Influence of Anxiety, Depression and Stress on physiotherapy Treatment Outcome for the patients with Low Back Pain attended at the Centre for the rehabilitation of the paralyzed (CRP), Savar

Abstract

Purpose: The purpose of this study to screen out the influence of depression, anxiety and stress with the LBP patients on physiotherapy treatment outcome. Objectives: The objectives of this study to evaluate the level of depression, anxiety and stress among the participants having LBP, to know the association in between DASS and intensity of pain and QOL. Objectives also were to find out the socio- demographic status. Methodology: The cross sectional study was chosen to carry out this study among 105 participants who were selected according to inclusion criteria. The “Depression, anxiety and stress scale (DASS)” and “WHOQOL-BREF questionnaire”, this two standard structured questionnaires were used to assess the influence of depression, anxiety and stress among 105 participants. The study was conducted by using quantitative descriptive analysis. Results: Among 105 participants, 54.2% of patients with depression, 88.6% of those with anxiety disorders and 84.8% of those with stress disorders. Although this study found a significant association with depression, anxiety and stress and pain, quality of life and the p value is 0.00 which is highly significant. Conclusion: The findings of this study revealed that LBP and psychological issues are related to each other. A notable number of patients had anxiety, depression and stress. Moreover, depression, anxiety and stress was associated with quality of life and pain. Therefore, these findings acknowledge the importance of psychological assessment and treatment, in addition to biomedical aspects when managing patients with LBP. Key words: Low back pain, Depression, Anxiety, Stress, Physiotherapy treatment outcome.