TITLE:
Anxiety and Depression Disorders in Chronic Non-Specific Low Back Pain in Lomé (Togo)
AUTHORS:
Kodjo Kakpovi, Kokou M. A. Soedje, Viwalé E. S. Koffi-Tessio, Kodjo E. Ahoble, Eyram Fianyo, Prénam Houzou, Komi C. Tagbor, Kolou S. Dassa, Owonayo Oniankitan, Moustafa Mijiyawa
KEYWORDS:
Anxiety, Depression, Common Chronic Low Back Pain, Sub-Saharan Africa
JOURNAL NAME:
Open Journal of Rheumatology and Autoimmune Diseases,
Vol.7 No.1,
January
6,
2017
ABSTRACT: Chronic non-specific low back pain has an important
psychological impact. Objectives: To determine the prevalence of anxiety and
depressive disorders (ADD) and factors associated to their apparition in
patients suffering from chronic non-specific low back pain in rheumatological
consultation in Lomé. Patients and Methods: It was a cross-sectional study,
conducted from October 1st, 2015 to 31st March 2016. This
study focused on all patients suffering from common chronic low back pain
without psychiatric history in the Rheumatology Ward at the Sylvanus Olympio’s
Teaching Hospital of Lomé and who have given their consent. The psychological
evaluation was carried out through Hamilton scale. The processing, the
statistical treatment and analysis of our data have been carried out using
Epiinfo software, version 7.1.5. The investigation was approved by the local
Ethics Committee. Results: 48 (39 women and 09 men) out of 123 patients with
chronic lower back pain presented anxiety and depressive disorders (ADD)
accounting for a prevalence rate of 39%. Their average age was 50.3 years old.
The most frequent ADD was: psychic anxiety (58.6%), depressive mood (51.3%),
difficulties to feel asleep (47.9%) and disturbed or agitated sleep (43.1%).
Factors associated with the anxiety and depressive disorders in common chronic
low back pain were: female gender (p = 0.02), dependent children (p = 0.02),
occupation (reseller (p = 0.002), liberal profession (p = 0.009), monthly
financial income (p = 0.002), surroundings family (0.009), medical history (p =
0.0002) and pain’s intensity > 7 (p = 0.04). Conclusion: This study shows the high frequency of anxiety and
depressive disorders in common chronic low back pain and their influence by socio-economic
and demographic factors.