Variations in pain, disability, and psychosocial functioning among nonspecific chronic low back pain patients with and without anxiety

Hani Abdulraheem AlHarthi; Ahmad Bilal; Hind AlMalki; Fahad Ali Alzahrani; Ahmed Abdelmoniem Ibrahim; Hisham Mohamed Hussein; Mostafa Sayed Abdel-Fattah; Doaa I. Omar; Ibrahim Metwally Dewir

doi:10.5114/areh.2025.146633

References

Chenot JF, Greitemann B, Kladny B, Petzke F, Pfingsten M, Schorr SG. Non-Specific Lower back Pain. Dtsch Arztebl Int. 2017;114(51-52):883–90. doi: 10.3238/arztebl.2017.0883.
Open DOI Search in Google Scholar Back to article
Vos T, Flaxman AD, Naghavi M, Lozano R, Michaud C, Ezzati M, et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet. 2012; 380(9859): 2163–96. doi: 10.1016/S0140-6736(12)61729-2.
Open DOI Search in Google Scholar Back to article
Rahman R, Alsharqi OZ. What drove the health system reforms in the Kingdom of Saudi Arabia? An analysis. Int J Health Plann Manage. 2019;34(1):100–10. doi: 10.1002/hpm.2584.
Open DOI Search in Google Scholar Back to article
Aldera MA, Alexander CM, McGregor AH. Prevalence and incidence of lower back pain in the Kingdom of Saudi Arabia: a systematic review. J Epidemiol Glob Health. 2020;10(4):269–75. doi: 10.2991/jegh.k.200417.001.
Open DOI Search in Google Scholar Back to article
Halonen JI, Mänty M, Pietiläinen O, Kujanpää T, Kanerva N, Lahti J, et al. Physical working conditions and subsequent disability retirement due to any cause, mental disorders and musculoskeletal diseases: does the risk vary by common mental disorders? Soc Psychiatry Psychiatr Epidemiol. 2020;55:1021–9. doi: 10.1007/s00127-019-01823-6.
Open DOI Search in Google Scholar Back to article
Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What lower back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356–67. doi: 10.1016/S0140-6736(18)30480-X
Open DOI Search in Google Scholar Back to article
Xu C, Fu Z, Wang J, Wu B, Wang XQ. Differences and Correlations of Anxiety, Sleep Quality, and Pressure-Pain Threshold between Patients with Chronic Lower back Pain and Asymptomatic People. Pain Res Manag. 2022: 8648584. doi: 10.1155/2022/8648584.
Open DOI Search in Google Scholar Back to article
George SZ, Beneciuk JM. Psychological predictors of recovery from lower back pain: a prospective study. BMC Musculoskelet Disord. 2015;16:49. doi: 10.1186/s12891-015-0509-2.
Open DOI Search in Google Scholar Back to article
Joyce C, Roseen EJ, Keysor JJ, Gross KD, Culpepper L, Saper RB. Can Yoga or Physical Therapy for Chronic Lower back Pain Improve Depression and Anxiety Among Adults From a Racially Diverse, Low-Income Community? A Secondary Analysis of a Randomized Controlled Trial. Arch Phys Med Rehabil. 2021;102(6):1049–58. doi: 10.1016/j.apmr.2021.01.072.
Open DOI Search in Google Scholar Back to article
Fouda KZ, Dewir IM, Abdelsalam MS. Effects of proprioceptive neuromuscular facilitation techniques in treating chronic nonspecific lower back pain patients. Physiother Quart. 2021; 29(2): 32–7. doi: 10.5114/pq.2020.100273.
Open DOI Search in Google Scholar Back to article
Amundsen PA, Evans DW, Rajendran D, Bright P, Bjørkli T, Eldridge S, et al. Inclusion and exclusion criteria used in non-specific lower back pain trials: a review of randomised controlled trials published between 2006 and 2012. BMC Musculoskelet Disord. 2018;19(1):113. doi: 10.1186/s12891-018-2034-6.
