|
Backgrounds: Several methods have been used up to now in order to evaluate neck pain. The first aim of this study is to estimate the prevalence of non-specific neck pain and its association with specific agents. The second aim is to evaluate the usefulness of NDI (Neck Disability Index) and HADS (Hospital Anxiety and Depression Scale) questionnaires as means of evaluation examining the psychological and disability status in people with non-specific neck pain respectively. This study is a part of a PhD study in which 440 people, 20-60 years old, were assessed. The sample was people who visited all the Public Centers in the County of Thessaloniki for any reason and were randomly chosen. This sample was separated in two groups according to the frequency of people’s neck pain. Those who suffered frequently or almost every day from non-specific neck pain were the ‘neck pain group’ and those who referred non-specific neck pain occasionally, rarely or never felt neck pain were the ‘no pain group’. People filled a questionnaire answering questions about their demographic features and their habits. This questionnaire included HADS which evaluated the relation of stress and anxiety with neck pain and NDI questionnaire which evaluated the disability in everyday life activities because of neck pain. According to the results the prevalence of non-specific neck pain was 0.386. There were not found any statistically significant differences between the two groups concerning educational level (p=0.274), type of work (p=0.369), alcohol consumption (p=0.748), computer use (p=0.07) and depression (p=0.086).The factors related to neck pain were sex (p<0.001), age (p=0.007), marital status (p=0.042), smocking (p=0.034), physical exercise (p=0.01) and stress (p<0.001). The majority of people in the sample seemed to suffer from mild (56.7%) and moderate disability (23.2%) caused by neck pain. In conclusion stress, female sex, age above 40, marriage, smoking and lack of exercise were associated with neck pain. As stress seems to be associated with neck pain and disability is a frequent problem in people with neck pain. HADS and NDI questionnaires could be used in Primary Health Care as useful and reliable tools in order to detect stress or disability. However, in future studies it might be useful to specify the features of the sample and design studies to focus on specific characteristics of pain.
|
|
Αναφορές – References |
- Spinal pain, section 1: spinal and radicular pain syndromes. http://www.iasp-pain.org/AM/Template.cfm?Section=Classification of Chronic Pain & Template=/CM/ Content Display. Cfm & Content ID=16268. Accessed: Nov 25, 2013
- Cheung J, Kajaks T, Macdermid JC. The relationship between neck pain and physical activity. Open Orthop J. 2013 Sep 20;7:521-9
- Binder A. Neck pain. BMJ Clin Evid. 2008; 2008: 1103. Published online 2008 Aug 4
- Sarquis L, Coggon D, Ntani G et al. Classification of neck/shoulder pain in epidemiological research: a comparison of personal and occupational characteristics, disability and prognosis among 12.195 workers from 18 countries. Pain. 2016 May; 157(5): 1028–1036
- Bjelland I, Dahl AA, Haug TT, Neckelmann D: The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res. 2002 Feb;52(2):69-77
- Kendrick T, Dowrick C, McBride A et al. Management of depression in UK general practice in relation to scores on depression severity questionnaires: analysis of medical record data.BMJ. 2009 Mar 19;338:b750
- Bunevicius A, Peceliuniene J, Mickuviene N et al. Screening for depression and anxiety disorders in primary care patients.Depress Anxiety. 2007;24(7):455-60
- Herrmann C. International experiences with the Hospital Anxiety and Depression Scale-a review of validation data and clinical results. J Psychosom Res. 1997 Jan;42(1):17-41
- Michopoulos I, Douzenis A, Kalkavoura C et al. Hospital Anxiety and Depression Scale (HADS): Validation in a Greek general hospital sample. Ann Gen Psychiatry. 2008 Mar;6(7):4
- Bicer A, Yazici A, Camdeviren H, Erdogan C. Assessment of pain and disability in patients with chronic neck pain: reliability and construct validity of the Turkish version of the neck pain and disability scale. Disabil Rehabil. 2004 Aug 19;26(16):959-62
- Julian LG. Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A). Arthritis Care & Research. 2011 November;63(11):467–472
- Vernon H, Mior S. The neck disability index: A study of reliability and validity. Journal of Manipulative and Physiological Therapeutics. 1991;14(7):409
- Macdelilld JC, Walton DM, Avery S et al. Measurement properties of the neck disability index: A systematic review. Journal of Orthopaedic and Sports Physical Therapy. 2009 May;39(5):400-416
- Young BA, Walker MJ, Strunce JB, Boyles RE, Whitman JM et al. Responsiveness of the Neck Disability Index in patients with mechanical neck disorders. The Spine Journal. 2009 Oct;9(10):802-808
- MacDermid JC, Walton DM, Avery S, Blanchard A, Etruw E et al. Measurement properties of the neck disability index: a systematic review. J Orthop Sports Phys Ther. 2009 May;39(5):400-17
