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Влияние тревожных и депрессивных расстройств на интенсивность боли, качество жизни и физическую активность у пациентов с хронической неспецифической болью в шее и спине
Влияние тревожных и депрессивных расстройств на интенсивность боли, качество жизни и физическую активность у пациентов с хронической неспецифической болью в шее и спине
Мухаметзянова А.Х., Петелин Д.С., Исайкин А.И. Влияние тревожных и депрессивных расстройств на интенсивность боли, качество жизни и физическую активность у пациентов с хронической неспецифической болью в шее и спине. Consilium Medicum. 2025;27(2):112–116. DOI: 10.26442/20751753.2025.2.203152
© ООО «КОНСИЛИУМ МЕДИКУМ», 2025 г.
© ООО «КОНСИЛИУМ МЕДИКУМ», 2025 г.
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Аннотация
Обоснование. Хроническая боль в области шеи и спины характеризуется высокой коморбидностью с тревожными и депрессивными расстройствами, которые могут усиливать боль. Мало изучена целесообразность участия психиатра в ведении пациентов с хронической неспецифической болью в шее и спине.
Цель. Изучить влияние тревожного и депрессивного расстройства на интенсивность боли, физическую активность и качество жизни (КЖ) у пациентов с неспецифической болью в шее и спине, а также целесообразность участия психиатра при обследовании пациентов.
Материалы и методы. В исследование включены 43 пациента (11 мужчин и 32 женщины, средний возраст – 56,2±13,3 года) с хронической неспецифической болью в шее и спине, у которых наличие повышенной тревожности или депрессии диагностировано по тесту Спилбергера и/или опроснику депрессии Бека. Все пациенты консультированы врачом-психиатром. Для оценки интенсивности боли использовалась числовая рейтинговая шкала, для анализа уровня физической активности – международный опросник по физической активности, для диагностики центральной сенситизации – опросник центральной сенситизации, для оценки тревожных и депрессивных расстройств – тест Спилбергера с оценкой реактивной (РТ) и личностной тревожности, опросник депрессии Бека. Для оценки КЖ применялся опросник SF-12, при этом учитывалось деление данного опросника на сводные шкалы физического и психического здоровья.
Результаты. На основании очной консультации психиатра установлены диагнозы по Международной классификации болезней 10-го пересмотра F32 «Депрессивный эпизод» у 11 пациентов, F33 «Рекуррентное депрессивное расстройство» – у 14, F41.1 «Генерализованное тревожное расстройство» – у 11, F41.0 «Паническое расстройство» – у 1, F41.2 «Смешанное тревожное и депрессивное расстройство» – у 4, F41.9 «Тревожное расстройство неуточненное» – у 1, F40.0 «Агорафобия» – у 1. Обнаружено негативное влияние тревоги и депрессии как на интенсивность боли, так и на КЖ пациентов. Отмечена связь интенсивности боли с выраженностью депрессии (β=0,048; p=0,008; 95% доверительный интервал – ДИ 0,013–0,084) и РТ (β=0,052; p=0,007; 95% ДИ 0,015–0,089). Показано негативное влияние депрессии (β=-0,424; p=0,004; 95% ДИ -0,702–-0,144) и РТ (β=-0,365; p=0,020; 95% ДИ -0,688–-0,061) на физическую активность. Обнаружено негативное влияние депрессии (β=-0,414; p=0,005; 95% ДИ -0,698–-0,129), РТ (β=-0,437; p=0,005; 95% ДИ -0,735–-0,138) и личностной тревожности (β=-0,364; p=0,007; 95% ДИ -0,625–-0,103) на психический компонент КЖ.
Заключение. Тревожные и депрессивные расстройства усиливают интенсивность болевого синдрома, снижают физическую активность и КЖ у пациентов с хронической неспецифической болью в шее и спине. Консультация психиатра позволяет диагностировать конкретное психическое расстройство.
Ключевые слова: хроническая боль в шее, хроническая боль в спине, тревожное расстройство, депрессивное расстройство
Aim. To study the effect of anxiety and depressive disorder on pain intensity, physical activity, and quality of life in patients with nonspecific neck and low back pain, as well as the feasibility of involving a psychiatrist in the examination of patients.
