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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Relationship between depressive symptoms and acute low back pain at first medical consultation, three and six weeks of primary care
Authors: Elfering, Achim
Käser, Anja
Melloh, Markus
DOI: 10.21256/zhaw-1639
Published in: Psychology, Health & Medicine
Volume(Issue): 19
Issue: 2
Pages: 235
Pages to: 246
Issue Date: 2014
Publisher / Ed. Institution: Routledge
Publisher / Ed. Institution: London
ISSN: 1354-8506
Language: English
Subjects: Prospective study; Acute low back pain; Depression; Prognosis
Subject (DDC): 617.5: Orthopaedic surgery
Abstract: Background: Aim of the study was to test lagged reciprocal effects of depressive symptoms and acute low back pain (LBP) across the first weeks of primary care. Methods: In a prospective inception cohort study, 221 primary care patients with acute or subacute LBP were assessed at the time of initial consultation and then followed up at three and six weeks. Key measures were depressive symptoms (modified Zung Self-Rating Depression Scale) and LBP (sensory pain, present pain index and visual analogue scale of the Short-Form McGill Pain Questionnaire). Results: When only cross-lagged effects of six weeks were tested, a reciprocal positive relationship between LBP and depressive symptoms was shown in a cross-lagged structural equation model (β = .15 and .17, p < .01). When lagged reciprocal paths at three- and sixweek follow-up were tested, depressive symptoms at the time of consultation predicted higher LBP severity after three weeks (β = .23, p < .01). LBP after three weeks had in turn a positive cross-lagged effect on depression after six weeks (β = .27, p < .001). Conclusions: Reciprocal effects of depressive symptoms and LBP seem to depend on time under medical treatment. Health practitioners should screen for and treat depressive symptoms at the first consultation to improve the LBP treatment.
Fulltext version: Published version
License (according to publishing contract): Licence according to publishing contract
Departement: Health Professions
Organisational Unit: Institute of Health Sciences (IGW)
Appears in Collections:Publikationen Gesundheit

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