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KMID : 0361420110350050710
Journal of Korean Academy of Rehabilitation Medicine
2011 Volume.35 No. 5 p.710 ~ p.718
Factors Associated with Depressive Symptoms in Patients with Chronic Low Back Pain
Ha Jae-Yong

Kim Eun-Soo
Kim Hyo-Jae
Park Sang-Jun
Abstract
Objective: To investigate depressive symptoms and their related factors in patients with chronic low back pain in Korea.

Method: A cross-sectional study using data from the fourth Korea National Health and Nutrition Examination Survey (KNHANES IV) 2009 was undertaken. Th e sample consisted of 1,426 participants with chronic low back pain. Multifactorial regression analysis was used to identify the association between depressive symptoms and socioeconomic demographics and other chronic diseases.

Results: Among the 371 (26.0%) patients with depression, signifi cant factors associated with depressive symptoms were female gender (odds ratio [OR], 2.691; 95% confi dence interval [CI], 1.724?4.199), medical aid benefi ciary (OR, 1.371; 95% CI, 1.039?1.810), a dependent group for activities of daily living (OR, 1.570; 95% CI, 1.180?2.087), ¡¯not good¡¯ in the perceived health category (OR, 2.309; 95% CI, 1.730?3.081) and in a cancer group (OR, 1.803; 95% CI, 1.051?3.093).

Conclusion: This study provides the foundation for managing patients with chronic low back pain and depressive symptoms. Clinicians managing chronic low back pain should consider risk factors for depressive symptoms.
KEYWORD
Chronic low back pain, Depression, NHANES
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