Materials and methods. The study included 43 patients (11 men and 32 women, average age 56.2±13.3 years) with chronic nonspecific neck and low back pain, who were diagnosed with increased anxiety or depression using the Spielberg test and/or the Beck depression questionnaire. All patients were consulted by a psychiatrist. A numerical rating scale was used to assess pain intensity, an international questionnaire on physical activity was used to analyze the level of physical activity, a central sensitization questionnaire was used to diagnose central sensitization, and the Spielberger test with an assessment of reactive (RA) and personal anxiety, and the Beck depression questionnaire were used to assess anxiety and depressive disorders. The SF-12 questionnaire was used to assess the quality of life, taking into account the division of this questionnaire into consolidated scales of physical and mental health.
Results. Based on an in-person consultation with a psychiatrist, the following diagnoses were established according to ICD-10: F32 "Depressive episode" in 11 patients, F33 "Recurrent depressive disorder" in 14 patients, F41.1 "Generalized anxiety disorder" in 11 patients, F41.0 "Panic disorder" in 1 patient, F41.2 "Mixed anxiety and depressive disorder" in 4 patients, F41.9 "Anxiety disorder, unspecified" in 1 patient, F40.0 "Agoraphobia" in 1 patient. A negative impact of anxiety and depression on both the intensity of pain and the quality of life of patients was found. A relationship was found between pain intensity and the severity of depression (β=0.048; p=0.008; 95% CI 0.013–0.084) and RA (β=0.052; p=0.007; 95% CI 0.015–0.089). A negative impact of depression (β=-0.424; p=0.004; 95% CI -0.702–-0.144) and RA (β=-0.365; p=0.020; 95% CI -0.688–-0.061) on physical activity was shown. A negative impact on the mental component of quality of life was found for depression (β=-0.414; p=0.005; 95% CI -0.698–-0.129), RA (β=-0.437; p=0.005; 95% CI -0.735–-0.138) and personal anxiety (β=-0.364; p=0.007; 95% CI -0.625–-0.103).
Conclusion. Anxiety and depressive disorders increase the intensity of pain syndrome, reduce physical activity and quality of life in patients with chronic nonspecific neck and low back pain. A psychiatric consultation allows you to diagnose a specific mental disorder.
Keywords: chronic neck pain, chronic low back pain, anxiety disorder, depressive disorder
Цель. Изучить влияние тревожного и депрессивного расстройства на интенсивность боли, физическую активность и качество жизни (КЖ) у пациентов с неспецифической болью в шее и спине, а также целесообразность участия психиатра при обследовании пациентов.
Материалы и методы. В исследование включены 43 пациента (11 мужчин и 32 женщины, средний возраст – 56,2±13,3 года) с хронической неспецифической болью в шее и спине, у которых наличие повышенной тревожности или депрессии диагностировано по тесту Спилбергера и/или опроснику депрессии Бека. Все пациенты консультированы врачом-психиатром. Для оценки интенсивности боли использовалась числовая рейтинговая шкала, для анализа уровня физической активности – международный опросник по физической активности, для диагностики центральной сенситизации – опросник центральной сенситизации, для оценки тревожных и депрессивных расстройств – тест Спилбергера с оценкой реактивной (РТ) и личностной тревожности, опросник депрессии Бека. Для оценки КЖ применялся опросник SF-12, при этом учитывалось деление данного опросника на сводные шкалы физического и психического здоровья.
Результаты. На основании очной консультации психиатра установлены диагнозы по Международной классификации болезней 10-го пересмотра F32 «Депрессивный эпизод» у 11 пациентов, F33 «Рекуррентное депрессивное расстройство» – у 14, F41.1 «Генерализованное тревожное расстройство» – у 11, F41.0 «Паническое расстройство» – у 1, F41.2 «Смешанное тревожное и депрессивное расстройство» – у 4, F41.9 «Тревожное расстройство неуточненное» – у 1, F40.0 «Агорафобия» – у 1. Обнаружено негативное влияние тревоги и депрессии как на интенсивность боли, так и на КЖ пациентов. Отмечена связь интенсивности боли с выраженностью депрессии (β=0,048; p=0,008; 95% доверительный интервал – ДИ 0,013–0,084) и РТ (β=0,052; p=0,007; 95% ДИ 0,015–0,089). Показано негативное влияние депрессии (β=-0,424; p=0,004; 95% ДИ -0,702–-0,144) и РТ (β=-0,365; p=0,020; 95% ДИ -0,688–-0,061) на физическую активность. Обнаружено негативное влияние депрессии (β=-0,414; p=0,005; 95% ДИ -0,698–-0,129), РТ (β=-0,437; p=0,005; 95% ДИ -0,735–-0,138) и личностной тревожности (β=-0,364; p=0,007; 95% ДИ -0,625–-0,103) на психический компонент КЖ.
