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Alighias M, Tavafian S S, Niknami S. Psychological Intervention and Pain Severity among a Sample of Iranian Nurses Suffering from Chronic Low Back Pain: a Randomized Clinical Trial. IJMPP 2016; 1 (1) :1-5
URL: http://ijmpp.modares.ac.ir/article-32-5950-en.html
1- Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Abstract:   (11582 Views)
Background: Chronic Low back pain (CLBP) is one of the most prevalent health problems which is affected by psychological disorders. The aim of this study was to evaluate the role of psychological intervention on chronic low back pain among a sample of Iranian nurses.
Material and Methods: This is a randomized clinical trial. The participants of this study consisted of 84 nurses suffering from chronic back pain and working in Valiasr hospital, Tehran-Iran. The recruited nurses were randomly assigned to intervention and control groups (42 nurses in each group). The demographic questionnaire and Visual Analog Assessment scales (VAS) and a Depression Anxiety Stress Scale (DASS) were used to collect data at the beginning of the study and 3 months following completion of the intervention. Data were analyzed using Chi-square, T-test and paired T-test.
Results: Forty-two nurses, with a mean age of 32 ± 8.2 and 31.5 ± 7.4 years in the intervention group and control group respectively, took part in this study. The two groups were not significantly different at the beginning of the study in terms of demographic data (P > 0.05). At the 3-month follow up, the pain rate in the intervention group was significantly decreased from 4.47 to 4.09 (P < 0.0001). Furthermore in intervention group, the mean scores of anxiety intervention group were decreased from 17.73 to 9.76 (P < 0.0001). Decreased Stress scores decreased from 15.52 to 9.52 (P < 0.0001), and the depression score from 17.66 to 10.45 (P < 0.0001).
Conclusions: The findings of this study showed that psychological interventions reduced stress anxiety, depression as well as low back pain among Iranian nurses. It is recommended that further research with larger sample and longer follow up be conducted to confirm the findings of this study.
Full-Text [PDF 222 kb]   (5935 Downloads)    
Subject: Musculoskeletal Pain Prevention
Received: 2015/10/5 | Accepted: 2015/11/14 | Published: 2016/02/16

1. Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W. & Swinson, R. P. (1998) Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment.10 (2): 176-181. [DOI:10.1037/1040-3590.10.2.176]
2. Asghari, A., Julaeihal, S. & odarziI, M. (2008) Disability and depression in patients with chronic pain: pain or pain-related beliefs? Archives of Iranian medicine. 11, 263-269.
3. Bass, P., Stetson, B. A., Rising, W., Wesley, G. C. & Ritchie, C. S. (2004) Development and evaluation of a nutrition and physical activity counseling module for first-year medical students. Med Educ Online. 9 (23). [DOI:10.3402/meo.v9i.4359]
4. Cleary, M. & Walter, G. (2005) Towards a healthier lifestyle for staff of a psychiatric hospital: Description of a pilot programme. International Journal of Mental Health Nursing.14, 32-36. [DOI:10.1111/j.1440-0979.2005.00352.x]
5. Coggon, D., Ntani, G., Vargas-prada, S., Martinez, J. M., Serra, C., Benavides F. G et al., (2013) International variation in absence from work attributed to musculoskeletal illness: findings from the CUPID study. Occupational and Environmental Medicine.70, 575-584. [DOI:10.1136/oemed-2012-101316]
6. Demyttenaere, K., Brufffaetrs R., Lee, S., Posada-villa, J., Kovess V., Angermeyer, M. C., Levinson, D et al., (2007) Mental disorders among persons with chronic back or neck pain: results from the World Mental Health Surveys. Pain, 129, 332-342. [DOI:10.1016/j.pain.2007.01.022]
7. Deyo, R. A., Mirza, S. K., Turner, J. A. & Martin, B. I. (2009) Overtreating chronic back pain: time to back off? The Journal of the American Board of Family Medicine, 22, 62-68. [DOI:10.3122/jabfm.2009.01.080102]
