Abstract

Introduction: Non-specific low back pain is common cause of disability, with up to 90% of population experiencing pain at some stage in their lives. Psychosocial factors measure the psychological phenomena to the social environment and to pathophysiological changes within body. Psychosocial factors influence pain, disability, and response to treatment, Depression Anxiety Stress Scale (DASS-21) assessed the psychological and emotional states of the subject before and after the onset of pain. Methodology: 201 participants were selected for the study. Subjects were classified in 3 groups, group A – (young)- 16-35 years, group B (adults) - 36-55 years & group C (gediatrics) - 56-75 years. DASS-21 was assessed for levels of stress, anxiety & depression and PSEQ was evaluated for level of confidence to perform ADLs while in pain in different age groups. Result: Highest level of self-efficacy was seen in the participants of group B followed. The participants of group C showed low self-efficacy. VAS score was found to be lowest in the participants of group B. The participants of group B also exhibited lowest scores in all three domains of DASS-21 compared to group A and group B. Conclusion: The study concluded that measures across the groups A, B & C revealed presence of statistically significant difference in the scores of PSEQ, DASS-21 & VAS, among all three groups, group C showed lowest self-efficacy & lowest scores in all three domains of DASS-21 compared to group A and group B.

• 1.   Maher C., Underwood M., Buchbinder R. Nonspecific low back pain. The Lancet. 2017 Feb 18; 389(10070): 736-47.
• 2.   Iles R.A., Davidson M., Taylor N.F. Psychosocial predictors of failure to return to work in non-chronic non-specific low back pain: a systematic review. Occupational and environmental medicine. 2008 Aug 1; 65(8): 507-17.
• 3.   Hurwitz E.L., Morgenstern H., Chiao C. Effects of recreational physical activity and back exercises on low back pain and psychological distress: findings from the UCLA Low Back Pain Study. American journal of public health. 2005 Oct; 95(10): 1817-24.
• 4.   Yilmaz E., Dedeli O. Effect of physical and psychosocial factors on occupational low back pain. Health Science Journal. 2012 Oct 1; 6(4): 598.
• 5.   Hartvigsen J., Lings S., Leboeuf-Yde C., Bakketeig L. Psychosocial factors at work in relation to low back pain and consequences of low back pain; a systematic, critical review of prospective cohort studies. Occupational and environmental medicine. 2004 Jan 1; 61(1): e2-.
• 6.   Alhowimel A., Alotaibi M., Coulson N., Radford K. Psychosocial consequences of diagnosing nonspecific low-back pain radiologically: a qualitative study. Physiotherapy Theory and Practice. 2022 Jul 3; 38(7): 890-6.
• 7.   Hill J.C., Fritz J.M. Psychosocial influences on low back pain, disability, and response to treatment. Physical therapy. 2011 May 1; 91(5): 712-21.
• 8.   Paolucci T., Morone G., Iosa M., Fusco A., Alcuri R., Matano A., Bureca I., Saraceni VM, Paolucci S. Psychological features and outcomes of the Back School treatment in patients with chronic non-specific low back pain. A randomized controlled study. Eur J Phys Rehabil Med. 2012 Jun 1; 48(2):245-53
• 9.   Ferrari S., Vanti C., Pellizzer M., Dozza L., Monticone M., Pillastrini P. Is there a relationship between self-efficacy, disability, pain and sociodemographic characteristics in chronic low back pain? A multicenter retrospective analysis. Archives of Physiotherapy. 2019 Dec;9:1-9.
• 10.   Abberger B., Kieselbach K. Rasch analysis of the Depression, Anxiety, and Stress Scale in patients with chronic pain. Journal of psychosomatic research. 2024 Mar 1;178:111597.
• 11.   Sathya P., Ramakrishnan K.S., Shah P.P. Prevalence of depression, anxiety & stress in patients with mechanical low back pain. International Journal of Therapies and Rehabilitation Research. 2015 Jun;4(4):67-72.
• 12.   Grasaas E., Helseth S., Fegran L., Stinson J., Småstuen M., Haraldstad K. Health-related quality of life in adolescents with persistent pain and the mediating role of self-efficacy: a cross-sectional study. Health and Quality of Life Outcomes. 2020 Dec;18:1-0

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