Заключение. Тревожные и депрессивные расстройства усиливают интенсивность болевого синдрома, снижают физическую активность и КЖ у пациентов с хронической неспецифической болью в шее и спине. Консультация психиатра позволяет диагностировать конкретное психическое расстройство.
Ключевые слова: хроническая боль в шее, хроническая боль в спине, тревожное расстройство, депрессивное расстройство
________________________________________________
Aim. To study the effect of anxiety and depressive disorder on pain intensity, physical activity, and quality of life in patients with nonspecific neck and low back pain, as well as the feasibility of involving a psychiatrist in the examination of patients.
Materials and methods. The study included 43 patients (11 men and 32 women, average age 56.2±13.3 years) with chronic nonspecific neck and low back pain, who were diagnosed with increased anxiety or depression using the Spielberg test and/or the Beck depression questionnaire. All patients were consulted by a psychiatrist. A numerical rating scale was used to assess pain intensity, an international questionnaire on physical activity was used to analyze the level of physical activity, a central sensitization questionnaire was used to diagnose central sensitization, and the Spielberger test with an assessment of reactive (RA) and personal anxiety, and the Beck depression questionnaire were used to assess anxiety and depressive disorders. The SF-12 questionnaire was used to assess the quality of life, taking into account the division of this questionnaire into consolidated scales of physical and mental health.
Results. Based on an in-person consultation with a psychiatrist, the following diagnoses were established according to ICD-10: F32 "Depressive episode" in 11 patients, F33 "Recurrent depressive disorder" in 14 patients, F41.1 "Generalized anxiety disorder" in 11 patients, F41.0 "Panic disorder" in 1 patient, F41.2 "Mixed anxiety and depressive disorder" in 4 patients, F41.9 "Anxiety disorder, unspecified" in 1 patient, F40.0 "Agoraphobia" in 1 patient. A negative impact of anxiety and depression on both the intensity of pain and the quality of life of patients was found. A relationship was found between pain intensity and the severity of depression (β=0.048; p=0.008; 95% CI 0.013–0.084) and RA (β=0.052; p=0.007; 95% CI 0.015–0.089). A negative impact of depression (β=-0.424; p=0.004; 95% CI -0.702–-0.144) and RA (β=-0.365; p=0.020; 95% CI -0.688–-0.061) on physical activity was shown. A negative impact on the mental component of quality of life was found for depression (β=-0.414; p=0.005; 95% CI -0.698–-0.129), RA (β=-0.437; p=0.005; 95% CI -0.735–-0.138) and personal anxiety (β=-0.364; p=0.007; 95% CI -0.625–-0.103).
Conclusion. Anxiety and depressive disorders increase the intensity of pain syndrome, reduce physical activity and quality of life in patients with chronic nonspecific neck and low back pain. A psychiatric consultation allows you to diagnose a specific mental disorder.
Keywords: chronic neck pain, chronic low back pain, anxiety disorder, depressive disorder
Полный текст
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2. Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743-800. DOI:10.1016/S0140-6736(15)60692-4
3. Shahidi B, Curran-Everett D, Maluf KS. Psychosocial, physical, and neurophysiological risk factors for chronic neck pain: a prospective inception cohort study. J Pain. 2015;16(12):1288-99. DOI:10.1016/j.jpain.2015.09.002
4. Christensen J, Fisker A, Mortensen EL, et al. Comparison of mental distress in patients with low back pain and a population-based control group measured by Symptoms Check List – A case-referent study. Scand J Public Health. 2015;43(6):638-47. DOI:10.1177/1403494815581697
5. Verwoerd M, Wittink H, Maissan F, Smeets R. Consensus of potential modifiable prognostic factors for persistent pain after a first episode of nonspecific idiopathic, non-traumatic neck pain: results of nominal group and Delphi technique approach. BMC Musculoskelet Disord. 2020;21(1):656. DOI:10.1186/s12891-020-03682-8
6. Parikh P, Santaguida P, Macdermid J, et al. Comparison of CPG’s for the diagnosis, prognosis and management of non-specific neck pain: a systematic review. BMC Musculoskelet Disord. 2019;20(1):81. DOI:10.1186/s12891-019-2441-3
