Session Information
Session Title: AA 2022 Posters - Pain and Spine Medicine
Session Time: None. Available on demand.
Disclosures: Bilaal Hassan, BS: No financial relationships or conflicts of interest
Background and/or Objectives: To evaluate the association between the diagnosis of an affective disorder in chronic lower back pain patients and the change in pain outcomes following a spinal procedure. We hypothesized that the presence of an affective disorder(s) was not associated with a statistically significant difference in pain outcomes using pain scores prior and three months following spinal procedures.
Design: Patient data were collected from a spine center registry from a single institution between January 2016 and July 2020. Patient data were retrospectively reviewed using their electronic medical record (EMR).
Setting: Spine center registry from a single institution.
Participants: 470 patients were identified who underwent a spinal procedure including injections of the lumbar spine. Patients were divided into an Affective Disorder group (n=261) and a Non-Affective Disorder group (n=197) .
Interventions: Not applicable.
Main Outcome Measures: Compared mean change in pain scores from baseline, prior to procedure, to three months post-procedure between Affective Disorder group and Non-Affective Disorder group. Eleven different pain scores used including- ODI, VAS Back, VAS Leg, Promis Pain, Promis Pain Interference, Promis Satisfaction, Promis Sleep, Promis Fatigue, Promis Depression, Promis Anxiety, Promis Physical Function.
Results: There were no significant differences in the change of any of the eleven pain scores between the Affective Disorder group and Non-Affective disorder group three months post-procedure compared to baseline (p>0.05 for all).
Conclusions: The presence of an affective disorder in chronic lower back pain patients is not associated with a significant difference in pain outcomes following a spinal procedure compared to those without an affective disorder. Providers should treat chronic lower back pain in patients with an affective disorder equally to those without an affective disorder and move away from the notion that treatments for pain are less effective in patients suffering from affective disorders.
Level of Evidence: Level III
To cite this abstract in AMA style:
Hassan B, Trivedi K, Lyuksyutova MI, Palmer JE, Murtuza I, Snyder C, Hall K. Association Between Affective Disorders in Chronic Back Pain Patients and Pain Outcomes [abstract]. PM R. 2022; 14(S1)(suppl 1). https://pmrjabstracts.org/abstract/association-between-affective-disorders-in-chronic-back-pain-patients-and-pain-outcomes/. Accessed May 16, 2025.« Back to AAPM&R Annual Assembly 2022
PM&R Meeting Abstracts - https://pmrjabstracts.org/abstract/association-between-affective-disorders-in-chronic-back-pain-patients-and-pain-outcomes/