middle-income countries
类别
资金
- National Institute for Health Research Collaboration for Leadership in Applied Health Research & Care Funding scheme
- National R + D + I [CP13/00150, PI15/00862]
- ISCIII - General Branch Evaluation and Promotion of Health Research
- European Regional Development Fund (ERDF-FEDER)
- Research Foundation Flanders (FWO - Vlaanderen)
- MRC [MC_UU_12019/4] Funding Source: UKRI
- Medical Research Council [MC_UU_12019/4] Funding Source: researchfish
Background: Back pain (BP) is a leading cause of global disability. However, population-based studies investigating its impact on mental health outcomes are lacking, particularly among low-and middle-income countries (LMICs). Thus, the primary aims of this study were to: (1) determine the epidemiology of BP in 43 LMICs; (2) explore the relationship between BP and mental health (depression spectrum, psychosis spectrum, anxiety, sleep disturbances and stress). Methods: Data on 190,593 community-dwelling adults aged >= 18 years from the World Health Survey (WHS) 2002-2004 were analyzed. The presence of past-12 month psychotic symptoms and depression was established using questions from the Composite International Diagnostic Interview. Anxiety, sleep problems, stress sensitivity, and any BP or chronic BP (CBP) during the previous 30 days were also self-reported. Multivariable logistic regression analyses were undertaken. Results: The overall prevalence of any BP and CBP were 35.1% and 6.9% respectively. Significant associations with any BP were observed for subsyndromal depression [OR (odds ratio) = 2.21], brief depressive episode (OR = 2.64), depressive episode (OR = 2.88), psychosis diagnosis with symptoms (OR = 2.05), anxiety (OR = 2.12), sleep disturbance (OR = 2.37) and the continuous variable of stress sensitivity. Associations were generally more pronounced for chronic BP. Conclusion: Our data establish that BP is associated with elevated mental health comorbidity in LMICs. Integrated interventions that address back pain and metal health comorbidities might be an important next step to tackle this considerable burden. (C) 2016 Elsevier Inc. All rights reserved.
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