7. Chenot JF, Greitemann B, Kladny B, et al. Non-Specific Low Back Pain. Dtsch Arztebl Int. 2017;114(51-52):883-90. DOI:10.3238/arztebl.2017.0883
8. Isaikin AI, Nasonova TI, Mukhametzyanova AKh. Emotional disorders and their therapy in chronic low back pain. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(5):90-5 (in Russian). DOI:10.14412/2074-2711-2022-5-90-95
9. Mok LC, Lee IF. Anxiety, depression and pain intensity in patients with low back pain who are admitted to acute care hospitals. J Clin Nurs. 2008;17(11):1471-80. DOI:10.1111/j.1365-2702.2007.02037.x
10. Asmundson GJ, Katz J. Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art. Depress Anxiety. 2009;26(10):888-901. DOI:10.1002/da.20600
11. Liu F, Fang T, Zhou F, et al. Association of Depression/Anxiety Symptoms with Neck Pain: A Systematic Review and Meta-Analysis of Literature in China. Pain Res Manag. 2018;3259431. DOI:10.1155/2018/3259431
12. Nijs J, George SZ, Clauw DJ, et al. Central sensitisation in chronic pain conditions: latest discoveries and their potential for precision medicine. Lancet Rheumatol. 2021;3(5):e383-92. DOI:10.1016/s2665-9913(21)00032-1
13. Woolf CJ. Central sensitization: implications for the diagnosis and treatment of pain. Pain. 2011;152(Suppl. 3):S2-S15. DOI:10.1016/j.pain.2010.09.030
14. Suzuki K, Haruyama Y, Kobashi G, et al. Central Sensitization in Neurological, Psychiatric, and Pain Disorders: A Multicenter Case-Controlled Study. Pain Res Manag. 2021;2021:6656917. DOI:10.1155/2021/6656917
15. Bondesson E, Larrosa Pardo F, Stigmar K, et al. Comorbidity between pain and mental illness – Evidence of a bidirectional relationship. Eur J Pain. 2018;22(7):1304-11. DOI:10.1002/ejp.1218
16. Chen T, Wang J, Wang YQ, Chu YX. Current Understanding of the Neural Circuitry in the Comorbidity of Chronic Pain and Anxiety. Neural Plast. 2022;2022:4217593. DOI:10.1155/2022/4217593
17. Volel BA, Petelin DS, Rozhkov DO. Chronic back pain and mental disorders. Neurology, Neuropsychiatry, Psychosomatics. 2019;11( Suppl. 2):17-24 (in Russian). DOI:10.14412/2074-2711-2019-2S-17-24
18. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011;63(Suppl. 11):S240-52. DOI:10.1002/acr.20543
19. Craig CL, Marshall AL, Sjöström M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95. DOI:10.1249/01.MSS.0000078924.61453.FB
20. Esin OR, Gorobets EA, Khayrullin IKh, et al. Central Sensitization Inventory – a Russian version. S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(6):51-6 (in Russian). DOI:10.17116/jnevro202012006151
21. Spielberger CD. Test anxiety inventory: Preliminary professional manual. Palo Alto, CA: Consulting Psychology Press, 1980.
22. Beck AT, Steer RA, Brown GK. Beck Depression Inventory-II [Database record]. APA PsycTests.1996. DOI:10.1037/t00742-000
23. Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-33. DOI:10.1097/00005650-199603000-00003
24. Ranger TA, Cicuttini FM, Jensen TS, et al. Catastrophization, fear of movement, anxiety, and depression are associated with persistent, severe low back pain and disability. Spine J. 2020;20(6):857-65. DOI:10.1016/j.spinee.2020.02.002
25. Kazeminasab S, Nejadghaderi SA, Amiri P, et al. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022;23(1):26. DOI:10.1186/s12891-021-04957-4
26. Petelin DS, Istomina NS, Tsapko DS, et al. Approaches to psychotherapy for chronic musculoskeletal pain. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(3):68-73 (in Russian). DOI:10.14412/2074-2711-2022-3-68-73
27. Romanov DV, Petelin DS, Volel BA. Depression in neurological practice. Medical Council. 2018;(1):38-45 (in Russian). DOI:10.21518/2079-701X-2018-1-38-45
28. Petelin D, Bezrukov V, Shishorin R, Volel B. Comparison of the efficacy of transcranial magnetic stimulation protocols as an augmentation of psychopharmacotherapy for resistant depression with comorbid chronic pain. Zhurnal Vysshei Nervnoi Deyatelnosti imeni I.P. Pavlova. 2022;72(5):717-27 (in Russian). DOI:10.31857/S0044467722050112
29. Petelin DS, Anpilogova EM, Tolokonin AO, et al. The role of stressful traumatic events, personality traits and psychiatric disorders in the formation of chronic pain syndromes. Neurology Bulletin. 2024;LVI(2):157-67 (in Russian). DOI:10.17816/nb632149
