Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca

Původní práce / Original papers

ACTA CHIRURGIAE ORTHOPAEDICAE ET TRAUMATOLOGIAE ČECHOSL.,
85, 2018, p. 216 - 218

Příčinný vztah psychického stresu k akutní bolesti zad

Causal Relation of Psychical Stress to Acute Back Pain

L. HAJNOVIC1, S. KNÖLLER2, L, SCHÜTZ1
1 Klinikům Chemnitz, Klinik für Orthopädie, Hand- und Unfallchirurgie, Germany
2 Helios Klinikum Breisach, Germany

ABSTRACT

PURPOSE OF THE STUDY

There s a known relation between the chronical back-pain-syndrome and psychical problems. We suppose a direct causality between acute stress and onset of the backpain syndrome.

MATERIAL AND METHODS

A prospective cohort-study (IV/2014 - VIM/2014) of patients who came to our emergency department with acute back-pain-syndrome, with no relevant previous history - such as operations or chronic pain. We questioned together 39 patients (19 female and 20 male). The patients filled in two charts: FW7, and also a modified HADS-D. In the later one the patients were questioned in two extra points regarding contingent excessive emotional or existential problems in their brief history. The Pain-Severity-Score was assessed as well.

RESULTS

Combined together, relevant score-results and / or anamnesis of excessive emotional or existential problem was found in 79.5% (SD 0.4%) of the whole cohort.

CONCLUSIONS

This could have implications for guidelines, introducing the psychotherapy-first into the concepts.

Key words: stress; well-being; depression; back-pain-syndrome

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