Associations between mental health and cervical, thoracic, and lumbar back pain in adolescents: A cross-sectional study

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2025-01-30 DOI:10.1016/j.jad.2025.01.125

Camilla Porto Campello , Murilo Gominho , Gustavo Aires de Arruda , Jorge Bezerra , João Francisco Lins Brayner Rangel , Mauro Virgilio Gomes de Barros , Marcos André Moura dos Santos

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引用次数: 0

Abstract

Background

Low back pain is a significant emergent health disorder in adolescence. It is predicted that around 843 million subjects worldwide will present this condition in 2050. We investigated whether symptoms of anxiety, depression, and suicidal behavior are associated with back pain in adolescents.

Methods

This is a cross-sectional school-based study including 4514 student participants aged 14–19 years. Data were collected using the WHO's “Global School-Based Student Health Survey”. Anxiety symptoms were assessed with the Social Anxiety Scale for Adolescents. The Depression Scale of the Center for Epidemiologic Studies was used to estimate depressive symptomatology. Suicidal behaviors were assessed with two questions about thoughts and plans for suicide. The presence (yes, no) of each of cervical, thoracic, and lumbar back pain were assessed with the use of a drawing of the human body with spine areas delimited. Multivariable logistic regression analyses were used to study the presence of three outcomes of back pain (cervical, thoracic, and lumbar) and associated factors.

Results

Adolescents with cervical pain were more likely to report social anxiety (OR = 1.0, CI: 1.00–1.02). Depression symptomatology was associated with pain in the tree segments of the spine: cervical (OR = 1.01, CI: 1.00–1.02), thoracic (OR = 1.02, CI: 1.01–1.02), and lumbar (OR = 1.02, CI: 1.01–1.02). No association was observed between suicidal behavior and cervical (OR = 0.86 CI: 0.743–1.017), thoracic (OR = 0.92, CI: 0.79–1.08), and lumbar back pain (OR = 0.86, CI: 0.73–1.01).

Limitations

It is not possible to affirm causality in the interpretation of findings.

Conclusions

Social anxiety and depression symptomatology were associated with back pain in adolescents.

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来源期刊

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.