Ralf Nickel1, Ulrich T Egle. 1. Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie der Johnnes Gütenberg-Universität Mainz, Untere Zahlbacher Str. 8, 55131 Mainz, Germany. ranickel@mail.uni-mainz.de
Abstract
OBJECTIVES: To investigate the relevance of somatic, psychic and psychosocial factors on the health-related quality of life at the one year follow-up of patients with lower back pain. METHODS: Prospective cohort study of 109 patients recruited consecutively. At baseline and at one year follow-up self-report instruments were administered to evaluate health-related quality of life (SF-36), psychic or psychological distress (SF-36), and coping strategies (FKV-LIS). RESULTS: In regards to the physical and mental dimensions of the quality of life at follow-up, psychosocial factors evaluated at baseline were far more relevant. Using a multiple regression analysis we were able to account for 38 % of the variance in the physical dimension of the quality of life and 45 % of the variance in the mental dimension. In these two dimensions the factors "psychic distress" (GSI, SCL-90-R) and "sick leave" were significant predictors, in the mental dimension additionally "doctor shopping". Beyond that, impaired health-related quality of life at baseline as well as at follow-up was related to depressive coping (FKV-LIS). CONCLUSIONS: The study shows the high impact of psychic and psychosocial factors on health-related quality of life in patients with chronic lower back pain.
OBJECTIVES: To investigate the relevance of somatic, psychic and psychosocial factors on the health-related quality of life at the one year follow-up of patients with lower back pain. METHODS: Prospective cohort study of 109 patients recruited consecutively. At baseline and at one year follow-up self-report instruments were administered to evaluate health-related quality of life (SF-36), psychic or psychological distress (SF-36), and coping strategies (FKV-LIS). RESULTS: In regards to the physical and mental dimensions of the quality of life at follow-up, psychosocial factors evaluated at baseline were far more relevant. Using a multiple regression analysis we were able to account for 38 % of the variance in the physical dimension of the quality of life and 45 % of the variance in the mental dimension. In these two dimensions the factors "psychic distress" (GSI, SCL-90-R) and "sick leave" were significant predictors, in the mental dimension additionally "doctor shopping". Beyond that, impaired health-related quality of life at baseline as well as at follow-up was related to depressive coping (FKV-LIS). CONCLUSIONS: The study shows the high impact of psychic and psychosocial factors on health-related quality of life in patients with chronic lower back pain.
Authors: Dirk Heider; Katharina Kitze; Margrit Zieger; Steffi G Riedel-Heller; Matthias C Angermeyer Journal: Qual Life Res Date: 2007-09-12 Impact factor: 4.147