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Bhatt D, Warikoo D, Amutha ID. Impact of Chronic Non-Specific Low Back Pain on Psychosocial Effects of Different Age Groups. Physiotherapy Occup Ther J. 2025;18(2):121-124.
Timeline
Received : February 13, 2025
Accepted : May 24, 2025
Published : June 16, 2025
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.
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Bhatt D, Warikoo D, Amutha ID. Impact of Chronic Non-Specific Low Back Pain on Psychosocial Effects of Different Age Groups. Physiotherapy Occup Ther J. 2025;18(2):121-124.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Description: The result of the descriptive analysis revealedthehighestlevelofself-efficacyinthe participants of group B (36-55 years) followed by group A (16-35 years). The participants of groupCshowedlowself-efficacy.VASscore was found to be lowest in the participants of group B (5.71 ± 1.24). The participants of group B also exhibited lowest scores in all three domains (depression, anxiety and stress) of DASS-21 compared to group A and group C.
Test for normality
Description: The test of normality utilizing both Kolmogorov-Smirnov test and Shapiro-Wilk test showed absence of normality for PSEQ scores, VAS scores, DASS-21 (depression), DASS-21 (anxiety) and DASS-21 (stress). Hence, Kruskal-Wallis test was utilized to compare the variables across the groups. The results of test of normality are tabulated in table 2.
Kruskal-Wallistest
Description: The analysis of variance of the outcome measures across the groups revealed presence of statistically significant difference in the scores of PSEQ (p<0.01), VAS (p<0.01), DASS21 (Depression) (p<0.01), DASS-21 (Anxiety) (p<0.01) and DASS-21 (stress) (p<0.01) across the groups. The results otress) (p<0.01) across the groups. The results of Kruskal-Wallis test is represented in table 3.