Psychiatric disorders and risk of transition to chronicity in men with first onset low back pain
dc.contributor.author | Shaw, William S. | |
dc.contributor.author | Means-Christensen, Adrienne J. | |
dc.contributor.author | Slater, Mark A. | |
dc.contributor.author | Webster, John S. | |
dc.contributor.author | Patterson, Thomas L. | |
dc.contributor.author | Grant, Igor | |
dc.contributor.author | Garfin, Steven R. | |
dc.contributor.author | Wahlgren, Dennis R. | |
dc.contributor.author | Patel, Shetal | |
dc.contributor.author | Atkinson, J. Hampton | |
dc.date | 2022-08-11T08:08:35.000 | |
dc.date.accessioned | 2022-08-23T16:00:30Z | |
dc.date.available | 2022-08-23T16:00:30Z | |
dc.date.issued | 2010-08-23 | |
dc.date.submitted | 2012-05-21 | |
dc.identifier.citation | 2010 Aug 23. <a href="http://dx.doi.org/10.1111/j.1526-4637.2010.00934.x">Link to article on publisher's site</a> | |
dc.identifier.issn | 1526-2375 (Linking) | |
dc.identifier.doi | 10.1111/j.1526-4637.2010.00934.x | |
dc.identifier.pmid | 20735749 | |
dc.identifier.uri | http://hdl.handle.net/20.500.14038/30895 | |
dc.description.abstract | OBJECTIVE: To assess whether pre-existing psychiatric diagnoses increase the likelihood of transitioning from sub-acute to chronic back pain. DESIGN: Prospective cohort study. METHODS: Men (N = 140) experiencing a first onset of low back pain (LBP) were examined for lifetime psychiatric disorders approximately 8 weeks post pain-onset using the Diagnostic Interview Schedule (DIS-III-R), then re-evaluated at 6 months after pain onset to determine who did or did not progress to pain chronicity. OUTCOME MEASURE: Transition to chronic pain and disability was based on 6-month self-report measures of pain intensity and perceived disability. RESULTS: Men with a pre-pain lifetime diagnosis of major depressive disorder had 5 times greater risk of transitioning to chronic LBP (odds ratio [OR] = 4.99; 95% confidence interval [CI] 1.49-16.76). Increased risk was also associated with a pre-pain lifetime diagnosis of generalized anxiety (OR = 2.45; 95% CI 1.06-5.68), post-traumatic stress (OR = 3.23; 95% CI 1.11-9.44), and with current nicotine dependence (OR = 2.49; 95% CI 1.15-5.40). There were no statistically significant effects for abuse or dependence of alcohol or other psychoactive substances. DISCUSSION: Lifetime history of major depression or a major anxiety disorder may represent potential psychosocial "yellow flags" for the transition to chronicity in men with first-onset LBP. Screening for lifetime depressive or anxiety disorders may identify individuals at higher risk, who may benefit from referral for more intensive rehabilitation. | |
dc.language.iso | en_US | |
dc.relation | <a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=20735749&dopt=Abstract">Link to Article in PubMed</a> | |
dc.relation.url | http://dx.doi.org/10.1111/j.1526-4637.2010.00934.x | |
dc.subject | Adolescent | |
dc.subject | Adult | |
dc.subject | Chronic Disease | |
dc.subject | Humans | |
dc.subject | Low Back Pain | |
dc.subject | Male | |
dc.subject | Mental Disorders | |
dc.subject | Middle Aged | |
dc.subject | Pain Measurement | |
dc.subject | Psychiatric Status Rating Scales | |
dc.subject | Risk Factors | |
dc.subject | Tobacco Use Disorder | |
dc.subject | Young Adult | |
dc.subject | Community Health and Preventive Medicine | |
dc.subject | Preventive Medicine | |
dc.subject | Primary Care | |
dc.title | Psychiatric disorders and risk of transition to chronicity in men with first onset low back pain | |
dc.type | Journal Article | |
dc.source.journaltitle | Pain medicine (Malden, Mass.) | |
dc.source.volume | 11 | |
dc.source.issue | 9 | |
dc.identifier.legacycoverpage | https://escholarship.umassmed.edu/fmch_articles/221 | |
dc.identifier.contextkey | 2879133 | |
html.description.abstract | <p>OBJECTIVE: To assess whether pre-existing psychiatric diagnoses increase the likelihood of transitioning from sub-acute to chronic back pain. DESIGN: Prospective cohort study.</p> <p>METHODS: Men (N = 140) experiencing a first onset of low back pain (LBP) were examined for lifetime psychiatric disorders approximately 8 weeks post pain-onset using the Diagnostic Interview Schedule (DIS-III-R), then re-evaluated at 6 months after pain onset to determine who did or did not progress to pain chronicity.</p> <p>OUTCOME MEASURE: Transition to chronic pain and disability was based on 6-month self-report measures of pain intensity and perceived disability.</p> <p>RESULTS: Men with a pre-pain lifetime diagnosis of major depressive disorder had 5 times greater risk of transitioning to chronic LBP (odds ratio [OR] = 4.99; 95% confidence interval [CI] 1.49-16.76). Increased risk was also associated with a pre-pain lifetime diagnosis of generalized anxiety (OR = 2.45; 95% CI 1.06-5.68), post-traumatic stress (OR = 3.23; 95% CI 1.11-9.44), and with current nicotine dependence (OR = 2.49; 95% CI 1.15-5.40). There were no statistically significant effects for abuse or dependence of alcohol or other psychoactive substances.</p> <p>DISCUSSION: Lifetime history of major depression or a major anxiety disorder may represent potential psychosocial "yellow flags" for the transition to chronicity in men with first-onset LBP. Screening for lifetime depressive or anxiety disorders may identify individuals at higher risk, who may benefit from referral for more intensive rehabilitation.</p> | |
dc.identifier.submissionpath | fmch_articles/221 | |
dc.contributor.department | Department of Family Medicine and Community Health | |
dc.source.pages | 1391-400 |