Lomber Omurga Patolojilerine Bağlı Kronik Ağrısı Olan Hastalarda Girişimsel Ağrı Tedavisi ile Depresyon ve Anksiyete Düzeyleri Arası İlişki

Abstract

Amaç: Bu çalışmada, lomber omurga patolojilerine bağlı kronik bel ve bacak ağrısı olan hastalarda girişimsel ağrı tedavisinin depresyon ve anksiyete düzeyleri üzerindeki etkileri ile tedavi öncesi psikolojik durumun tedavi başarısına olan etkisi araştırılmıştır. Araçlar ve Yöntem: Bu prospektif gözlemsel çalışmaya yaşları 18-80 arasında değişen, lomber omurga patolojisine bağlı kronik ağrı nedeniyle girişimsel ağrı tedavisi planlanan 88 hasta dahil edildi. Hastalara enjeksiyondan önce ve enjeksiyondan 6 hafta sonra Beck Depresyon ve Anksiyete Envanteri, sayısal derecelendirme ölçeği (NRS) uygulandı. Hastalar iki gruba ayrıldı: Enjeksiyon sonrası enjeksiyon öncesine göre NRS skorlarında %50 veya daha fazla düşüş olanlar (başarılı grup) ve %50'den az azalma olanlar (başarısız grup). Bulgular: Hastaların enjeksiyon sonrası ortalama NRS skorları (3.28±2.27 (0-10) vs. 7.33±1.25 (5-10), P<0.001), depresyon skorları (9.14±7.06 (0-32) vs. 12.07)±9.58 (0-48), P<0.001) ve anksiyete puanları (8.98±8.13(0-41) vs.10.87±8.34 (0-33),P=0.018) enjeksiyon öncesine göre anlamlı derecede düşüktü. NRS puanlarında enjeksiyon öncesi ve sonrası değişiklikler ile depresyon ve anksiyete puanlarındaki değişiklikler arasında istatistiksel olarak anlamlı bir ilişki olduğu ortaya çıktı. Başarılı grupta enjeksiyon sonrası depresyon ve anksiyete puanlarındaki azalma anlamlı olarak daha yüksekti. Sonuç: Lomber omurga patolojilerine bağlı kronik ağrısı olan hastalarda girişimsel ağrı tedavisi ile ağrının giderilmesi, hastalardaki depresyon ve anksiyete belirtilerini de azaltmıştır. Tedavi öncesi depresyon ve anksiyete düzeyleri ağrı tedavisinin başarısını etkilememiştir.

Keywords

• ağrı
• ağrı tedavisi
• anskiyete bozuklukları
• depresyon
• kronik ağrı

The Relationship between Interventional Pain Treatment and Depression and Anxiety Levels in Patients with Chronic Pain Due to Lumbar Spine Pathologies

Abstract

Purpose: We aimed to investigate the effect of interventional pain treatment on depression and anxiety levels in patients with chronic low back and leg pain due to lumbar spine pathologies. Secondly, we examined the effect of anxiety and depression level before treatment on pain success. Materials and Methods: Eighty-eight patients aged 18-80 years, in whom interventional pain treatment due to chronic pain caused by lumbar spine pathology was planned were included in this prospective observational study. The Beck Depression and Anxiety Inventory, the numeric rating scale (NRS) were applied to the patients before and 6 weeks after injection. The patients were divided into two groups: those with a 50%or more decrease in the NRS scores after injection compared to the pre-injection (successful group)and those with a decrease of less than 50% (unsuccessful group). Results: The patients’ post-injection mean NRS scores (3.28±2.27 (0-10) vs. 7.33±1.25 (5-10), P<0.001), depression scores (9.14±7.06 (0-32) vs. 12.07±9.58 (0-48), P<0.001), and anxiety scores (8.98±8.13 (0-41) vs. 10.87±8.34 (0-33), P=0.018) were significantly lower compared to those before injection. A statistically significant correlation was revealed between the pre- and post-injection changes in the NRS scores and changes in depression and anxiety scores. The decrease in depression and anxiety scores after injection in the successful group was significantly higher. Conclusions: Relieving pain with interventional pain treatment in patients with chronic pain due to lumbar spine pathologies also reduced depression and anxiety symptoms in the patients. Depression and anxiety levels prior to treatment did not affect the success of pain treatment.

Keywords

• anxiety disorders
• chronic pain
• depression
• pain
• pain treatment

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