Pain and functional disability after lumbar microdiscectomy and their correlations with gender, depression and recovery expectations
Background/Aim. Among the various factors that can influence continued postoperative back pain and/or leg pain, and functional disability after lumbar microdiscectomy are gender, depression, and pessimism. The aim of this study was to determine the correlations between these factors. Methods. The re...
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2022-01-01
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| Series: | Vojnosanitetski Pregled |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100049P.pdf |
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| author | Pantelinac Slobodan Grajić Mirko Knežević Aleksandar Nikolić Dejan Tomašević-Todorović Snežana |
| author_facet | Pantelinac Slobodan Grajić Mirko Knežević Aleksandar Nikolić Dejan Tomašević-Todorović Snežana |
| author_sort | Pantelinac Slobodan |
| collection | DOAJ |
| description | Background/Aim. Among the various factors that can influence continued postoperative back pain and/or leg pain, and functional disability after lumbar microdiscectomy are gender, depression, and pessimism. The aim of this study was to determine the correlations between these factors. Methods. The research was conducted after microdiscectomy on 198 patients (95 men and 103 women), with a mean age of 50.20 ± 10.26 years. The following questionnaires were used for examinations: for assessment of pain and its intensity and character – PainDETECT Test; for functional disability – Oswestry Low Back Pain Disability Questionnaire; for the presence and degree of depression – Beck Depression Inventory-II; and questionnaire for the assessment of personal expectations (pessimistic/optimistic) about the treatment results. These assessments were carried out after microdiscectomy – just before rehabilitation treatment, one month later, and then 3 and 6 months after a microdiscectomy. Results. Depression (p < 0.01) and pessimism (p < 0.01) had significant negative influences on the pain and functional disability. The subjective sensation of pain was significantly higher in women than in men (p < 0.01), while men had a greater degree of functional disability (p < 0.01) than women. Conclusion. Pain and functional disability of the patients after lumbar microdiscectomy are significantly interconnected with gender, depression, and pessimism. The sensation of pain was higher in women, while men had a greater degree of functional disability. Globally, the intensity of pain and functional disability were significantly greater in patients with a higher degree of depression and pessimism, and, by registering mentioned factors, it is possible to predict the postoperative results. |
| format | Article |
| id | doaj-art-ef12bac9bb6c4e1bb96da44f83d9dfc2 |
| institution | OA Journals |
| issn | 0042-8450 2406-0720 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-ef12bac9bb6c4e1bb96da44f83d9dfc22025-08-20T02:05:04ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502406-07202022-01-0179878178810.2298/VSP210328049P0042-84502100049PPain and functional disability after lumbar microdiscectomy and their correlations with gender, depression and recovery expectationsPantelinac Slobodan0https://orcid.org/0000-0002-7268-1576Grajić Mirko1Knežević Aleksandar2Nikolić Dejan3https://orcid.org/0000-0002-0609-9916Tomašević-Todorović Snežana4University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia + University Clinical Center of Vojvodina, Medical Rehabilitation Clinic, Novi Sad, SerbiaUniversity of Belgrade, Faculty of Medicine, Belgrade, Serbia + University Clinical Center of Serbia, Center for Physical Medicine and Rehabilitation, Belgrade, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, Serbia + University Clinical Center of Vojvodina, Medical Rehabilitation Clinic, Novi Sad, SerbiaUniversity of Belgrade, Faculty of Medicine, Belgrade, Serbia + University Children’s Hospital, Physical Medicine and Rehabilitation Department, Belgrade, SerbiaUniversity of Novi Sad, Faculty of Medicine, Novi Sad, Serbia + University Clinical Center of Vojvodina, Medical Rehabilitation Clinic, Novi Sad, SerbiaBackground/Aim. Among the various factors that can influence continued postoperative back pain and/or leg pain, and functional disability after lumbar microdiscectomy are gender, depression, and pessimism. The aim of this study was to determine the correlations between these factors. Methods. The research was conducted after microdiscectomy on 198 patients (95 men and 103 women), with a mean age of 50.20 ± 10.26 years. The following questionnaires were used for examinations: for assessment of pain and its intensity and character – PainDETECT Test; for functional disability – Oswestry Low Back Pain Disability Questionnaire; for the presence and degree of depression – Beck Depression Inventory-II; and questionnaire for the assessment of personal expectations (pessimistic/optimistic) about the treatment results. These assessments were carried out after microdiscectomy – just before rehabilitation treatment, one month later, and then 3 and 6 months after a microdiscectomy. Results. Depression (p < 0.01) and pessimism (p < 0.01) had significant negative influences on the pain and functional disability. The subjective sensation of pain was significantly higher in women than in men (p < 0.01), while men had a greater degree of functional disability (p < 0.01) than women. Conclusion. Pain and functional disability of the patients after lumbar microdiscectomy are significantly interconnected with gender, depression, and pessimism. The sensation of pain was higher in women, while men had a greater degree of functional disability. Globally, the intensity of pain and functional disability were significantly greater in patients with a higher degree of depression and pessimism, and, by registering mentioned factors, it is possible to predict the postoperative results.http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100049P.pdfdisability evaluationintervertebral disc displacementlumbosacral regionneurosurgical procedurespainpostoperative complicationspostoperative periodrisk factors |
| spellingShingle | Pantelinac Slobodan Grajić Mirko Knežević Aleksandar Nikolić Dejan Tomašević-Todorović Snežana Pain and functional disability after lumbar microdiscectomy and their correlations with gender, depression and recovery expectations Vojnosanitetski Pregled disability evaluation intervertebral disc displacement lumbosacral region neurosurgical procedures pain postoperative complications postoperative period risk factors |
| title | Pain and functional disability after lumbar microdiscectomy and their correlations with gender, depression and recovery expectations |
| title_full | Pain and functional disability after lumbar microdiscectomy and their correlations with gender, depression and recovery expectations |
| title_fullStr | Pain and functional disability after lumbar microdiscectomy and their correlations with gender, depression and recovery expectations |
| title_full_unstemmed | Pain and functional disability after lumbar microdiscectomy and their correlations with gender, depression and recovery expectations |
| title_short | Pain and functional disability after lumbar microdiscectomy and their correlations with gender, depression and recovery expectations |
| title_sort | pain and functional disability after lumbar microdiscectomy and their correlations with gender depression and recovery expectations |
| topic | disability evaluation intervertebral disc displacement lumbosacral region neurosurgical procedures pain postoperative complications postoperative period risk factors |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2022/0042-84502100049P.pdf |
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