Article

OBJECTIVE: To characterize the measurement scales and levels of psychological
distress reported among published studies of acute low back pain (LBP) in the
scientific literature. DATA SOURCES: Peer-reviewed scientific literature found in
8 citation index search engines (CINAHL, Embase, MANTIS, PsycINFO, PubMed, Web of
Science, AMED, and Academic Search Premier) for the period from January 1, 1966,
to April 30, 2015, in English, Danish, Norwegian, and Swedish languages. STUDY SELECTION: Cross-sectional, case-control, cohort, or randomized controlled trials
assessing psychological distress and including participants drawn from patients
and workers (or an identifiable subset) with acute LBP (<8wk). Three researchers
independently screened titles, abstracts, and full-length articles to identify
peer-reviewed studies according to established eligibility criteria. DATA
EXTRACTION: Descriptive data (study populations, definitions of LBP, distress
measures) were systematically extracted and reviewed for risk of bias. Distress
measures were described, and data were pooled in cases of identical measures.
Reported levels of distress were contextualized using available population norms,
clinical comparison groups, and established clinical cutoff scores. DATA
SYNTHESIS: Of 10,876 unique records, 23 articles (17 studies) were included. The
most common measures were the Beck Depression Inventory, the modified version of
the Zung Self-Rated Depression Scale, the Center for Epidemiologic
Studies-Depression Scale, and the Medical Outcomes Study 12-Item Short-Form
Health Survey and Medical Outcomes Study 36-Item Short-Form Health Survey. Pooled
results for these scales showed consistent elevations in depression, but not
anxiety, and reduced mental health status in comparison with the general
population. CONCLUSIONS: Based on the high consistency across studies using valid
measures with a low to moderate risk of bias, there is strong evidence that
psychological distress is elevated in acute LBP.
CI - Copyright (c) 2016 American Congress of Rehabilitation Medicine. Published by
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Langue : ANGLAIS