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Anxiety, depression, and quality of life in backache patients before and after spinal traction

BACKGROUND: Chronic pain has a negative impact on quality of life and psychological well-being. The objectives of this study are to investigate the psychological status and quality of life in backache patients before and after spinal traction and reflect how this maneuver is effective in treating ba...

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Autores principales: Shalaby, Amr Said, el-sharaki, Dina Rifaat, Salem, Gelan Mahmoud
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311179/
https://www.ncbi.nlm.nih.gov/pubmed/30636866
http://dx.doi.org/10.1186/s41983-018-0048-5
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author Shalaby, Amr Said
el-sharaki, Dina Rifaat
Salem, Gelan Mahmoud
author_facet Shalaby, Amr Said
el-sharaki, Dina Rifaat
Salem, Gelan Mahmoud
author_sort Shalaby, Amr Said
collection PubMed
description BACKGROUND: Chronic pain has a negative impact on quality of life and psychological well-being. The objectives of this study are to investigate the psychological status and quality of life in backache patients before and after spinal traction and reflect how this maneuver is effective in treating backache. METHODS: Forty-seven backache patients completed the hospital anxiety and depression scale (HADS) and Short-Form 36 Health Survey (SF-36) before and after treatment with spinal traction. Forty-eight healthy controls, matched with patients for age and sex, completed the same questionnaires. Pain was assessed before and after the maneuver using a visual analog scale (VAS). Traction was added to patients’ medications which were not enough to control patients’ symptoms and did not change during the course of traction. RESULTS: Before spinal traction, the mean VAS score was 7 ± 1.36, abnormal levels of anxiety and depression were found in 36.17% and 40.43%, respectively, of patients, and all SF-36 domains of the study population, except for physical functioning, showed mean scores < 50%. After spinal traction, the mean VAS score dropped significantly to 5.44 ± 1.51, abnormal levels of anxiety and depression became 14.9% and 21.3%, and all SF-36 domains improved significantly, with six of the eight domains showing mean scores > 50%. There were significant differences regarding all SF-36 domains, and anxiety and depression scores between patients and controls, in favor of controls, before traction. These differences disappeared after spinal traction. CONCLUSION: Pain, psychological status, and quality of life improved when spinal traction was added to medications reflecting its efficacy for patients with backache.
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spelling pubmed-63111792019-01-10 Anxiety, depression, and quality of life in backache patients before and after spinal traction Shalaby, Amr Said el-sharaki, Dina Rifaat Salem, Gelan Mahmoud Egypt J Neurol Psychiatr Neurosurg Research BACKGROUND: Chronic pain has a negative impact on quality of life and psychological well-being. The objectives of this study are to investigate the psychological status and quality of life in backache patients before and after spinal traction and reflect how this maneuver is effective in treating backache. METHODS: Forty-seven backache patients completed the hospital anxiety and depression scale (HADS) and Short-Form 36 Health Survey (SF-36) before and after treatment with spinal traction. Forty-eight healthy controls, matched with patients for age and sex, completed the same questionnaires. Pain was assessed before and after the maneuver using a visual analog scale (VAS). Traction was added to patients’ medications which were not enough to control patients’ symptoms and did not change during the course of traction. RESULTS: Before spinal traction, the mean VAS score was 7 ± 1.36, abnormal levels of anxiety and depression were found in 36.17% and 40.43%, respectively, of patients, and all SF-36 domains of the study population, except for physical functioning, showed mean scores < 50%. After spinal traction, the mean VAS score dropped significantly to 5.44 ± 1.51, abnormal levels of anxiety and depression became 14.9% and 21.3%, and all SF-36 domains improved significantly, with six of the eight domains showing mean scores > 50%. There were significant differences regarding all SF-36 domains, and anxiety and depression scores between patients and controls, in favor of controls, before traction. These differences disappeared after spinal traction. CONCLUSION: Pain, psychological status, and quality of life improved when spinal traction was added to medications reflecting its efficacy for patients with backache. Springer Berlin Heidelberg 2018-12-29 2018 /pmc/articles/PMC6311179/ /pubmed/30636866 http://dx.doi.org/10.1186/s41983-018-0048-5 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Research
Shalaby, Amr Said
el-sharaki, Dina Rifaat
Salem, Gelan Mahmoud
Anxiety, depression, and quality of life in backache patients before and after spinal traction
title Anxiety, depression, and quality of life in backache patients before and after spinal traction
title_full Anxiety, depression, and quality of life in backache patients before and after spinal traction
title_fullStr Anxiety, depression, and quality of life in backache patients before and after spinal traction
title_full_unstemmed Anxiety, depression, and quality of life in backache patients before and after spinal traction
title_short Anxiety, depression, and quality of life in backache patients before and after spinal traction
title_sort anxiety, depression, and quality of life in backache patients before and after spinal traction
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311179/
https://www.ncbi.nlm.nih.gov/pubmed/30636866
http://dx.doi.org/10.1186/s41983-018-0048-5
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