8. Gureje, O., Von Korff, M., Kola, L., Demyttenaere, K., He, y., Posada-Villa, J et al., (2008) The relation between multiple pains and mental disorders: results from the World Mental Health Surveys. PAIN®. 135, 82-91. [DOI:10.1016/j.pain.2007.05.005]
9. Lorusso, A., Bruno, S. & L'Abbate, N. (2007) A review of low back pain and musculoskeletal disorders among Italian nursing personnel. Industrial Health. 45, 637-644. [DOI:10.2486/indhealth.45.637]
10. MaulL, I., Laubli, T., Klipstein, A. & Krueger, H. (2003) Course of low back pain among nurses: a longitudinal study across eight years. Occupational and Environmental Medicine. 60, 497-503. [DOI:10.1136/oem.60.7.497]
11. Mcelligott, D., Siemers, S., Thomas, L. & Kohn, N. (2009) Health promotion in nurses: Is there a healthy nurse in the house? Applied Nursing Research.22, 211-215. [DOI:10.1016/j.apnr.2007.07.005]
12. Mitchell, T., O'sulliivan, P. B., Burnett, A. F., Strafer, L. & Rudd, C. (2008) Low back pain characteristics from undergraduate student to working nurse in Australia: a crosssectional survey. InternationalJournal of Nursing Studies. 45, 1636-1644. [DOI:10.1016/j.ijnurstu.2008.03.001]
13. Mttchell, T., O'sullivan, P. B., Smith, A., Burnett, A. F., Straker, L., Thornton, J et al., (2009) Biopsychosocial factors are associated with low back pain in female nursing students: a cross-sectional study. International journal of nursing studies. 46, 678-688. [DOI:10.1016/j.ijnurstu.2008.11.004]
14. Nocholas, M. K. (2007) Mental disorders in people with chronic pain: an international perspective. Pain. 129, 231-232. [DOI:10.1016/j.pain.2007.03.011]
15. Ogon, M., Krismer, M., Sollner, W., Kantiner-Rijmplmair, W. & Lampe, A. (1996) Chronic low back pain measurement with visual analogue scales in different settings. Pain. 64, 425-428. [DOI:10.1016/0304-3959(95)00208-1]
16. Punnett, L. & Wegman, D. H. (2004) Work-related musculoskeletal disorders: the epidemiologic evidence and the debate. Journal of Electromyography and Kinesiology. 14, 13-23. [DOI:10.1016/j.jelekin.2003.09.015]
17. Roditi, D. & Robinson, M. E. (2011) The role of psychological interventions in the management of patients with chronic pain. Psychology Research and Behavior Management. 4-41. [DOI:10.2147/PRBM.S15375]
18. Samani S. & Jokar, B. (2007) Validity and reliability shortform version of the Depression, Anxiety and Stress. Journal of social sciences & humanities of shiraz university. 26, 65-77.
19. Sikiru L, S. (2010) Prevalence and risk factors of low back pain among nurses in a typical Nigerian hospital. African Health Sciences. 10-26. [DOI:10.4314/eajph.v6i1.45737]
20. Sokiaridis, S., Ammendolia, C. & Cassidy, D. (2010) Looking upstream to understand low back pain and return to work: psychosocial factors as the product of system issues. Social Science & Medicine. 71, 1557-1566. [DOI:10.1016/j.socscimed.2010.08.017]
21. Thomas, E.-N., Pers, Y.-M., Mercier, G., Cambiere, J.-P., Frasson, N., Ster, F et al., (2010) The importance of fear, beliefs, catastrophizing and kinesiophobia in chronic low back pain rehabilitation. Annals of physical and Rehabilitation Medicine. 53, 3-14. [DOI:10.1016/j.rehab.2009.11.002]
22. Vargas-prada, S., Serra, C., Martinez, J. M., Ntani, G., Delclos, G. L., Palmer, K. T., Cgoggon, D et al., (2012) Psychological and culturally-influenced risk factors for the incidence and persistence of low back pain and associated disability in Spanish workers: findings from the CUPID study. Occupational and Environmental Medicine. 70 (1):57-62. [DOI:10.1136/oemed-2011-100637]
23. Von Korff, M., Crane P., Lane, M., Miglioretti, D. L., Simon, G., Saunders, K., Stang, P et al., (2005) Chronic spinal pain and physical-mental comorbidity in the United States: results from the national comorbidity survey replication. Pain. 113, 331-339. [DOI:10.1016/j.pain.2004.11.010]

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