Open DOI Search in Google Scholar Back to article
Scales CD Jr, Smith AC, Hanley JM, Saigal CS; Urologic Diseases in America Project. Prevalence of kidney stones in the United States. Eur Urol. 2012;62(1):160–5. doi: 10.1016/j.eururo.2012.03.052.
Open DOI Search in Google Scholar Back to article
Mederos MA, Reber HA, Girgis MD. Acute Pancreatitis: A Review. JAMA. 2021; 325(4): 382–390. doi: 10.1001/jama.2020.20317.
Open DOI Search in Google Scholar Back to article
Dewir IM. Effect of isometric back endurance exercises on patients with non-specific chronic lower back pain: Randomized control trail. Science. 2021;25(113):1710–6. doi: 10.12965/jer.150224.
Open DOI Search in Google Scholar Back to article
Stubbs B, Koyanagi A, Thompson T, Veronese N, Carvalho AF, Solomi M, et al. The epidemiology of back pain and its relationship with depression, psychosis, anxiety, sleep disturbances, and stress sensitivity: Data from 43 low- and middle-income countries. Gen Hosp Psychiatry. 2016;43:63–70. doi: 10.1016/j.genhosppsych.2016.09.008.
Open DOI Search in Google Scholar Back to article
Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with lower back pain. Spine. 2005;30(11):1331–4. doi: 10.1097/01.brs.0000164099.92112.29.
Open DOI Search in Google Scholar Back to article
Finianos J, Sánchez-Rodríguez E, Ferrando PJ, Miró J. Translation, adaptation and psychometric properties of the Arabic version of the numerical rating scale when used with children and adolescents. Curr Med Res Opin. 2022;38(6):963–9. doi: 10.1080/03007995.2022.2042973.
Open DOI Search in Google Scholar Back to article
Kroenke K, Spitzer RL, Williams JB, Monahan PO, Löwe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007;146(5):317–25. doi: 10.7326/0003-4819-146-5-200703060-00004.
Open DOI Search in Google Scholar Back to article
Kroenke K, Spitzer RL, Williams JB, Löwe B. The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic review. Gen Hosp Psychiatry. 2010; 32(4):345–59. doi: 10.1016/j.genhosppsych.2010.03.006.
Open DOI Search in Google Scholar Back to article
Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166(10):1092–7. doi: 10.1001/archinte.166.10.1092.
Open DOI Search in Google Scholar Back to article
Sawaya H, Atoui M, Hamadeh A, Zeinoun P, Nahas Z. Adaptation and initial validation of the Patient Health Questionnaire - 9 (PHQ-9) and the Generalized Anxiety Disorder - 7 Questionnaire (GAD-7) in an Arabic speaking Lebanese psychiatric outpatient sample. Psychiatry Res. 2016;239:245–52. doi: 10.1016/j.psychres.2016.03.030.
Open DOI Search in Google Scholar Back to article
Vlaeyen JW, Kole-Snijders AM, Boeren RG, Van Eek H. Fear of movement/(re) injury in chronic lower back pain and its relation to behavioral performance. Pain. 1995;62(3):363–72. doi: 10.1016/0304-3959(94)00279-N.
Open DOI Search in Google Scholar Back to article
Waddell G, Newton M, Henderson I, Somerville D, Main CJ. A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic lower back pain and disability. Pain. 1993;52(2):157–68. doi: 10.1016/0304-3959(93)90127-B.
Open DOI Search in Google Scholar Back to article
Wertli MM, Rasmussen-Barr E, Weiser S, Bachmann LM, Brunner F. The role of fear avoidance beliefs as a prognostic factor for outcome in patients with nonspecific lower back pain: a systematic review. Spine J. 2014;14(5):816–36.e4. doi: 10.1016/j.spinee.2013.09.036.
