Three-question depression screener used for lumbar disc herniations and spinal stenosis
A depression screener was used to determine positive responses amongst patients with two disorders commonly treated with surgery. To examine the relation between positive responses to the depression screener and pain characteristics, sociodemographic responses, and Short-Form 36-Item Health Survey s...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2002-06, Vol.27 (11), p.1232-1236 |
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| container_title | Spine (Philadelphia, Pa. 1976) |
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| creator | Levy, Howard I Hanscom, Brett Boden, Scott D |
| description | A depression screener was used to determine positive responses amongst patients with two disorders commonly treated with surgery.
To examine the relation between positive responses to the depression screener and pain characteristics, sociodemographic responses, and Short-Form 36-Item Health Survey subscale scores among patients with lumbar disc herniation or spinal stenosis.
Numerous studies have reported a correlation between depression and low back pain, but few have examined this relation among patients with a diagnosis of sciatica from lumbar disc herniation or spinal stenosis. The Health Status Questionnaire 2.0 includes both the Short-Form 36-Item Health Survey (a validated, multidimensional, generic instrument measuring health-related quality of life and functional status) and the three-question depression screener.
The database of the National Spine Network (a nonprofit collaboration of physicians caring for patients with back and neck problems that pools patient data) was queried for patients 18 to 65 years of age with a diagnosis of lumbar disc herniation (n = 2878) and patients 30 to 80 years of age with a diagnosis of spinal stenosis (n = 3801). Depression screeners scored positive when patients reported depressive symptoms within the year to any question about symptoms.
The screener elicited positive responses from 36.4% of the patients with spinal stenosis and 38.4% of the patients with lumbar disc herniation. Among the patients with spinal stenosis or lumbar disc herniation, those with positive depression screener responses reported longer duration of symptoms (>7 weeks) and failure to improve. They were more likely to be obese, recipients of workers' compensation, unmarried, and less educated (below Grade 12). In multivariate analyses, positive depression screener responses were significantly associated with an attorney's services and a longer duration of symptoms.
A positive depression screener response is strongly associated with poorer functional status and health-related quality of life, as measured by the Short-Form 36-Item Health Survey, among patients with lumbar disc herniation or spinal stenosis, and higher symptom intensity. |
| doi_str_mv | 10.1097/00007632-200206010-00017 |
| format | Article |
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To examine the relation between positive responses to the depression screener and pain characteristics, sociodemographic responses, and Short-Form 36-Item Health Survey subscale scores among patients with lumbar disc herniation or spinal stenosis.
Numerous studies have reported a correlation between depression and low back pain, but few have examined this relation among patients with a diagnosis of sciatica from lumbar disc herniation or spinal stenosis. The Health Status Questionnaire 2.0 includes both the Short-Form 36-Item Health Survey (a validated, multidimensional, generic instrument measuring health-related quality of life and functional status) and the three-question depression screener.
The database of the National Spine Network (a nonprofit collaboration of physicians caring for patients with back and neck problems that pools patient data) was queried for patients 18 to 65 years of age with a diagnosis of lumbar disc herniation (n = 2878) and patients 30 to 80 years of age with a diagnosis of spinal stenosis (n = 3801). Depression screeners scored positive when patients reported depressive symptoms within the year to any question about symptoms.
The screener elicited positive responses from 36.4% of the patients with spinal stenosis and 38.4% of the patients with lumbar disc herniation. Among the patients with spinal stenosis or lumbar disc herniation, those with positive depression screener responses reported longer duration of symptoms (>7 weeks) and failure to improve. They were more likely to be obese, recipients of workers' compensation, unmarried, and less educated (below Grade 12). In multivariate analyses, positive depression screener responses were significantly associated with an attorney's services and a longer duration of symptoms.