- Schellingerhout JM, Verhagen AP, Heymans MW et al. Measurement properties of disease-specific questionnaires in patients with neck pain: a systematic review. Qual Life Res. 2012 May;21(4):659-70. Epub 2011 Jul 7
- Vernon H: The Neck Disability Index: State-of-the-Art. Journal of Manipulative and Physiological Therapeutics. 2008 September; 31(7): 491-502
- Marini I, Bortolotti F, Bartolucci ML et al. Aging effect on pressure pain thresholds of head and neck muscles. Aging Clin Exp Res. 2012 Jun;24(3):239-44. doi: 10.3275/8021. Epub 2011 Oct 3
- De Rui M, Marini I, Bartolucci ML. Pressure pain threshold of the cervico-facial muscles in healthy elderly people: the role of gender, age and dominance. Gerodontology. 2015 Dec;32(4):274-80. Epub 2014 Feb 10
- Ministry of the Environment and Energy. New regulatory plan of Thessaloniki. Ypeka.gr. September 14, 2012
- Yang H, Haldeman S, Nakata A et al. Work-related risk factors for neck pain in the US working population. Spine. 2015 Feb 1;40(3):184-92
- Stranjalis G, Kalamatianos T, Stavrinou L et al. Neck pain in a sample of Greek urban population (fifteen to sixty-five years): analysis according to personal and socioeconomic characteristics. Spine. 2011 Jul 15;36(16):E1098-104
- Fejer R, Kyvik KO, Hartvigsen J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J. 2006 Jun;15(6):834-48. Epub 2005 Jul 6
- Hoy DG1, Protani M, De R, Buchbinder R. The epidemiology of neck pain. BestPract Res ClinRheumatol. 2010 Dec;24(6):783-92
- Hill, Jonathan, Lewis et al. Predicting Persistent Neck Pain: A 1-Year Follow-up of a Population Cohort. Spine. 1 August 2004;29(15):1648-165
- Yang H, Haldeman S, Nakata A et al. Work-related risk factors for neck pain in the US working population. Spine (Phila Pa 1976). 2015 Feb 1;40(3):184-92
- Cagnie B, Danneels L, Van Tiggelen D, De Loose V, Cambier D. Individual and work related risk factors for neck pain among office workers: a cross sectional study. Eur Spine J. 2007;16(5):679–86
- Haldeman S, Carroll L, Cassidy JD et al. The Bone and Joint Decade 2000–2010. Task Force on Neck Pain and Its Associated Disorders: Executive Summary. Spine. 2008; 33(4s):S5-S7
- Szeto GP, Straker LM, O’Sullivan PB. A comparison of symptomatic and asymptomatic office workers performing monotonous keyboard work – 1: Neck and shoulder muscle recruitment patterns. Man Ther. 2005;10:270–280
- Fares J, Fares M, Fares Y. Musculoskeletal neck pain in children and adolescents: Risk factors and complications.Surg Neurol Int. 2017;8:72
- Dionne CE, Von Korff M, Koepsell TD, Deyo RA, Barlow WE, Checkoway H. Formal education and back pain: a review.J Epidemiol Community Health. 2001 Jul;55(7):455-68
- Dimitriadis Z, Kapreli E, Strimpakos N, Oldham J. Hypocapnia in patients with chronic neck pain: association with pain, muscle function, and psychologic states. Am J Phys Med Rehabil.2013 Sep;92(9):746-54
- Zvolensky MJ, McMillan KA, Gonzalez A, Asmundson GJ. Chronic musculoskeletal pain and cigarette smoking among a representative sample of Canadian adolescents and adults. Addict Behav. 2010 Nov;35(11):1008-12. Epub 2010 Jun 23
- Skillgate E, Vingård E, Josephson M et al. Is smoking and alcohol consumption associated with long-term sick leave due to unspecific back or neck pain among employees in the public sector? Results of a three-year follow-up cohort study. J Rehabil Med. 2009 Jun;41(7):550-6
- Zale E, Maisto S, Ditre J. Interrelations between Pain and Alcohol: An Integrative Review.Clin Psychol Rev. 2015 Apr; 37: 57–71. Epub 2015 Feb 25
- Demyttenaere K, Bruffaerts R, Lee S, Posada-Villa J, Kovess V, Angermeyer MC et al. Mental disorders among persons with chronic back or neck pain: results from the World Mental Health Surveys. Pain. 2007 Jun;129(3):332-42. Epub 2007 Mar 9
- Zale E, Maisto S, Ditre J. Anxiety and Depression in Bidirectional Relations Between Pain and Smoking: Implications for Smoking Cessation.Behav Modif. 2016 Jan; 40(1-2): 7–28
- Orhurhu V, Pittelkow T, HootenW. Prevalence of smoking in adults with chronic pain.Tob Induc Dis. 2015; 13(1): 17. EPub 2015 Jul 17
- Borenstein DG. Chronic neck pain: how to approach treatment. Curr Pain Headache Rep. 2007 Dec;11(6):436-9
- Falla D, Lindstrøm R, Rechter L et al. Effectiveness of an 8-week exercise programme on pain and specificity of neck muscle activity in patients with chronic neck pain: a randomized controlled study. Eur J Pain. 2013 Nov;17(10):1517-28. Epub 2013 May 6
- Sitthipornvorakul E, Janwantanakul P, Purepong N et al. The association between physical activity and neck and low back pain: a systematic review.Eur Spine J. 2011 May;20(5):677-89. Epub 2010 Nov 27
- Allan I Binder. Neck pain.BMJ Clin Evid. 2008; 2008: 1103. Epub 2008 Aug 4
- Linton SJ. A review of psychological risk factors in back and neck pain. Spine. 2000 May 1;25(9):1148-5
- Annagür BB, Uguz F, Apiliogullari S et al. Psychiatric disorders and association with quality of sleep and quality of life in patients with chronic pain: a SCID-based study. Pain Med. 2014 May;15(5):772-81. Epub 2014 Feb 25
|
|