Volume 18, Issue 3 (Autumn 2026)
nkums 2026, 18(3): 85-96 |
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Ethics code: IR.RUMS.REC.1395.162
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Khorram F S, Bagheri Kholenjani N, Fatemidokht A. Evaluation of the Association of Demographic Factors with Stress, Anxiety, Depression, and Pain Intensity among Patients with Low Back Pain in Rafsanjan, Iran. nkums 2026; 18 (3) :85-96
URL: http://journal.nkums.ac.ir/article-1-3431-en.html
URL: http://journal.nkums.ac.ir/article-1-3431-en.html
1- Instructor, Department of Radiology, School of Paramedical Sciences, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
2- Instructor, Department of Medical Imaging, Milad Hospital, Isfahan, Iran
3- Assistant Professor, Department of Radiology, School of Paramedical Sciences, Rafsanjan University of Medical Sciences, Rafsanjan, Iran ,a.fatemidokht@rums.ac.ir
2- Instructor, Department of Medical Imaging, Milad Hospital, Isfahan, Iran
3- Assistant Professor, Department of Radiology, School of Paramedical Sciences, Rafsanjan University of Medical Sciences, Rafsanjan, Iran ,
Abstract: (40 Views)
Introduction: Back pain is a leading cause of disability worldwide. Psychological factors, including stress, anxiety, and depression, play an important role in the onset and exacerbation of this condition. This study aimed to investigate the association of sociodemographic characteristics with mental indices in patients suffering from low back pain.
Methods: This cross-sectional study was conducted in late 2017 on 168 patients with low back pain referred to the Rafsanjan MRI Center (mean age 42.6 ± 15.3 years; 60.7% female). Demographic data and mental health status were collected using the DASS-21 questionnaire, while pain severity was measured utilizing the Visual Analogue Scale (VAS). Data were analyzed using SPSS software (version 16).
Results: The majority of participants were married, rural housewives with low educational levels and no history of trauma or physical activity. A significant positive correlation was observed between stress and physical activity, as well as between depression and a history of trauma. Anxiety was significantly associated with place of residence, marital status, physical activity, and history of trauma. Pain intensity was significantly correlated with higher levels of stress and anxiety. Furthermore, depression severity was found to depend on age, occupational status, living environment, marital status, and history of trauma.
Conclusion: The findings indicated that demographic factors and psychological conditions are closely associated with the experience of pain. Furthermore, certain groups, including women, low educated individuals, and patients with a history of trauma, are at greater risk for psychological problems associated with low back pain. These results highlight the importance of integrating psychological interventions (e.g., stress management, cognitive-behavioral therapy, and strengthening physical activity) alongside medical treatments for effective low back pain management. Simultaneous attention to socio-economic factors and quality of life can lead to the design of more comprehensive treatment programs and improvement of clinical outcome for patients
Methods: This cross-sectional study was conducted in late 2017 on 168 patients with low back pain referred to the Rafsanjan MRI Center (mean age 42.6 ± 15.3 years; 60.7% female). Demographic data and mental health status were collected using the DASS-21 questionnaire, while pain severity was measured utilizing the Visual Analogue Scale (VAS). Data were analyzed using SPSS software (version 16).
Results: The majority of participants were married, rural housewives with low educational levels and no history of trauma or physical activity. A significant positive correlation was observed between stress and physical activity, as well as between depression and a history of trauma. Anxiety was significantly associated with place of residence, marital status, physical activity, and history of trauma. Pain intensity was significantly correlated with higher levels of stress and anxiety. Furthermore, depression severity was found to depend on age, occupational status, living environment, marital status, and history of trauma.
Conclusion: The findings indicated that demographic factors and psychological conditions are closely associated with the experience of pain. Furthermore, certain groups, including women, low educated individuals, and patients with a history of trauma, are at greater risk for psychological problems associated with low back pain. These results highlight the importance of integrating psychological interventions (e.g., stress management, cognitive-behavioral therapy, and strengthening physical activity) alongside medical treatments for effective low back pain management. Simultaneous attention to socio-economic factors and quality of life can lead to the design of more comprehensive treatment programs and improvement of clinical outcome for patients
Type of Study: Orginal Research |
Subject:
Basic Sciences
Received: 2025/09/15 | Accepted: 2026/02/24 | Published: 2026/09/29
Received: 2025/09/15 | Accepted: 2026/02/24 | Published: 2026/09/29
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