30. Tsuji T, Matsudaira K, Sato H, Vietri J. The impact of depression among chronic low back pain patients in Japan. BMC Musculoskelet Disord. 2016;17(1):447. DOI:10.1186/s12891-016-1304-4
31. Demyttenaere K, Bruffaerts R, Lee S, et al. Mental disorders among persons with chronic back or neck pain: results from the World Mental Health Surveys. Pain. 2007;129(3):332-42. DOI:10.1016/j.pain.2007.01,022
32. Janzen K, Peters-Watral B. Treating co-occurring chronic low back pain & generalized anxiety disorder. Nurse Pract. 2016;41(1):12-8. DOI:10.1097/01.NPR.0000475373.08924.04
33. McDowell CP, Dishman RK, Gordon BR, Herring MP. Physical Activity and Anxiety: A Systematic Review and Meta-analysis of Prospective Cohort Studies. Am J Prev Med. 2019;57(4):545-56. DOI:10.1016/j.amepre.2019.05.012
34. Pearce M, Garcia L, Abbas A, et al. Association Between Physical Activity and Risk of Depression: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2022;79(6):550-9. DOI:10.1001/jamapsychiatry.2022.0609
2. Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743-800. DOI:10.1016/S0140-6736(15)60692-4
3. Shahidi B, Curran-Everett D, Maluf KS. Psychosocial, physical, and neurophysiological risk factors for chronic neck pain: a prospective inception cohort study. J Pain. 2015;16(12):1288-99. DOI:10.1016/j.jpain.2015.09.002
4. Christensen J, Fisker A, Mortensen EL, et al. Comparison of mental distress in patients with low back pain and a population-based control group measured by Symptoms Check List – A case-referent study. Scand J Public Health. 2015;43(6):638-47. DOI:10.1177/1403494815581697
5. Verwoerd M, Wittink H, Maissan F, Smeets R. Consensus of potential modifiable prognostic factors for persistent pain after a first episode of nonspecific idiopathic, non-traumatic neck pain: results of nominal group and Delphi technique approach. BMC Musculoskelet Disord. 2020;21(1):656. DOI:10.1186/s12891-020-03682-8
6. Parikh P, Santaguida P, Macdermid J, et al. Comparison of CPG’s for the diagnosis, prognosis and management of non-specific neck pain: a systematic review. BMC Musculoskelet Disord. 2019;20(1):81. DOI:10.1186/s12891-019-2441-3
7. Chenot JF, Greitemann B, Kladny B, et al. Non-Specific Low Back Pain. Dtsch Arztebl Int. 2017;114(51-52):883-90. DOI:10.3238/arztebl.2017.0883
8. Исайкин А.И., Насонова Т.И., Мухаметзянова А.Х. Эмоциональные нарушения и их терапия при хронической поясничной боли. Неврология, нейропсихиатрия, психосоматика. 2022;14(5):90-5 [Isaikin AI, Nasonova TI, Mukhametzyanova AKh. Emotional disorders and their therapy in chronic low back pain. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(5):90-5 (in Russian)]. DOI:10.14412/2074-2711-2022-5-90-95
9. Mok LC, Lee IF. Anxiety, depression and pain intensity in patients with low back pain who are admitted to acute care hospitals. J Clin Nurs. 2008;17(11):1471-80. DOI:10.1111/j.1365-2702.2007.02037.x
10. Asmundson GJ, Katz J. Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art. Depress Anxiety. 2009;26(10):888-901. DOI:10.1002/da.20600
11. Liu F, Fang T, Zhou F, et al. Association of Depression/Anxiety Symptoms with Neck Pain: A Systematic Review and Meta-Analysis of Literature in China. Pain Res Manag. 2018;3259431. DOI:10.1155/2018/3259431
12. Nijs J, George SZ, Clauw DJ, et al. Central sensitisation in chronic pain conditions: latest discoveries and their potential for precision medicine. Lancet Rheumatol. 2021;3(5):e383-92. DOI:10.1016/s2665-9913(21)00032-1
13. Woolf CJ. Central sensitization: implications for the diagnosis and treatment of pain. Pain. 2011;152(Suppl. 3):S2-S15. DOI:10.1016/j.pain.2010.09.030
14. Suzuki K, Haruyama Y, Kobashi G, et al. Central Sensitization in Neurological, Psychiatric, and Pain Disorders: A Multicenter Case-Controlled Study. Pain Res Manag. 2021;2021:6656917. DOI:10.1155/2021/6656917
15. Bondesson E, Larrosa Pardo F, Stigmar K, et al. Comorbidity between pain and mental illness – Evidence of a bidirectional relationship. Eur J Pain. 2018;22(7):1304-11. DOI:10.1002/ejp.1218
16. Chen T, Wang J, Wang YQ, Chu YX. Current Understanding of the Neural Circuitry in the Comorbidity of Chronic Pain and Anxiety. Neural Plast. 2022;2022:4217593. DOI:10.1155/2022/4217593
