Claustrophobia linked to depression with back pain

Claustrophobia linked to depression with back pain
Claustrophobia is tied to higher rates of depression and psychological distress, but not disability, in back pain patients, according to a study published in the August issue of the Journal of Spinal Disorders & Techniques.

(HealthDay)—Claustrophobia is tied to higher rates of depression and psychological distress, but not disability, in back pain patients, according to a study published in the August issue of the Journal of Spinal Disorders & Techniques.

Hui-Ling Kerr, M.B.B.S., from Nottingham University Hospitals NHS trust in the United Kingdom, and colleagues conducted a case-control study using 20 females and 13 males all requiring magnetic resonance imaging (MRI) scan under sedation for claustrophobia (group 1) and an age- and sex-matched cohort that had MRI scan without sedation (group 2). Psychometric evaluations were conducted and all patients had standard conservative therapy for low back pain.

The researchers found that the mean Zung Index was significantly higher in group 1 than in group 2 (59.5 versus 28.9), as was the mean Modified Somatic Perception Questionnaire score (13.3 versus 9.2). Group 1 also had a higher prevalence of (75.8 versus 18.2 percent; P < 0.05). Both groups were similar in the Oswestry Disability Index (50 versus 48 percent). There were 13 surgical interventions in Group 1 (39.4 percent), compared with 26 in group 2 (78.8 percent; P < 0.05).

"Claustrophobic patients with showed higher levels of depression than nonclaustrophobic patients, with a higher rate of psychological distress," the authors write. "Claustrophobia requiring sedation for MRI scans may be a proxy for psychological distress in these patients and psychometric testing is advised during assessment to help with surgical decision making."

More information: Full Text

add to favorites email to friend print save as pdf

Related Stories

Older mothers more prone to psychological distress

Jun 26, 2012

(HealthDay) -- First-time mothers in their early 30s and beyond are more likely to experience psychological distress during pregnancy and after birth than younger women, but only if they have a history of ...

Alcohol use with opioids common even without abuse past

Apr 16, 2012

(HealthDay) -- Alcohol or sedative use during chronic opioid therapy (COT) for non-cancer pain puts patients at risk for adverse events such as respiratory depression or sedation, and the risk of concurrent ...

PET more sensitive than CT for merkel cell carcinoma

May 15, 2012

(HealthDay) -- Fluorine-18-fluorodeoxyglucose (F-18-FDG) positron emission tomography (PET) is significantly more sensitive and equally specific compared with traditional computed tomography (CT) imaging for ...

Recommended for you

Senegal monitors contacts of 1st Ebola patient

8 hours ago

Senegalese authorities on Monday were monitoring everyone who was in contact with a student infected with Ebola who crossed into the country, and who has lost three family members to the disease.

Cerebral palsy may be hereditary

14 hours ago

Cerebral palsy is a neurological developmental disorder which follows an injury to the immature brain before, during or after birth. The resulting condition affects the child's ability to move and in some ...

19 new dengue cases in Japan, linked to Tokyo park

20 hours ago

Japan is urging local authorities to be on the lookout for further outbreaks of dengue fever, after confirming another 19 cases that were contracted at a popular local park in downtown Tokyo.

User comments