Please enter verification code
Chronic Pain and Depression in Low Back (Spinal) Injured Patients
American Journal of Applied Psychology
Volume 8, Issue 5, September 2019, Pages: 89-97
Received: Aug. 22, 2019; Accepted: Sep. 11, 2019; Published: Sep. 24, 2019
Views 654      Downloads 198
Vito Zepinic, PsychClinic P/L, London, United Kingdom
Blagoj Kuzmanovski, Family Medical Clinic, Sydney, Australia
Article Tools
Follow on us
Depression caused by physical dysfunction and associated symptoms as the aftermath of the low back (spinal) injury is commonly undiagnosed and untreated. In this paper, based on our clinical experience, we have described a relation between depression and lumbosacral injury. In our research, we selected 54 (26 female and 28 male) patients in two different groups: (1) those whose low back injury occurred less than 12 months before research commenced; and (2) those whose injuries occurred more than 12 months before the research (their condition has been considered as a chronic). All of the patients (n=54) were assessed by using the Beck Depression Inventory (BDI), Montgomery-Asberg Depression Rating Scale (MADRS), and General Health Questionnaire-28 (GHQ-28) in order to evaluate their level of depression. The results show that low back (spinal) injured patients suffered depression due to their body discomfort and changed day-to-day capacities. Those who sustained injury more than one year developed an upper level of a moderate depression. However, if not taking any treatment following their psychological disturbances, the patients had suffered a severe depression. Their level of depression increases with a chronicity of the physical pain making also depression as a chronic disorder.
Depression, Low Back Injury, Psychosomatic Symptoms, Dysfunction
To cite this article
Vito Zepinic, Blagoj Kuzmanovski, Chronic Pain and Depression in Low Back (Spinal) Injured Patients, American Journal of Applied Psychology. Vol. 8, No. 5, 2019, pp. 89-97. doi: 10.11648/j.ajap.20190805.11
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Rodin, MG. Nolan, RP. Katz, MR.: Depression, In Levenson, JA. (ed.): Textbook of Psychosomatic Medicine, American Psychiatric Publishing, Washington DC, 2005.
Linton, SJ. & Shaw, WS.: Impact of Psychological Factors in the Experience of Pain, Physical Therapy, 5, 2011.
Zepinic, V.: Post-injury chronic low back pain and depression: Comparative study between early and late post-injury sufferers show significant differences, International Journal of Health Science, 3, 2009.
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (DSM-5), APA, Washington DC, 2013.
Bradley, WG. Daroff, RB. Fenichel, CM. Jankovic, J. (eds.): Neurology in Clinical Practice, 4th ed, Butterworth & Heinemann, Philadelphia, 2004.
Berkov, R. & Beers, MH. (eds.): The Merck Manual, 19th ed, Merck & Co, New York 1999.
Pincus, T. Burton, AK. Vogel, S. Field, AP.: A systematic review of psychological factors as predictors of chronicity/disability in prospective cohort of low back pain, Spine, 25, 2002.
Zepinic, V.: Fear of the “Floodgate of Liability” and Acknowledgment of the Recognisable Psychiatric Damage into English Law of Tort, Canadian Social Science, 4, 2015.
Levenson, JA. (ed.): Textbook of Psychosomatic Medicine, American Psychiatric Publishing, Washington DC, 2005.
Atkinson, JH. Slater, MA. Patterson, TL. Grant, I. Garfin, SR.: Prevalence, onset, and risk of psychiatric disorders in men with chronic low back pain, Pain Medicine, 45, 1991.
Beck, AT. & Steer, RA.: Beck Depression Inventory Manual, Psychological Corporation, San Antonio, 1993.
Beck, AT.: Depression: Causes and Treatment, University of Pennsylvania Press, Philadelphia, 1967.
Montgomery, SA. & Asberg, M.: A new depression scale designed to be sensitive to change, British Journal of Psychiatry, 134, 1979.
Davidson, J. Turnbull, CD. Strickland, R. et al.: The Montgomery-Asberg Depressive Scale: Reliability and Validity, Acta Psychiatric Scandinavica, 74, 1986.
Goldman, RS. Robinson, D. Grube, BS. Hans, RA. et al.: General Psychiatric Symptoms Measures, In Rush, AJ. et al, (eds.).: Handbook of Psychiatric Measures, American Psychiatric Association, Washington DC, 2000.
Holmes, A. Christells, N. Arnold, C.: Depression and chronic pain, Medical Journal of Australia, 1, 2012.
Bair, MJ. Robinson, RL. Katona, W. Kroenke, K.: Depression and pain comorbidity: A literature review, Archive of Internal Medicine, 163, 2003.
Larson, SL. Clark, MR. Eaton, WW.: Depressive disorders as a long-term antecedent risk factor for incident back pain: A thirteen-year follow-up study from the Baltimore Epidemiological Catchment Area sample, Psychological Medicine, 34, 2004.
Bodner, DR. Seftel, AD. Ducharme, SH.: Sexual and Psychological Aspects of Rehabilitation After Spinal Cord Injury, In Stoudemire, A. Fogel, SB. Greenberg, DB. (eds.): Psychiatric Care of the Medical Patients, 2nd ed, Oxford University Press, New York, 2000.
Zepinic, V. & Kuzmanovski, B.: Support person (Co-therapist) in the Treatment of Panic Disorder, Canadian Social Science Journal, 12, 2017.
Campbell, P. Hope, K. & Dunn, KM.: The Pain, depression, disability pathway in those with low back pain: a moderate analysis of health locus of control, Journal of Pain Research, 10, 2017.
Srivastava, S. Yadav, P. Panchal, BN. et al.: Association of depression and chronic lower-back pain, Archives of Psychiatry and Psychotherapy, 4, 2018.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186