Open DOI Search in Google Scholar Back to article
Pei LB, Xia JJ, Yan JL. Cross-cultural adaptation, reliability and validity of the Chinese version of the Fear Avoidance Beliefs Questionnaire. J Int Med Res. 2010;38(6):1985–96. doi: 10.1177/147323001003800612.
Open DOI Search in Google Scholar Back to article
Alanazi F, Gleeson P, Olson S, Roddey T. Translation and validation of the Arabic version of the Fear-Avoidance Beliefs Questionnaire in patients with lower back pain. Spine. 2017;42(7):E411–6. doi: 10.1097/BRS.0000000000001802.
Open DOI Search in Google Scholar Back to article
Maki D, Rajab E, Watson PJ, Critchley DJ. Cross-cultural translation, adaptation, and psychometric testing of the Roland-Morris disability questionnaire into modern standard Arabic. Spine. 2014;39(25):E1537–44. doi: 10.1097/BRS.0000000000000632.
Open DOI Search in Google Scholar Back to article
Coons SJ, Alabdulmohsin SA, Draugalis JR, Hays RD. Reliability of an Arabic version of the RAND-36 Health Survey and its equivalence to the US-English version. Med Care. 1998;36(3):428–32. doi: 10.1097/00005650-199803000-00018.
Open DOI Search in Google Scholar Back to article
Buysse DJ. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research. Psychiatry. 2003;18:498. doi: 10.1016/0165-1781(89)90047-4.
Open DOI Search in Google Scholar Back to article
Suleiman KH, Yates BC, Berger AM, Pozehl B, Meza J. Translating the Pittsburgh Sleep Quality Index into Arabic. West J Nurs Res. 2010;32(2):250–68. doi: 10.1177/0193945909348230.
Open DOI Search in Google Scholar Back to article
Williams AC, Craig KD. Updating the definition of pain. Pain. 2016;157(11):2420–3. doi: 10.1097/j.pain.0000000000000613.
Open DOI Search in Google Scholar Back to article
Pakarinen M, Koivumaa-Honkanen H, Sinikallio S, Lehto SM, Aalto T, Airaksinen O, et al. Life dissatisfaction burden is associated with a poor surgical outcome among lumbar spinal stenosis patients: a 5-year follow-up study. Int J Rehabil Res. 2014;37(1):80–5. doi: 10.1097/MRR.0000000000000039.
Open DOI Search in Google Scholar Back to article
Voscopoulos C, Lema M. When does acute pain become chronic? Br J Anaesth. 2010;105(1):i69–85. doi: 10.1093/bja/aeq323.
Open DOI Search in Google Scholar Back to article
Hashmi JA, Baliki MN, Huang L, Baria AT, Torbey S, Hermann KM, et al. Shape shifting pain: chronification of back pain shifts brain representation from nociceptive to emotional circuits. Brain. 2013;136(9):2751–68. doi: 10.1093/brain/awt211.
Open DOI Search in Google Scholar Back to article
Kucyi A, Davis KD. The dynamic pain connectome. Trends Neurosci. 2015;38(2):86–95. doi: 10.1016/j.tins.2014.11.006.
Open DOI Search in Google Scholar Back to article
Reneman MF, Geertzen JH, Groothoff JW, Brouwer S. General and specific self-efficacy reports of patients with chronic lower back pain: are they related to performances in a functional capacity evaluation? J Occup Rehabil. 2008;18(2):183–9. doi: 10.1007/s10926-008-9129-0.
Open DOI Search in Google Scholar Back to article
La Touche R, Pérez-Fernández M, Barrera-Marchessi I, López-de-Uralde-Villanueva I, Villafañe JH, Prieto-Aldana M, et al. Psychological and physical factors related to disability in chronic lower back pain. J Back Musculoskelet Rehabil. 2019;32(4):603–11. doi: 10.3233/BMR-181269.
Open DOI Search in Google Scholar Back to article
Trocoli TO, Botelho RV. Prevalence of anxiety, depression and kinesiophobia in patients with lower back pain and their association with the symptoms of lower back spinal pain. Rev Bras Reumatol Engl Ed. 2016;56(4): 30–6. doi: 10.1016/j.rbre.2016.02.010.
