“Blue flags” of pain such as an important factor, has been influenced in the chronification of the low back pain
- Authors: Yakupov E.Z.1, Gabdullina M.T.2
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Affiliations:
- Scientific research medical complex “Your Health”
- Kazan State Medical University
- Issue: Vol LV, No 1 (2023)
- Pages: 25-34
- Section: Original study arcticles
- URL: https://journals.rcsi.science/1027-4898/article/view/131516
- DOI: https://doi.org/10.17816/nb321283
- ID: 131516
Cite item
Abstract
BACKGROUND. Despite the widely discussed problem of pain chronification, the issues of assessing the relationship between emotional-affective disorders and the social status of patients with pain in the context of assessing the so-called “blue flags” of pain remain poorly understood.
AIM. To determine the relationship between biopsychosocial factors, particularly socioeconomic status, and the quality of life of patients with back pain.
MATERIAL AND METHODS. The study included 32 patients suffering with non-specific back pain of various localization. During of the study, the results of neuropsychological tests (HADS, SF-36, VAS) were analyzed to assess the mental state and social aspects of the patients’ lives. A specially designed questionnaire was used to assess the so-called “blue flags” of pain, which including the level of satisfaction with work and relationships in the workplace. The statistical processing of the data obtained was carried with using the programe Statistica 6.0 with the evaluation of Student’s criterion and Pearson’s coefficient.
RESULTS. Correlations were found between emotional-affective disorders and socio-economic aspects, namely: job satisfaction and relationships with colleagues. Emotional and affective disorders were found to have a significant impact on relationships at work. People with emotional-affective disorders and chronic pain syndrome are more likely to have an unsatisfactory self-assessment of their health. The relationship between emotional-affective disorders and the intensity of the pain syndrome and life impairment was also determined, and it was found that patients with psychological distress are more susceptible to life impairment due to back pain. In the process of determining the level of quality of life of the examined individuals, low values were found according to the SF-36 questionnaire due to a decrease in the psychological component of health in patients with chronic pain syndrome (r=0.64, p <0.05). Significant correlations were found between affective disorders and job satisfaction (r=–0.46, p <0.05) and relationships with co-workers (r=–0.44, p <0.05), as well as pain intensity according to VAS (r=–0.37, p <0.05).
CONCLUSION. Socio-economic factors, the so-called “blue flags” of pain, together with emotional and affective disorders, have a significant impact on the outcome of the pain syndrome and largely determine the chronification of pain, with a regression in the quality of life of patients with back pain.
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##article.viewOnOriginalSite##About the authors
Eduard Z. Yakupov
Scientific research medical complex “Your Health”
Email: ed_yakupov@mail.ru
ORCID iD: 0000-0003-2965-1424
SPIN-code: 2077-9609
M.D., D. Sci. (Med.), Prof., Director
Russian Federation, KazanMadina T. Gabdullina
Kazan State Medical University
Author for correspondence.
Email: madi.gabdullina@yandex.ru
ORCID iD: 0009-0001-3325-7617
Student, Faculty of General Medicine
Russian Federation, KazanReferences
- Dydyk AM, Sizemore DC, Fariba KA et al. Florida controlled substance prescribing. 2022. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2022. https://www.statpearls.com/15.02.2023 (access date: 01.03.2023). PMID: 33428370.
- Fatoye F, Gebrye T, Odeyemi I. Real-world incidence and prevalence of low back pain using routinely collected data. Rheumatol Int. 2019;39(4):619–626. doi: 10.1007/s00296-019-04273-0. PMID: 30848349.
- Meucci RD, Fassa AG, Faria NM. Prevalence of chronic low back pain: systematic review. Rev Saude Publica. 2015;49:1. doi: 10.1590/S0034-8910.2015049005874. PMID: 26487293. PMCID: PMC4603263.
- Khumalo K, Haffejee F. Prevalence and associated risk factors of low back pain among users of a primary health care clinic serving semi-urban and rural settlements in KwaZulu-Natal, South Africa. Afr Health Sci. 2022;22(2):592–601. doi: 10.4314/ahs.v22i2.68. PMID: 36407349. PMCID: PMC9652636
- Khalatbari-Soltani S, Blyth FM. Socioeconomic position and pain: a topical review. Pain. 2022;163(10):1855–1861. doi: 10.1097/j.pain.0000000000002634. PMID: 35297800.
- Kahere M, Ginindza T. The prevalence and psychosocial risk factors of chronic low back pain in KwaZulu-Natal. Afr J Prim Health Care Fam Med. 2022;14(1):e1–e8. doi: 10.4102/phcfm.v14i1.3134. PMID: 35144452. PMCID: PMC8831989.
- Alhowimel AS, Alotaibi MA, Alenazi AM et al. Psychosocial predictors of pain and disability outcomes in people with chronic low back pain treated conservatively by guideline-based intervention: A systematic review. J Multidiscip Healthc. 2021;14:3549–3559. doi: 10.2147/JMDH.S343494.
- Michaelides A, Zis P. Depression, anxiety and acute pain: links and management challenges. Postgrad Med. 2019;131(7):438–444. doi: 10.1080/00325481.2019.1663705. PMID: 31482756.
- Tiemann L, May ES, Postorino M et al. Differential neurophysiological correlates of bottom-up and top-down modulations of pain. Pain. 2015;156(2):289–296. doi: 10.1097/01.j.pain.0000460309.94442.44. PMID: 25599450.
- Basiński K, Zdun-Ryżewska A, Majkowicz M. Psychosocial predictors of persistent low back pain in patients presenting to the emergency department. Am J Emerg Med. 2022;51:85–91. doi: 10.1016/j.ajem.2021.10.018. PMID: 34695641.
- Alonso-García M, Sarría-Santamera A. The economic and social burden of low back pain in Spain: A national assessment of the economic and social impact of low back pain in Spain. Spine (Phila Pa 1976). 2020;45(16):E1026–E1032. doi: 10.1097/BRS.0000000000003476. PMID: 32706566.
- Jradi H, Alanazi H, Mohammad Y. Psychosocial and occupational factors associated with low back pain among nurses in Saudi Arabia. J Occup Health. 2020;62(1):e12126. doi: 10.1002/1348-9585.12126. PMID: 32515887. PMCID: PMC7229531.
- Prego-Domínguez J, Skillgate E, Orsini N, Takkouche B. Social factors and chronic pain: The modifying effect of sex in the Stockholm Public Health Cohort Study. Rheumatology (Oxford). 2022;61(5):1802–1809. doi: 10.1093/rheumatology/keab528. PMID: 34240143. PMCID: PMC9071550.
- Khan MNU, Morrison NMV, Marshall PW. The role of fear-avoidance beliefs on low back pain-related disability in a deve-loping socioeconomic and conservative culture: A cross-sectional study of a Pakistani population. J Pain Res. 2020;13:2377–2387. doi: 10.2147/JPR.S258314. PMID: 33061553/ PMCID: PMC7520149.
- Crombez G, Eccleston C, Van Damme S et al. Fear-avoi-dance model of chronic pain: The next generation. Clin J Pain. 2012;28(6):475–483. doi: 10.1097/AJP.0b013e3182385392. PMID: 22673479.