Impact of Different Illness Perceptions and Emotions Associated with Chronic Back Pain on Anxiety and Depression in Patients Qualified for Surgery

Impact of Different Illness Perceptions and Emotions Associated with Chronic Back Pain on Anxiety and Depression in Patients Qualified for Surgery

Anxiety and depression are known comorbidities of chronic back pain. Their psychological predictors are not well established in patients with chronic back pain qualified for neurosurgery. The purpose of this study was to determine the psychological predictors of depression and anxiety in patients wi...

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Veröffentlicht in:Pain management nursing 2019-12, Vol.20 (6), p.599-603
Hauptverfasser: Chojnacka-Szawłowska, Gabriela, Kloc, Wojciech, Zdun-Ryżewska, Agata, Basiński, Krzysztof, Majkowicz, Mikołaj, Leppert, Wojciech, Kurlandt, Patryk, Libionka, Witold
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container_issue 6
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container_title Pain management nursing
container_volume 20
creator Chojnacka-Szawłowska, Gabriela
Kloc, Wojciech
Zdun-Ryżewska, Agata
Basiński, Krzysztof
Majkowicz, Mikołaj
Leppert, Wojciech
Kurlandt, Patryk
Libionka, Witold
description Anxiety and depression are known comorbidities of chronic back pain. Their psychological predictors are not well established in patients with chronic back pain qualified for neurosurgery. The purpose of this study was to determine the psychological predictors of depression and anxiety in patients with chronic back pain qualified for surgery. This was a cross-sectional study. A neurosurgical ward in Gdańsk, Poland. All patients who were admitted to the neurosurgical ward and met the inclusion criteria were recruited for the study. Finally, 83 patients with chronic back pain waiting for surgery were recruited. A battery of questionnaires, including Illness Perceptions Questionnaire–Revised, Multidimensional Health Locus of Control Scale, Hospital Anxiety and Depression Scale, and Brief Pain Inventory, was used in 83 spinal surgery candidates. Higher anxiety was predicted by stronger beliefs about negative consequences of illness (β = .205, p 
doi_str_mv 10.1016/j.pmn.2019.02.009
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Their psychological predictors are not well established in patients with chronic back pain qualified for neurosurgery. The purpose of this study was to determine the psychological predictors of depression and anxiety in patients with chronic back pain qualified for surgery. This was a cross-sectional study. A neurosurgical ward in Gdańsk, Poland. All patients who were admitted to the neurosurgical ward and met the inclusion criteria were recruited for the study. Finally, 83 patients with chronic back pain waiting for surgery were recruited. A battery of questionnaires, including Illness Perceptions Questionnaire–Revised, Multidimensional Health Locus of Control Scale, Hospital Anxiety and Depression Scale, and Brief Pain Inventory, was used in 83 spinal surgery candidates. Higher anxiety was predicted by stronger beliefs about negative consequences of illness (β = .205, p < .05), worse illness coherence (β = .204, p < .05), negative emotional representations of illness (β = .216, p < .05), and depression (β = .686, p < .001). Higher depression was predicted by anxiety (β = .601, p < .001), pain interference (β = .323, p < .01), lower personal control over pain (β = −.160, p < .05), and lower external control of health (β = −.161, p < .05) but, surprisingly, higher internal control of health (β = .208, p < .01). Anxiety and depression commonly coexist in chronic back pain sufferers qualified for spine surgery but are derived from dissimilar beliefs. 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Their psychological predictors are not well established in patients with chronic back pain qualified for neurosurgery. The purpose of this study was to determine the psychological predictors of depression and anxiety in patients with chronic back pain qualified for surgery. This was a cross-sectional study. A neurosurgical ward in Gdańsk, Poland. All patients who were admitted to the neurosurgical ward and met the inclusion criteria were recruited for the study. Finally, 83 patients with chronic back pain waiting for surgery were recruited. A battery of questionnaires, including Illness Perceptions Questionnaire–Revised, Multidimensional Health Locus of Control Scale, Hospital Anxiety and Depression Scale, and Brief Pain Inventory, was used in 83 spinal surgery candidates. Higher anxiety was predicted by stronger beliefs about negative consequences of illness (β = .205, p < .05), worse illness coherence (β = .204, p < .05), negative emotional representations of illness (β = .216, p < .05), and depression (β = .686, p < .001). Higher depression was predicted by anxiety (β = .601, p < .001), pain interference (β = .323, p < .01), lower personal control over pain (β = −.160, p < .05), and lower external control of health (β = −.161, p < .05) but, surprisingly, higher internal control of health (β = .208, p < .01). Anxiety and depression commonly coexist in chronic back pain sufferers qualified for spine surgery but are derived from dissimilar beliefs. 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title Impact of Different Illness Perceptions and Emotions Associated with Chronic Back Pain on Anxiety and Depression in Patients Qualified for Surgery
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