17. Волель Б.А., Петелин Д.С., Рожков Д.О. Хроническая боль в спине и психические расстройства. Неврология, нейропсихиатрия, психосоматика. 2019;11(Прил. 2):17-24 [Volel BA, Petelin DS, Rozhkov DO. Chronic back pain and mental disorders. Neurology, Neuropsychiatry, Psychosomatics. 2019;11( Suppl. 2):17-24 (in Russian)]. DOI:10.14412/2074-2711-2019-2S-17-24
18. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011;63(Suppl. 11):S240-52. DOI:10.1002/acr.20543
19. Craig CL, Marshall AL, Sjöström M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95. DOI:10.1249/01.MSS.0000078924.61453.FB
20. Есин О.Р., Горобец Е.А., Хайруллин И.Х., и др. Опросник центральной сенситизации – русскоязычная версия. Журнал неврологии и психиатрии им. С.С. Корсакова. 2020;120(6):51-6 [Esin OR, Gorobets EA, Khayrullin IKh, et al. Central Sensitization Inventory – a Russian version. S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(6):51-6 (in Russian)]. DOI:10.17116/jnevro202012006151
21. Spielberger CD. Test anxiety inventory: Preliminary professional manual. Palo Alto, CA: Consulting Psychology Press, 1980.
22. Beck AT, Steer RA, Brown GK. Beck Depression Inventory-II [Database record]. APA PsycTests.1996. DOI:10.1037/t00742-000
23. Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-33. DOI:10.1097/00005650-199603000-00003
24. Ranger TA, Cicuttini FM, Jensen TS, et al. Catastrophization, fear of movement, anxiety, and depression are associated with persistent, severe low back pain and disability. Spine J. 2020;20(6):857-65. DOI:10.1016/j.spinee.2020.02.002
25. Kazeminasab S, Nejadghaderi SA, Amiri P, et al. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022;23(1):26. DOI:10.1186/s12891-021-04957-4
26. Петелин Д.С., Истомина Н.С., Цапко Д.С., и др. Подходы к психотерапии хронической скелетно-мышечной боли. Неврология, нейропсихиатрия, психосоматика. 2022;14(3):68-73 [Petelin DS, Istomina NS, Tsapko DS, et al. Approaches to psychotherapy for chronic musculoskeletal pain. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(3):68-73 (in Russian)]. DOI:10.14412/2074-2711-2022-3-68-73
27. Романов Д.В., Петелин Д.С., Волель Б.А. Депрессии в неврологической практике. Медицинский совет. 2018;(1):38-45 [Romanov DV, Petelin DS, Volel BA. Depression in neurological practice. Medical Council. 2018;(1):38-45 (in Russian)]. DOI:10.21518/2079-701X-2018-1-38-45
28. Петелин Д.С., Безруков В.Е., Шишорин Р.М., Волель Б.А. Сравнение эффективности протоколов транскраниальной магнитной стимуляции в качестве дополнения к медикаментозной терапии резистентной депрессии с коморбидной хронической болью. Журнал высшей нервной деятельности им. И.П. Павлова. 2022;72(5):717-27 [Petelin D, Bezrukov V, Shishorin R, Volel B. Comparison of the efficacy of transcranial magnetic stimulation protocols as an augmentation of psychopharmacotherapy for resistant depression with comorbid chronic pain. Zhurnal Vysshei Nervnoi Deyatelnosti imeni I.P. Pavlova. 2022;72(5):717-27 (in Russian)]. DOI:10.31857/S0044467722050112
29. Петелин Д.С., Анпилогова Е.М., Толоконин А.О., и др. Роль психотравмирующих событий, личностных особенностей и психических расстройств в формировании хронических болевых синдромов. Неврологический вестник. 2024;LVI(2):157-67 [Petelin DS, Anpilogova EM, Tolokonin AO, et al. The role of stressful traumatic events, personality traits and psychiatric disorders in the formation of chronic pain syndromes. Neurology Bulletin. 2024;LVI(2):157-67 (in Russian)]. DOI:10.17816/nb632149
30. Tsuji T, Matsudaira K, Sato H, Vietri J. The impact of depression among chronic low back pain patients in Japan. BMC Musculoskelet Disord. 2016;17(1):447. DOI:10.1186/s12891-016-1304-4
31. Demyttenaere K, Bruffaerts R, Lee S, et al. Mental disorders among persons with chronic back or neck pain: results from the World Mental Health Surveys. Pain. 2007;129(3):332-42. DOI:10.1016/j.pain.2007.01,022
32. Janzen K, Peters-Watral B. Treating co-occurring chronic low back pain & generalized anxiety disorder. Nurse Pract. 2016;41(1):12-8. DOI:10.1097/01.NPR.0000475373.08924.04
