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Depression Symptoms Among Older Adults With and Without Subacute Low Back Pain

Lobo, César Calvo, PhD, Msc, PT1; Vilar-Fernández, Juan Manuel, PhD2; Losa-Iglesias, Marta Elena, RN, PhD, MSc, DP3; López-López, Daniel, PhD, BSc, MSc, DP4; Rodríguez-Sanz, David, PhD, MsC, PT, DP5; Palomo-López, Patricia, PhD, MsC, DP6; Becerro-de Bengoa-Vallejo, Ricardo, RN, BSc, MLIS, DPM, DHL, PhD, FFPM RCPS7

doi: 10.1097/rnj.0000000000000137
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Purpose Lumbago, or low back pain (LBP), is a common musculoskeletal complaint among older adults that may also be associated with depression. The study objective was to investigate differences in Beck Depression Inventory depression symptoms scores among older adult patients with and without LBP.

Design This was a case–control study.

Methods A total of 152 older adult patients, recruited at an outpatient healthcare clinic (47 men, 105 women; 74.81 ± 6.9 years), were classified as having subacute LBP (n = 76) or non-LBP (n = 76) according to clinic records.

Findings Beck Depression Inventory scores (mean ± SD) among LBP patients (10.93 ± 6.18) were significantly higher compared to the non-LBP group (7.62 ± 5.70; p = .000085), whose scores indicated no depression symptoms.

Conclusion Subacute LBP may represent a potential risk for increased depression among older adults.

Clinical Relevance Early detection of depression will assist rehabilitation nurses in prescribing the beneficial physical rehabilitation and exercise programs or provide the information and treatment recommendations to older adults with subacute LBP and their families. Also, it should be part of a nursing staff prevention strategy for patients who suffer this common musculoskeletal disorder.

1 Nursing and Physical Therapy Department, Institute of Biomedicine (IBIOMED), Universidad de León, Ponferrada, León, Spain

2 Modeling, Optimization and Statistical Inference Research Group, Universidade da Coruña, A Coruña, Spain

3 Faculty of Health Sciences, Universidad Rey Juan Carlos, Madrid, Spain

4 Research, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, A Coruña, Spain

5 Department of Physical Therapy and Podiatry, Physical Therapy and Health Sciences, Research Group, Universidad Europea de Madrid, Madrid

6 University Center of Plasencia, Universidad de Extremadura, Badajoz, Spain

7 School of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, Madrid, Spain

Correspondence ccall@unileon.es., (C. Calvo-Lobo); juan.vilar@udc.es, (JM. Vilar-Fernández); marta.losa@urjc.es, (ME Losa-Iglesias); daniellopez@udc.es, (D. López-López); davidrodriguezsanz@gmail.com, (D. Rodríguez-Sanz); patibiom@unex.es, (P. Palomo-López); ribebeva@ucm.es, (R.Becerro-de-Bengoa-Vallejo). These authors contributed equally to this work.

Cite this article as: Calvo Lobo, C., Vilar-Fernández, J.M., Losa-Iglesias, M.E, López-López, D., Rodríguez-Sanz, D., Palomo-López, P., & Becerro-de Bengoa-Vallejo, R. (2019). Depression symptoms among older adults with and without subacute low back pain. Rehabilitation Nursing, 44(1), 47–51. doi: 10.1097/rnj.0000000000000137

© 2019 Association of Rehabilitation Nurses.
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