Open DOI Search in Google Scholar Back to article
Buchbinder R, Jolley D. Population based intervention to change back pain beliefs: three year follow up population survey. BMJ. 2004;328(7435):321. doi: 10.1136/bmj.328.7435.321.
Open DOI Search in Google Scholar Back to article
Cedraschi C, Luthy C, Allaz AF, Herrmann FR, Ludwig C. Lower back pain and health-related quality of life in community-dwelling older adults. Eur Spine J. 2016;25(9):2822–32. doi: 10.1007/s00586-016-4483-7.
Open DOI Search in Google Scholar Back to article
Bingefors K, Isacson D. Epidemiology, co-morbidity, and impact on health-related quality of life of self-reported headache and musculoskeletal pain- a gender perspective. Eur J Pain. 2004;8(5):435–50. doi: 10.1016/j.ejpain.2004.01.005.
Open DOI Search in Google Scholar Back to article
Macfarlane GJ, Beasley M, Jones EA, Prescott GJ, Docking R, Keeley P, et al. The prevalence and management of lower back pain across adulthood: results from a population-based cross-sectional study (the MUSICIAN study). Pain. 2012; 153(1): 27–32. DOI: 10.1016/j.pain.2011.08.005.
Open DOI Search in Google Scholar Back to article
Hazeldine-Baker CE, Salkovskis PM, Osborn M, Gauntlett-Gilbert J. Understanding the link between feelings of mental defeat, self-efficacy and the experience of chronic pain. Br J Pain. 2018;12(2):87–94. doi: 10.1177/2049463718759131
Open DOI Search in Google Scholar Back to article
Yeni K, Tulek Z, Simsek OF, Bebek N. Relationships between knowledge, attitudes, stigma, anxiety and depression, and quality of life in epilepsy: A structural equation modeling. Epilepsy Behav. 2018;85:212–7. doi: 10.1016/j.yebeh.2018.06.019.
Open DOI Search in Google Scholar Back to article
Williams ACC, Fisher E, Hearn L, Eccleston C. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev. 2020;8(8): CD007407. doi: 10.1002/14651858.CD007407.pub3.
Open DOI Search in Google Scholar Back to article
Pigeon WR, Moynihan J, Matteson-Rusby S, Jungquist CR, Xia Y, Tu X, et al. Comparative effectiveness of CBT interventions for co-morbid chronic pain & insomnia: a pilot study. Behav Res Ther. 2012;50(11):685–9. doi: 10.1016/j.brat.2012.07.005.
Open DOI Search in Google Scholar Back to article
Nijs J, Mairesse O, Neu D, Leysen L, Danneels L, Cagnie B, Meeus M, Moens M, Ickmans K, Goubert D. Sleep Disturbances in Chronic Pain: Neurobiology, Assessment, and Treatment in Physical Therapist Practice. Phys Ther. 2018;98(5):325–35. doi: 10.1093/ptj/pzy020.
Open DOI Search in Google Scholar Back to article
Schuh-Hofer S, Wodarski R, Pfau DB, Caspani O, Magerl W, Kennedy JD, et al. One night of total sleep deprivation promotes a state of generalized hyperalgesia: a surrogate pain model to study the relationship of insomnia and pain. Pain. 2013;154(9):1613–21. doi: 10.1016/j.pain.2013.04.046.
Open DOI Search in Google Scholar Back to article
Jiang Y, Wang Y, Wang R, Zhang X, Wang X. Differences in pain, disability, and psychological function in lower back pain patients with and without anxiety. Front Physiol. 2022;13:906461. doi: 10.3389/fphys.2022.906461.
Open DOI Search in Google Scholar Back to article

Variations in pain, disability, and psychosocial functioning among nonspecific chronic low back pain patients with and without anxiety

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