33. McDowell CP, Dishman RK, Gordon BR, Herring MP. Physical Activity and Anxiety: A Systematic Review and Meta-analysis of Prospective Cohort Studies. Am J Prev Med. 2019;57(4):545-56. DOI:10.1016/j.amepre.2019.05.012
34. Pearce M, Garcia L, Abbas A, et al. Association Between Physical Activity and Risk of Depression: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2022;79(6):550-9. DOI:10.1001/jamapsychiatry.2022.0609
________________________________________________
2. Global Burden of Disease Study 2013 Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015;386(9995):743-800. DOI:10.1016/S0140-6736(15)60692-4
3. Shahidi B, Curran-Everett D, Maluf KS. Psychosocial, physical, and neurophysiological risk factors for chronic neck pain: a prospective inception cohort study. J Pain. 2015;16(12):1288-99. DOI:10.1016/j.jpain.2015.09.002
4. Christensen J, Fisker A, Mortensen EL, et al. Comparison of mental distress in patients with low back pain and a population-based control group measured by Symptoms Check List – A case-referent study. Scand J Public Health. 2015;43(6):638-47. DOI:10.1177/1403494815581697
5. Verwoerd M, Wittink H, Maissan F, Smeets R. Consensus of potential modifiable prognostic factors for persistent pain after a first episode of nonspecific idiopathic, non-traumatic neck pain: results of nominal group and Delphi technique approach. BMC Musculoskelet Disord. 2020;21(1):656. DOI:10.1186/s12891-020-03682-8
6. Parikh P, Santaguida P, Macdermid J, et al. Comparison of CPG’s for the diagnosis, prognosis and management of non-specific neck pain: a systematic review. BMC Musculoskelet Disord. 2019;20(1):81. DOI:10.1186/s12891-019-2441-3
7. Chenot JF, Greitemann B, Kladny B, et al. Non-Specific Low Back Pain. Dtsch Arztebl Int. 2017;114(51-52):883-90. DOI:10.3238/arztebl.2017.0883
8. Isaikin AI, Nasonova TI, Mukhametzyanova AKh. Emotional disorders and their therapy in chronic low back pain. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(5):90-5 (in Russian). DOI:10.14412/2074-2711-2022-5-90-95
9. Mok LC, Lee IF. Anxiety, depression and pain intensity in patients with low back pain who are admitted to acute care hospitals. J Clin Nurs. 2008;17(11):1471-80. DOI:10.1111/j.1365-2702.2007.02037.x
10. Asmundson GJ, Katz J. Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art. Depress Anxiety. 2009;26(10):888-901. DOI:10.1002/da.20600
11. Liu F, Fang T, Zhou F, et al. Association of Depression/Anxiety Symptoms with Neck Pain: A Systematic Review and Meta-Analysis of Literature in China. Pain Res Manag. 2018;3259431. DOI:10.1155/2018/3259431
12. Nijs J, George SZ, Clauw DJ, et al. Central sensitisation in chronic pain conditions: latest discoveries and their potential for precision medicine. Lancet Rheumatol. 2021;3(5):e383-92. DOI:10.1016/s2665-9913(21)00032-1
13. Woolf CJ. Central sensitization: implications for the diagnosis and treatment of pain. Pain. 2011;152(Suppl. 3):S2-S15. DOI:10.1016/j.pain.2010.09.030
14. Suzuki K, Haruyama Y, Kobashi G, et al. Central Sensitization in Neurological, Psychiatric, and Pain Disorders: A Multicenter Case-Controlled Study. Pain Res Manag. 2021;2021:6656917. DOI:10.1155/2021/6656917
15. Bondesson E, Larrosa Pardo F, Stigmar K, et al. Comorbidity between pain and mental illness – Evidence of a bidirectional relationship. Eur J Pain. 2018;22(7):1304-11. DOI:10.1002/ejp.1218
16. Chen T, Wang J, Wang YQ, Chu YX. Current Understanding of the Neural Circuitry in the Comorbidity of Chronic Pain and Anxiety. Neural Plast. 2022;2022:4217593. DOI:10.1155/2022/4217593
17. Volel BA, Petelin DS, Rozhkov DO. Chronic back pain and mental disorders. Neurology, Neuropsychiatry, Psychosomatics. 2019;11( Suppl. 2):17-24 (in Russian). DOI:10.14412/2074-2711-2019-2S-17-24
18. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011;63(Suppl. 11):S240-52. DOI:10.1002/acr.20543
19. Craig CL, Marshall AL, Sjöström M, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-95. DOI:10.1249/01.MSS.0000078924.61453.FB
20. Esin OR, Gorobets EA, Khayrullin IKh, et al. Central Sensitization Inventory – a Russian version. S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(6):51-6 (in Russian). DOI:10.17116/jnevro202012006151
21. Spielberger CD. Test anxiety inventory: Preliminary professional manual. Palo Alto, CA: Consulting Psychology Press, 1980.
