Journal of Rheumatology and Medical Rehabilitation, cilt.15, sa.1, ss.69-74, 2004 (Scopus)
The aim of the present study was to examine the relationship between psychiatric factors and disability and pain intensity in chronic low backpain. Self-report of disability and pain intensity were assessed using Modifiye Oswestry Disability Questionnaire (ODQ) and Visual Analogue Scala (VAS). Psychiatric factors were assessed by Symptom Check List 90 items-Revised (SCL90-R). Anxiety was assessed using the Zung Self-rating Anxiety Scale. Forty-eight patients who had suffered from low back pain (LBP) for a period of at least three months entered this study. The mean age was 38.06 ± 10.4 years for the women, and 34.73 ±1 5.9 years for the men. The mean duration of the symptoms was 41.77 ± 40.15 months. Although there was not a correlation between pain and disability, the pain score was significantly lower in mild disabled group than moderate and severe disabled groups(p<0.01, p<0.01 respect-ively). Zung Anxiety Scale and all the mean subgroup scales of SCL90-R were statistically significant higher in patients with LBP than control group. There were no significant differences between males and females in age, SCL90-R score, anxiety or pain scores. Our results suggest that psychiatnc factors and anxiety are the most important determinant of self-reported disability in patients with chronic low back pain.