A positive depression screener response is strongly associated with poorer functional status and health-related quality of life, as measured by the Short-Form 36-Item Health Survey, among patients with lumbar disc herniation or spinal stenosis, and higher symptom intensity.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/00007632-200206010-00017</identifier><identifier>PMID: 12045523</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cohort Studies ; Comorbidity ; Databases, Factual ; Demography ; Depression - diagnosis ; Depression - epidemiology ; Female ; Humans ; Intervertebral Disc Displacement - epidemiology ; Logistic Models ; Lumbosacral Region ; Male ; Middle Aged ; Obesity - epidemiology ; Quality of Life ; Sickness Impact Profile ; Spinal Stenosis - epidemiology ; Surveys and Questionnaires - standards ; United States - epidemiology</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2002-06, Vol.27 (11), p.1232-1236</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-d118823ef33112f549bdb4294e775982076191b80b2a45ce35709662cc77c9ac3</citedby><cites>FETCH-LOGICAL-c390t-d118823ef33112f549bdb4294e775982076191b80b2a45ce35709662cc77c9ac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12045523$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Levy, Howard I</creatorcontrib><creatorcontrib>Hanscom, Brett</creatorcontrib><creatorcontrib>Boden, Scott D</creatorcontrib><title>Three-question depression screener used for lumbar disc herniations and spinal stenosis</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A depression screener was used to determine positive responses amongst patients with two disorders commonly treated with surgery.
To examine the relation between positive responses to the depression screener and pain characteristics, sociodemographic responses, and Short-Form 36-Item Health Survey subscale scores among patients with lumbar disc herniation or spinal stenosis.
Numerous studies have reported a correlation between depression and low back pain, but few have examined this relation among patients with a diagnosis of sciatica from lumbar disc herniation or spinal stenosis. The Health Status Questionnaire 2.0 includes both the Short-Form 36-Item Health Survey (a validated, multidimensional, generic instrument measuring health-related quality of life and functional status) and the three-question depression screener.
The database of the National Spine Network (a nonprofit collaboration of physicians caring for patients with back and neck problems that pools patient data) was queried for patients 18 to 65 years of age with a diagnosis of lumbar disc herniation (n = 2878) and patients 30 to 80 years of age with a diagnosis of spinal stenosis (n = 3801). Depression screeners scored positive when patients reported depressive symptoms within the year to any question about symptoms.
The screener elicited positive responses from 36.4% of the patients with spinal stenosis and 38.4% of the patients with lumbar disc herniation. Among the patients with spinal stenosis or lumbar disc herniation, those with positive depression screener responses reported longer duration of symptoms (>7 weeks) and failure to improve. They were more likely to be obese, recipients of workers' compensation, unmarried, and less educated (below Grade 12). In multivariate analyses, positive depression screener responses were significantly associated with an attorney's services and a longer duration of symptoms.
A positive depression screener response is strongly associated with poorer functional status and health-related quality of life, as measured by the Short-Form 36-Item Health Survey, among patients with lumbar disc herniation or spinal stenosis, and higher symptom intensity.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Databases, Factual</subject><subject>Demography</subject><subject>Depression - diagnosis</subject><subject>Depression - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Intervertebral Disc Displacement - epidemiology</subject><subject>Logistic Models</subject><subject>Lumbosacral Region</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Obesity - epidemiology</subject><subject>Quality of Life</subject><subject>Sickness Impact Profile</subject><subject>Spinal Stenosis - epidemiology</subject><subject>Surveys and Questionnaires - standards</subject><subject>United States - epidemiology</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMlOwzAQhi0EoqXwCsgnbgGPHcfxESE2qRKXIo6W40zUoCzF0xx4e9wF8GWsmf-f5WOMg7gFYc2dSM8USmZSCCkKASJLGTAnbA5alhmAtqdsLlSRJLkqZuyC6DNJCgX2nM1AilxrqebsY7WOiNnXhLRtx4HXuIlItPtSSJUBI58Ia96MkXdTX_nI65YCX2McWr_zEPdDzWnTDr7jtMVhpJYu2VnjO8KrY1yw96fH1cNLtnx7fn24X2ZBWbHNaoCylAobpQBko3Nb1VUubY7GaFvKdCVYqEpRSZ_rgEobYYtChmBMsD6oBbs59N3EcX-E69N22HV-wHEiZ8CUWskiCcuDMMSRKGLjNrHtffx2INwOqvuF6v6guj3UZL0-zpiqHut_45Gi-gG6DHIM</recordid><startdate>20020601</startdate><enddate>20020601</enddate><creator>Levy, Howard