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ISSN: 1734-4948
Advances in Rehabilitation
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abstract:
Original article

Variations in pain, disability, and psychosocial functioning among non-specific chronic low back pain patients with and without anxiety

Hani AlHarthi
1
,
Ahmad Bilal
1
,
Hind AlMalki
1
,
Fahad Ali Alzahrani
2
,
Ahmed Abdelmoniem Ibrahim
3, 4
,
Hisham Mohamed Hussein
3, 5
,
Mostafa S. Abdel-fattah
6
,
Doaa I. Omar
7
,
Ibrahim Metwally Dewir
6

  1. Department physiotherapy, Armed Forces Center for Health Rehabilitation, Taif, KSA
  2. Department Physiotherapist in comprehensive rehabilitation, Taif, S.A.
  3. Department of Physical Therapy, College of Applied Medical Sciences, University of Ha’il, Ha’il, Saudi Arabia
  4. Department of Physical Therapy, Cairo University Hospitals, Cairo, Egypt
  5. Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Giza, Egypt
  6. Department Physical Therapy, College of Applied Medical Sciences, Taif University, Taif, 21994, Saudi Arabia
  7. Department of Community, Environmental and Occupational Medicine, Faculty of Medicine, Benha University, Egypt
Advances in Rehabilitation
DOI: https://doi.org/10.5114/areh.2025.146633
Online publish date: 2025/01/13
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Introduction
Patients with non-specific chronic LBP who do not improve after physical therapy have high levels of anxiety, depression, and kinesiophobia. Therefore, this study aims to assess whether patients with and without anxiety differ in terms of pain, functional disability, and psychological characteristics.

Material and methods
In a cross-sectional study involving 60 Saudi patients aged 18-65 years old with chronic nonspecific low back pain from January to July 2024, different tools were used: Generalized Anxiety Disorder-7 (GAD-7), Numeric Pain Rating Scale (NPRS), Tampa Scale, The Roland-Morris Disability Questionnaire (RMDQ), The Fear-Avoidance Beliefs Questionnaire (FABQ), Quality of Life using 36-Item Short-Form Health Survey questionnaire (RAND SF 36), and The Pittsburgh Sleep Quality Index (PSQI) were used for comparison between groups.

Results
30 participants had GAD below 10, while the other 30 had scores above 10. There were significant differences in pain intensity, psychological and disability function between the two groups for NPRS (z = -2.42, p-value = 0.01), Tampa scale (z = - 3.22, p-value = <0.0010), RMDQ (z = -3.58, p-value = <0.001), PSQI (z = 0.32, p-value = 0.03), and FABQ (z = - 2.27, p-value = 0.02). The correlations between anxiety and pain intensity, level of disability, and psychological function were examined using Spearman correlation analysis.

Conclusions
Anxiety among non-specific chronic LBP patients interacts with pain intensity, psychological functioning, and disability. highlighting the importance of comprehensive evaluations and tailored interventions by clinicians and physical therapists.

keywords:

Quality of life, Low back pain, Mood disorder, Psychological Factor










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