22. Beck AT, Steer RA, Brown GK. Beck Depression Inventory-II [Database record]. APA PsycTests.1996. DOI:10.1037/t00742-000
23. Ware J Jr, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care. 1996;34(3):220-33. DOI:10.1097/00005650-199603000-00003
24. Ranger TA, Cicuttini FM, Jensen TS, et al. Catastrophization, fear of movement, anxiety, and depression are associated with persistent, severe low back pain and disability. Spine J. 2020;20(6):857-65. DOI:10.1016/j.spinee.2020.02.002
25. Kazeminasab S, Nejadghaderi SA, Amiri P, et al. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022;23(1):26. DOI:10.1186/s12891-021-04957-4
26. Petelin DS, Istomina NS, Tsapko DS, et al. Approaches to psychotherapy for chronic musculoskeletal pain. Neurology, Neuropsychiatry, Psychosomatics. 2022;14(3):68-73 (in Russian). DOI:10.14412/2074-2711-2022-3-68-73
27. Romanov DV, Petelin DS, Volel BA. Depression in neurological practice. Medical Council. 2018;(1):38-45 (in Russian). DOI:10.21518/2079-701X-2018-1-38-45
28. Petelin D, Bezrukov V, Shishorin R, Volel B. Comparison of the efficacy of transcranial magnetic stimulation protocols as an augmentation of psychopharmacotherapy for resistant depression with comorbid chronic pain. Zhurnal Vysshei Nervnoi Deyatelnosti imeni I.P. Pavlova. 2022;72(5):717-27 (in Russian). DOI:10.31857/S0044467722050112
29. Petelin DS, Anpilogova EM, Tolokonin AO, et al. The role of stressful traumatic events, personality traits and psychiatric disorders in the formation of chronic pain syndromes. Neurology Bulletin. 2024;LVI(2):157-67 (in Russian). DOI:10.17816/nb632149
30. Tsuji T, Matsudaira K, Sato H, Vietri J. The impact of depression among chronic low back pain patients in Japan. BMC Musculoskelet Disord. 2016;17(1):447. DOI:10.1186/s12891-016-1304-4
31. Demyttenaere K, Bruffaerts R, Lee S, et al. Mental disorders among persons with chronic back or neck pain: results from the World Mental Health Surveys. Pain. 2007;129(3):332-42. DOI:10.1016/j.pain.2007.01,022
32. Janzen K, Peters-Watral B. Treating co-occurring chronic low back pain & generalized anxiety disorder. Nurse Pract. 2016;41(1):12-8. DOI:10.1097/01.NPR.0000475373.08924.04
33. McDowell CP, Dishman RK, Gordon BR, Herring MP. Physical Activity and Anxiety: A Systematic Review and Meta-analysis of Prospective Cohort Studies. Am J Prev Med. 2019;57(4):545-56. DOI:10.1016/j.amepre.2019.05.012
34. Pearce M, Garcia L, Abbas A, et al. Association Between Physical Activity and Risk of Depression: A Systematic Review and Meta-analysis. JAMA Psychiatry. 2022;79(6):550-9. DOI:10.1001/jamapsychiatry.2022.0609
Авторы
А.Х. Мухаметзянова*, Д.С. Петелин, А.И. Исайкин
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*albimukhametzyanova@yandex.ru
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*albimukhametzyanova@yandex.ru
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*albimukhametzyanova@yandex.ru
________________________________________________
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*albimukhametzyanova@yandex.ru
Цель портала OmniDoctor – предоставление профессиональной информации врачам, провизорам и фармацевтам.