I</creator><creator>Hanscom, Brett</creator><creator>Boden, Scott D</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020601</creationdate><title>Three-question depression screener used for lumbar disc herniations and spinal stenosis</title><author>Levy, Howard I ; Hanscom, Brett ; Boden, Scott D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-d118823ef33112f549bdb4294e775982076191b80b2a45ce35709662cc77c9ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Databases, Factual</topic><topic>Demography</topic><topic>Depression - diagnosis</topic><topic>Depression - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Intervertebral Disc Displacement - epidemiology</topic><topic>Logistic Models</topic><topic>Lumbosacral Region</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Obesity - epidemiology</topic><topic>Quality of Life</topic><topic>Sickness Impact Profile</topic><topic>Spinal Stenosis - epidemiology</topic><topic>Surveys and Questionnaires - standards</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Levy, Howard I</creatorcontrib><creatorcontrib>Hanscom, Brett</creatorcontrib><creatorcontrib>Boden, Scott D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Levy, Howard I</au><au>Hanscom, Brett</au><au>Boden, Scott D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Three-question depression screener used for lumbar disc herniations and spinal stenosis</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2002-06-01</date><risdate>2002</risdate><volume>27</volume><issue>11</issue><spage>1232</spage><epage>1236</epage><pages>1232-1236</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><abstract>A depression screener was used to determine positive responses amongst patients with two disorders commonly treated with surgery.
To examine the relation between positive responses to the depression screener and pain characteristics, sociodemographic responses, and Short-Form 36-Item Health Survey subscale scores among patients with lumbar disc herniation or spinal stenosis.
Numerous studies have reported a correlation between depression and low back pain, but few have examined this relation among patients with a diagnosis of sciatica from lumbar disc herniation or spinal stenosis. The Health Status Questionnaire 2.0 includes both the Short-Form 36-Item Health Survey (a validated, multidimensional, generic instrument measuring health-related quality of life and functional status) and the three-question depression screener.
The database of the National Spine Network (a nonprofit collaboration of physicians caring for patients with back and neck problems that pools patient data) was queried for patients 18 to 65 years of age with a diagnosis of lumbar disc herniation (n = 2878) and patients 30 to 80 years of age with a diagnosis of spinal stenosis (n = 3801). Depression screeners scored positive when patients reported depressive symptoms within the year to any question about symptoms.
The screener elicited positive responses from 36.4% of the patients with spinal stenosis and 38.4% of the patients with lumbar disc herniation. Among the patients with spinal stenosis or lumbar disc herniation, those with positive depression screener responses reported longer duration of symptoms (>7 weeks) and failure to improve. They were more likely to be obese, recipients of workers' compensation, unmarried, and less educated (below Grade 12). In multivariate analyses, positive depression screener responses were significantly associated with an attorney's services and a longer duration of symptoms.
A positive depression screener response is strongly associated with poorer functional status and health-related quality of life, as measured by the Short-Form 36-Item Health Survey, among patients with lumbar disc herniation or spinal stenosis, and higher symptom intensity.</abstract><cop>United States</cop><pmid>12045523</pmid><doi>10.1097/00007632-200206010-00017</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Aged Aged, 80 and over Cohort Studies Comorbidity Databases, Factual Demography Depression - diagnosis Depression - epidemiology Female Humans Intervertebral Disc Displacement - epidemiology Logistic Models Lumbosacral Region Male Middle Aged Obesity - epidemiology Quality of Life Sickness Impact Profile Spinal Stenosis - epidemiology Surveys and Questionnaires - standards United States - epidemiology |
| title | Three-question depression screener used for lumbar disc herniations and spinal stenosis |
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