The Relationship between Chronic Neck Pain and Psychological and Physical Activity Levels

Abstract

Objective: The aim of this study was to investigate the relationships between neck pain, disability, depression, anxiety, stress and physical activity in patients with chronic neck pain. Material and Methods: This was a cross-sectional descriptive study. The study included 74 patients. 58 of the patients were female and 16 were male. Pain intensity was assessed using the Visual Analog Scale (VAS), neck disability using the Neck Disability Index (NDI), psychological status using the Depression-Anxiety-Stress Scale (DASS 21), and physical activity using the International Physical Activity Questionnaire (IPAQ). Correlations between variables were calculated using Pearson's test. The significance level was set at p<0.05. Results: Statistically significant correlations were found between VAS and BDI and between BDI and all DASS-21 parameters (p<0.05). No significant correlation was found between physical activity parameters and pain and disability (p>0.05). A low level statistically significant negative correlation was found between stress and walking MET values (p<0.05). Conclusion: This study demonstrated the impact of psychological factors on neck disability. Therefore, treatment approaches should consider not only physical but also psychosocial factors. In addition, regular walking habits may be beneficial in reducing stress levels.

Keywords

• Anxiety
• Chronic Neck Pain
• Depression
• Physical Activity
• Stress

Kronik Boyun Ağrısının Psikolojik ve Fiziksel Aktivite Düzeyleri ile İlişkisi

Abstract

Amaç: Bu çalışmanın amacı, kronik boyun ağrısı olan hastalarda boyun ağrısı, dizabilite, depresyon, anksiyete, stres ve fiziksel aktivite düzeyleri arasındaki ilişkileri incelemektir. Araştırma, kesitsel tanımlayıcı bir çalışmadır. Gereç ve Yöntem: Araştırma, kesitsel tanımlayıcı bir çalışmadır. Çalışmaya, 74 hasta dahil edildi. Hastaların 58’i kadın, 16’sı erkekti. Hastaların Vizüel Ağrı Skalası (VAS) ile ağrı şiddeti, Boyun Dizabilite İndeksi (BDİ) ile boyun dizabilitesi, Depresyon-Anksiyete-Stres Ölçeği (DASS 21) ile psikolojik durumları ve Uluslararası Fiziksel Aktivite Anketi (IPAQ) ile fiziksel aktivite düzeyleri değerlendirildi. Değişkenler arası korelasyonlar Pearson testi ile hesaplandı. Anlamlılık değeri p<0.05 olarak belirlendi. Bulgular: VAS ve BDİ arasında ve BDİ ile tüm DASS-21 parametreleri arasında istatistiksel olarak anlamlı ilişki saptandı (p<0,05). Fiziksel aktivite parametreleri ile ağrı ve dizabilite arasında anlamlı ilişki tespit edilmedi (p>0,05). Stres ile yürüme MET değerleri arasında negatif yönde düşük düzeyde istatistiksel olarak anlamlı ilişki bulundu (p<0,05). Sonuç: Bu çalışmada psikolojik faktörlerin boyun dizabilitesi üzerine etkisi gösterilmiştir. Bu nedenle, tedavi yaklaşımlarının sadece fiziksel değil, psikososyal faktörleri de göz önünde bulundurması gerekmektedir. Ayrıca, düzenli yürüyüş alışkanlığı stres düzeylerini azaltmada faydalı olabilir. Anahtar Kelimeler: Anksiyete, depresyon, fiziksel aktivite, kronik boyun ağrısı, stres.

Keywords

• Anksiyete
• Depresyon
• Fiziksel Aktivite
• Kronik Boyun Ağrısı
• Stres

Ethical Statement

Çalışmanın etik kurul kapsamında onayı Tarsus Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’nda 04.07.2023 tarih ve 2023/36 karar numarası ile alındı. Çalışmaya katılmayı kabul eden hastalara değerlendirme parametreleri açıklanmış ve bilgilendirilmiş onam alınmıştır. Çalışma Helsinki bildirgesine uygun olarak gerçekleştirilmiştir.

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